Validation of Dental Malocclusion Schematic Representations for Early Orthodontic Treatment

NCT ID: NCT03991221

Last Updated: 2023-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

659 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-21

Study Completion Date

2023-06-01

Brief Summary

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Dental occlusion is the reciprocal confrontation of the two dental arches. The child has two set of temporary and permanent teeth and passes through different stages of dentition during which dental, skeletal or functional abnormalities may appear.

Dental malocclusion is defined as an incorrect position of the teeth in the bone base, as well as the incoordination of the teeth of the opposite arches or the displacement of the maxillary and mandibular skeletal bases.

When a malocclusion is detected during clinical examination, patients are referred to an orthodontic specialist. The interception in orthodontics is carried out during a growing period; it consists of correcting or reducing malocclusions in evolution and eliminating the functional causes to prevent aggravation of skeletal and dental abnormalities.

An epidemiological study conducted in France on 789 children showed that 37.4% had at least one type of dental malocclusion. In 2010, a study of 5988 French children showed that 14% of them had received orthodontic treatment. These studies reveal a discrepancy between treatment needs and treatments conducted. In addition, certain dental malocclusions and skeletal disorders, such as lateral and anterior crossbite, require early orthodontic treatment in order to avoid aggravation of the occlusion disorder and induction of craniofacial growth disorders. Unfortunately these discrepancies are not always detected by the caregivers (pediatrician, general dentist, pediatric dentist).

A schematic representation of malocclusions in temporary and mixed dentition requiring orthodontic interception has been developed by the investigator's team to provide a simple visual means of identifying these dental and skeletal disorders in order to improve early screening by practitioners involved in the mandatory medical follow-up of children.

Detailed Description

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Dental malocclusion is defined as an incorrect position of the teeth in the bone base, as well as the incoordination of the teeth of the opposite arches or the displacement of the maxillary and mandibular skeletal bases.

When a malocclusion is detected during clinical examination, patients are referred to an orthodontic specialist. The interception in orthodontics is carried out during a growing period; it consists of correcting or reducing malocclusions in evolution and eliminating the functional causes to prevent aggravation of skeletal and dental abnormalities. Early intervention is critical for specific dental malocclusions and skeletal disorders, such as lateral and anterior crossbite in order to avoid aggravation of the occlusion disorder and induction of craniofacial growth disorders. Unfortunately these discrepancies are not always detected by the caregivers (pediatrician, general dentist, pediatric dentist).

Conditions

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Dental Malocclusion

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Dental exam by orthodontic non-specialists

Detection of the presence of at least one malocclusion by orthodontic non-specialists with the graphic chart

Group Type OTHER

Dental Exam

Intervention Type OTHER

Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert

Dental exam by orthodontic experts

Detection of the presence of at least one malocclusion by orthodontic experts

Group Type OTHER

Dental Exam

Intervention Type OTHER

Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert

Orthodontics consult

Intervention Type OTHER

Consultation with an orthodontics specialist if a malocclusion requiring early intervention is detected

Call back at 6 month

Intervention Type OTHER

Telephone call back at six months of inclusion in the study if a malocclusion requiring early intervention is detected

Interventions

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Dental Exam

Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert

Intervention Type OTHER

Orthodontics consult

Consultation with an orthodontics specialist if a malocclusion requiring early intervention is detected

Intervention Type OTHER

Call back at 6 month

Telephone call back at six months of inclusion in the study if a malocclusion requiring early intervention is detected

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* child between 5 and 10 years old
* seen in consultation with pediatrician, pediatric dentist, or general dentist,

Exclusion Criteria

* child not letting himself be examined,
* children who have already received orthodontic treatment and / or are currently undergoing orthodontic treatment
* Absence of free and informed consent
* Non affiliation to a social security regime or CMU
Minimum Eligible Age

5 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpital de jour pédiatrique - Hôpital Louis Mourier

Colombes, , France

Site Status

Odontologie Pédiatrique - Hôpital Louis Mourier

Colombes, , France

Site Status

Servide d'odontologie - Hôpital Louis Mourier

Colombes, , France

Site Status

Endocrinologie et diabète de l'enfant - Hôpital Bicêtre

Le Kremlin-Bicêtre, , France

Site Status

Neurologie Pédiatrique - Hôpital Bicêtre

Le Kremlin-Bicêtre, , France

Site Status

Cabinet d'odontologie pédiatrique

Montrouge, , France

Site Status

Cabinet privé pédiatrique

Paris, , France

Site Status

Cabinet privé pédodontie

Paris, , France

Site Status

Odontologie Pédiatrique - Hôpital Bretonneau

Paris, , France

Site Status

Service d'odontologie - Hôpital Bretonneau

Paris, , France

Site Status

Cabinet privé d'odontologie

Paris, , France

Site Status

Countries

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France

Other Identifiers

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2019-A01074-53

Identifier Type: OTHER

Identifier Source: secondary_id

APHP180562

Identifier Type: -

Identifier Source: org_study_id

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