Clinical trial NCT06168695: Impact of Anterior Cross Bite Treatment on Children's Speech Performance
Official title: Impact of Anterior Dental Cross Bite Treatment on Children's Speech Performance and Their Quality of Life
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Cross Bite
Malocclusion
Speech
Quality of Life
Keywords: crossbite
speech
expansion screw
quality of life
Lead sponsor: Tanta University
Sponsor class: OTHER
First posted: 2023-12-13
Enrollment: 50
Sex: ALL
Minimum age (years): 8
Maximum age (years): 10
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: prospective, single-arm clinical trial
Primary purpose: TREATMENT

Brief summary: The goal of this prospective, single-arm clinical trial is to evaluate the speech performance of children with anterior dental crossbite before and after correction. Also, to assess the impact of early interceptive orthodontic treatment in the mixed dentition stage to correct the anterior dental crossbite on the quality of life of children.

Fifty children of both sexes aged from 8 to 10 years were enrolled and evaluated using the study's inclusion \& exclusion criteria. before beginning interceptive orthodontic treatment, each child underwent full mouth treatment. then, using a removable anterior expansion screw along with posterior bite planes to treat the anterior crossbite. All children were subjected to the Protocol of speech evaluation before appliance insertion and after complete correction of anterior crossbite. Also, the Child Perceptions Questionnaire (CPQ 8-10) in the Brazilian version was used to gauge how the anterior crossbite affected the children's oral health-related quality of life.


Eligibility criteria: Inclusion Criteria:

* healthy cooperative children aged 8-10 years
* have at least one or more maxillary permanent incisors in a crossbite relationship
* fully erupted four first permanent molars
* Angle Class I molar relationship and Class I skeletal relationship
* the mother language of all the subjects was Arabic.

Exclusion Criteria:

* Children with systemic illness or previous history of speech therapy
* children who are ill-habituated or unable to follow up
* children with previous orthodontic treatment
* uncooperative children
* Anterior skeletal or functional crossbite
* presence of sucking habits

Primary outcomes:
measure: normal anterior occlusion, no anterior crossbite, normal measured Overjet and Overbite
timeFrame: 3 months
Secondary outcomes:
measure: child compliance, oral health-related quality of life questionnaire
timeFrame: 3 months
measure: Measured degree of speech improvement
timeFrame: 3 months
Other outcomes:
Locations:
city: Tanta
country: Egypt
facility: Tanta University
state: Gharbia
Study officials:
References:
citation: Littlewood SJ, Tait AG, Mandall NA, Lewis DH. The role of removable appliances in contemporary orthodontics. Br Dent J. 2001 Sep 22;191(6):304-6, 309-10. doi: 10.1038/sj.bdj.4801170.
citation: Assaf DDC, Knorst JK, Busanello-Stella AR, Ferrazzo VA, Berwig LC, Ardenghi TM, Marquezan M. Association between malocclusion, tongue position and speech distortion in mixed-dentition schoolchildren: an epidemiological study. J Appl Oral Sci. 2021 Aug 16;29:e20201005. doi: 10.1590/1678-7757-2020-1005. eCollection 2021.
citation: Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002 Jul;81(7):459-63. doi: 10.1177/154405910208100705.