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Trial registered on ANZCTR
Registration number
ACTRN12610000205033
Ethics application status
Not yet submitted
Date submitted
8/03/2010
Date registered
10/03/2010
Date last updated
10/03/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
Treatment of skeletal 2 malocclusions with temporary anchorage devices and elastics.
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Scientific title
Treatment of skeletal 2 malocclusion in growing patients (assessed to be in cervical stage 3-4 of skeletal development from a lateral cephalograph x-ray) using an appliance joined to temporary anchorage devices and using class II elastics.
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Secondary ID [1]
1474
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:
Class 2 malocclusion - dental and skeletal
with mandibular deficiency
256923
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Condition category
Condition code
Oral and Gastrointestinal
257068
257068
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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
2 orthodontic miniscrews are to be placed in the palate of the upper jaw which is joined to an expansion appliance cemented to the patient's upper posterior teeth.
4 orthodontic miniscrews - 2 on each side joined by a plate - will be placed in the lower jaw. The patient will be required to wear class II elastics from the upper appliance to the lower joined miniscrews. This procedure is expected to take approximately 1 hour.
The miniscrews and expansion appliance will be placed at the start of treatment and is expected to stay in the mouth for approximately 9 months. Miniscrews will only be replaced if they fail. Current research literature states a 80-85% success rate for orthodontic miniscrews.
At the end of 9 months of treatment, all miniscrews and the expansion appliance will be removed from the patient
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Intervention code [1]
256116
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Treatment: Devices
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Comparator / control treatment
none
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Millimetric measurement of the correction of class II malocclusion and treatment effects of the appliance with temporary anchorage devices and elastics.
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Assessment method [1]
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Timepoint [1]
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Records will be taken at the start of treatment at T-0. The patient will be seen every 4-6 weeks for adjustments.
Treatment is estimated to take at least 9months until class I occlusion is achieved
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
1.Cervical stage 3-4 skeletal developement (Baccetti et al 1995)
2.Have a Class II dental and skeletal relationship with mandibular deficiency
3.Permanent dentition
4.No previous orthodontic treatment, trauma and no dental or congenital anomalies
5.Good oral hygiene and no periodontal disease.
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Minimum age
5
Years
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Maximum age
20
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
1. Medically compromised patients.
2. patients with a history of poor compliance and will not wear elastics
3. Patients with active dental or gum disease
4. Patients with poor oral hygiene
5. Patients that do not wish to volunteer for the study
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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)
Patients will be chosen by Prof Darendeliler, Dr Daniel Tan, Dr Gonzales, Dr Tarraf and Dr Dalci from those that have been referred to the Department of Orthodontics in Sydney Dental Hospital for the correction of their skeletal II malocclusion and which have been placed on the Department’s waiting list. Patients that fulfil the following criteria:
1.Cervical stage 3-4 (Baccetti et al 1995)
2.Have a Class II dental and skeletal relationship with mandibular deficiency
3.Permanent dentition
4.No previous orthodontic treatment, trauma and no dental or congenital anomalies
5.Good oral hygiene and no periodontal disease.
Will be chosen to voluntarily be included in the study.
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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
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
1/06/2010
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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]
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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
Australia
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Australian Society of Orthodontists
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Address
PO Box 576
Crows Nest NSW 1585
Australia
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Country
Australia
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Secondary sponsor category [1]
255903
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None
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Name [1]
255903
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Address [1]
255903
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Country [1]
255903
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
258652
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Sydney South West Area Health Service - Human Research Ethics Committee (SSWAHS HREC)
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Ethics committee address [1]
258652
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Research Development Office Level 3, Building 92 Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
258652
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Australia
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Date submitted for ethics approval [1]
258652
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31/03/2010
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Approval date [1]
258652
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Ethics approval number [1]
258652
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Summary
Brief summary
This study will investigate the results of a new functional appliance which aims to correct skeletal 2 malocclusions. Currently, controversy exists on the efficacy of functional appliances at stimulating mandibular growth. This is because the tooth movements rather than changes in facial growth have found to be mostly responsible for the improvement seen in the dental arch relationships. This appliance will be attached to orthodontic miniscrew temporary anchorage devices aimed at achieving maximal skeletal correction of their malocclusion and minimising dentoalveolar effects.
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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
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Daniel Tan
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Address
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Discipline of Orthodontics, Sydney Dental Hospital, 2 Chalmers Street
Surry Hills NSW 2010
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Country
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Australia
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Phone
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+61 2 92933388
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Fax
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+61 2 9351 8336
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Email
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[email protected]
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Contact person for scientific queries
Name
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Daniel Tan
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Address
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Discipline of Orthodontics, Sydney Dental Hospital, 2 Chalmers Street
Surry Hills NSW 2010
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Country
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Australia
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Phone
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+61 2 9293 3388
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Fax
5081
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+61 2 9351 8336
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Email
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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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