Efficacy of Myofunctional Therapy in Class II Patients

Study Overview
=================
Brief Summary
-----------------
Randomized clinical trial , with a sample of 60 children with atypical swallowing, class II and with SN1 orthopedic appliances these patients were randomly divided into, group 1: 30 patients with SN1 orthopedic appliances and myofunctional therapy and group 2: 30 patients with SN1 orthopedic appliances and without myofunctional therapy.

Detailed Description
-----------------
Randomized clinical trial with two parallel arms, on a sample of 60 children with atypical swallowing, class II and with SN1 orthopedic appliances, these patients were randomly divided into, group 1: 30 patients with SN1 orthopedic appliances and myofunctional therapy and group 2: 30 patients with SN1 orthopedic appliances and without myofunctional therapy for the study. Both groups carried out the evaluation of the protocol that included: 1) evaluation of the dental occlusion class and skeletal classification 2) swallowing function test using the Payne technique; 3) Mioscaner analysis to measure perioral forces, i.e. tongue extension force, lip pressure, masseter contraction force.

Official Title
-----------------
Efficacy of Myofunctional Therapy in Class II Patients With Functional Orthopedic Appliances. ECA

Conditions
-----------------
Efficacy, Myofunctional Therapy, Orthopedics

Intervention / Treatment
-----------------
* Other: Myofuncional Therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: the inclusion criteria the participants will be between 8 and 10 years old mixed dentition canine class II diagnosis and 2 to 4 mm molar according to Angle and overjet between 4 to 6 mm Exclusion Criteria: Patients with systemic involvement congenital malformations facial deformities Open bite oral breathing finger sucking habit will be excluded

Ages Eligible for Study
-----------------
Minimum Age: 8 Years
Maximum Age: 12 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized clinical trial with two parallel arms
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1, with myofunctional therapy and SN1 functional orthopedic appliances<br>The participant will receive a session of myofunctional therapy every month, for 9 months. In this group, a series of procedures and techniques are carried out to create and mechanize muscular and orofacial patterns at rest and in function, eliminate habits, correct muscular imbalance, improve the aesthetics of the patient and normalize the functions of the stomatognathic system. | Other: Myofuncional Therapy<br>* Group 1, with myofunctional therapy and SN1 functional orthopedic appliances The participant underwent a myofunctional therapy session every month, for 9 months. In this group, a series of procedures and techniques are carried out to create and mechanize muscular and orofacial patterns at rest and in function, eliminate habits, correct muscular imbalance, improve the aesthetics of the patient and normalize the functions of the stomatognathic system. The myofunctional therapy performed will be by an expert speech therapist<br>* Other names: Orthopedics;|
| Experimental: Group 2, without myofunctional therapy and SN1 functional orthopedic appliances.<br>Once the investigation is finished, the patient will decide whether or not to perform myofunctional therapy one every month, for 9 months. | Other: Myofuncional Therapy<br>* Group 1, with myofunctional therapy and SN1 functional orthopedic appliances The participant underwent a myofunctional therapy session every month, for 9 months. In this group, a series of procedures and techniques are carried out to create and mechanize muscular and orofacial patterns at rest and in function, eliminate habits, correct muscular imbalance, improve the aesthetics of the patient and normalize the functions of the stomatognathic system. The myofunctional therapy performed will be by an expert speech therapist<br>* Other names: Orthopedics;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Therapy Efficacy / Tongue Position | Lingual projection force | 9 months | 
| 41 / 5000 Resultados de traducción Efficacy of therapy / mandibular advancement | It induces changes in the position of the mandibular bone towards a more advanced position | 9 months | 
| Muscle contraction | Physiological process in which the muscles develop tension and are shortened or stretched by a stimulus | 9 months | 
| Contraction of the masseter muscles and muscle activity of the chin | 101 / 5000 Resultados de traducción Physiological process in which the muscles develop tension and are shortened or stretched by a stimulus | 9 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Efficacy, Myofunctional Therapy, Dentofacial Orthopedics