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Trial registered on ANZCTR
Registration number
ACTRN12610000154000
Ethics application status
Not yet submitted
Date submitted
1/02/2010
Date registered
16/02/2010
Date last updated
16/02/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
The effects of the Sydney Intrusion Spring (SIS) on the maxillary posterior dental segments with the application of an intrusive force.
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Scientific title
The effects of the Sydney Intrusion Spring (SIS) on the amount and rate of intrusion with closure of the anterior open bite after the application of an intrusive force in 12-14 yr old children with maxillary transverse deficiency and skeletal anterior open bite malocclusion.
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Secondary ID [1]
1410
0
None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Skeletal open bite malocclusion
256706
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Condition category
Condition code
Oral and Gastrointestinal
256861
256861
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Sydney Intrusion Spring, Miniscrew skeletal anchorage, Bonded Hyrax rapid maxillary expander will be placed at the start of the intervention. These appliances are all well established and commonly used in clinical orthodontic practice. The SIS will provide a continous intrusive force to the maxillary posterior teeth from the start to the end of the intervention. Measurements for amount and rate of intrusion will be taken at 6 weekly intervals. Anticipated duration of the intervention is 6-9 months, depending on the severity of the initial open bite.
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Intervention code [1]
255937
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Treatment: Devices
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Comparator / control treatment
N/A
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Millimetric measurement of the maxillary posterior teeth intrusion.
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Assessment method [1]
257730
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Timepoint [1]
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Millimetric measurements of the open bite will be taken at T=0 and then at 6 weekly intervals until a 2 mm over bite is achevied
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Secondary outcome [1]
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Reduction of the anterior over bite will be assesed making millimetric measurements across the upper and lower incisor teeth teeth using digital callipers.
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Assessment method [1]
263096
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Timepoint [1]
263096
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Millimetric measurements of the open bite will be taken at T=0 and then at 6 weekly intervals until a 2 mm over bite is achevied
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Eligibility
Key inclusion criteria
Skeletal and dental open bite malocclusion
Makillary transverse deficiency.
Increased lower face height.
Adequate or excessive incisor display on smiling.
Convex facial profile
No non-nutritive sucking habits.
No severe posterior crowding.
Permanent dentition
No previous orthodontic treatment, trauma and no dental or congenital anomalies.
Good oral hygiene and no periodontal disease.
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Minimum age
12
Years
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Maximum age
14
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Non-nutritive sucking habits.
Inadequate incisor display on smiling.
Straight to concave facial profile.
Mixed dentition.
Poor oral hygiene and periodontal disease
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects will be chosen by the invesigators from those that have been referred to the Department of Orthodontics in Sydney Hospital for treatment of their Skeletal anterior open bite malocclusion and that have been placed on the Department's waiting list.If enough patients that fulfill the criteria cannot be found from the waiting list, new patients will be recruited.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/04/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
256447
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Charities/Societies/Foundations
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Name [1]
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Australian Society of Orthodontists
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Address [1]
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PO Box 576
Crows Nest
NSW 1585
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Country [1]
256447
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Australia
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Funding source category [2]
256448
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University
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Name [2]
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Department of Orthodontics, University of Sydney
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Address [2]
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Department of Orthodontics
Level 2
Sydney Dental Hospital
2 Chalmers St
Surry Hills
NSW 2010
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Country [2]
256448
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Australia
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Primary sponsor type
University
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Name
Department of Orthodontics, University of Sydney
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Address
Department of Orthodontics
Level 2
Sydney Dental Hospital
2 Chalmers St
Surry Hills
NSW 2010
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Country
Australia
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Secondary sponsor category [1]
255747
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Charities/Societies/Foundations
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Name [1]
255747
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Australian Society of Orthodontists
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Address [1]
255747
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PO Box 576
Crows Nest
NSW 1585
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Country [1]
255747
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
258502
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Sydney South West Area Health Services (SSWAHS) [Royal Prince Alfred (RPA) zone] Ethics review committee
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Ethics committee address [1]
258502
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c/- Research Development Office Level 3, Building 92 Royal Prince Alfred Hospital Missenden Rd Camperdown NSW 2050
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Ethics committee country [1]
258502
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Australia
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Date submitted for ethics approval [1]
258502
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10/03/2010
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Approval date [1]
258502
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Ethics approval number [1]
258502
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Summary
Brief summary
Skeletal anterior open bite malocclusion is one of the most difficult malocclusions to treat orthodontically. Traditional treatment was aimed at correcting the malocclusion through a combination of orthodontics and orthognathic surgery, once growth was completed. Although good results were achieved, the treatment was complicated and severe invasive. With the advent of skeletal anchorage and miniscrews it has now become possible to treat Skeletal anterior open bite malocclusions non-surgically through intrusion of the maxillary posterior teeth, resulting in the closure of the anterior open bite. However, the appliances currently used for the intrusion are crude adaptions of existing auxillaries, not meant for this purpose. The have significant short comings including tissue irritaion, trauma and the need for frequent reactivation. The Sydney Intrusion Spring (SIS) is an appliance that has been specifically designed for the intrusion of maxillary posterior teeth. The aim of the study is to analyse the efficacy of this appliance on the intrusion of maxillary posterior teeth.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
30784
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Address
30784
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Country
30784
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Phone
30784
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Fax
30784
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Email
30784
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Contact person for public queries
Name
14031
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Dr Riaan Foot
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Address
14031
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Department of Orthodontics
Level 2
Sydney Dental Hospital
2 Chalmers St
Surry Hills
NSW 2010
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Country
14031
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Australia
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Phone
14031
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+61 2 9351 8314
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Fax
14031
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+61 2 9351 8336
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Email
14031
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[email protected]
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Contact person for scientific queries
Name
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Dr Riaan Foot
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Address
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Department of Orthodontics
Level 2
Sydney Dental Hospital
2 Chalmers St
Surry Hills
NSW 2010
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Country
4959
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Australia
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Phone
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+61 2 9351 8314
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Fax
4959
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+61 2 9351 8336
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Email
4959
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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