Impact of Anterior Cross Bite Treatment on Children's Speech Performance
NCT ID: NCT06168695
Last Updated: 2025-04-18
Study Results
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Basic Information
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RECRUITING
NA
50 participants
INTERVENTIONAL
2023-02-04
2025-06-30
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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anterior crossbite treatment with evaluation of speech and quality of life
removable anterior expansion screw is used to correct anterior crossbite
Child Perceptions Questionnaire was used to gauge how the anterior crossbite affected the children's OHRQoL.
children were subjected to the Protocol of speech evaluation
removable anterior expansion screw
For the upper and lower arches, precise and profound alginate impressions were obtained and plaster study models were created. The removable appliance was constructed using acrylic resin with bilateral occlusal coverage for posterior teeth. The removable appliance was inserted in the patient's mouth and the patient was recalled after 24 hours to check the appliance fit.
Patient was recalled every four weeks until the dental cross-bite was corrected.
Speech and language evaluation
speech evaluation was done by a Phoniatrician and all children were subjected to the Protocol of speech evaluation before expansion screw appliance insertion and after complete correction of anterior crossbite using an articulation test, intelligibility test, and spectrographic analysis.
* Articulation test: Five speech sounds were chosen to be studied /s/, /s /, /z/, /z/, /∫ /. The consonants were tested in the initial, medial, and final word positions.
* Speech intelligibility test : The general intelligibility score was calculated using Speech intelligibility in context: 5 -point scale:
* Spectrographic analysis: Using the computerized speech lab, the child was seated in an upright position \& allowed to talk freely \& repeated syllables were said to him/her.
Oral Health Related Quality of Life (OHRQoL) Assessment
The Child Perceptions Questionnaire (CPQ 8-10) in Brazilian version was used to gauge how the anterior cross bite affected the children's OHRQoL. It has twenty-five items total, broken down into four health domains (subscales): five questions each about oral symptoms (OS), five questions about functional limitations (FL), five questions about emotional wellbeing (EW), and ten questions about social well-being (SW). The responses never (0), once/twice (1), occasionally (2), often (3), and every day/almost every day (4) are provided for each question on an ordinal scale. The sum of the scores for all questions is used to calculate the scores for each subscale. The CPQ 8-10 was used to assess the OHRQoL before appliance insertion and after complete correction of anterior crossbite.
Interventions
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removable anterior expansion screw
For the upper and lower arches, precise and profound alginate impressions were obtained and plaster study models were created. The removable appliance was constructed using acrylic resin with bilateral occlusal coverage for posterior teeth. The removable appliance was inserted in the patient's mouth and the patient was recalled after 24 hours to check the appliance fit.
Patient was recalled every four weeks until the dental cross-bite was corrected.
Speech and language evaluation
speech evaluation was done by a Phoniatrician and all children were subjected to the Protocol of speech evaluation before expansion screw appliance insertion and after complete correction of anterior crossbite using an articulation test, intelligibility test, and spectrographic analysis.
* Articulation test: Five speech sounds were chosen to be studied /s/, /s /, /z/, /z/, /∫ /. The consonants were tested in the initial, medial, and final word positions.
* Speech intelligibility test : The general intelligibility score was calculated using Speech intelligibility in context: 5 -point scale:
* Spectrographic analysis: Using the computerized speech lab, the child was seated in an upright position \& allowed to talk freely \& repeated syllables were said to him/her.
Oral Health Related Quality of Life (OHRQoL) Assessment
The Child Perceptions Questionnaire (CPQ 8-10) in Brazilian version was used to gauge how the anterior cross bite affected the children's OHRQoL. It has twenty-five items total, broken down into four health domains (subscales): five questions each about oral symptoms (OS), five questions about functional limitations (FL), five questions about emotional wellbeing (EW), and ten questions about social well-being (SW). The responses never (0), once/twice (1), occasionally (2), often (3), and every day/almost every day (4) are provided for each question on an ordinal scale. The sum of the scores for all questions is used to calculate the scores for each subscale. The CPQ 8-10 was used to assess the OHRQoL before appliance insertion and after complete correction of anterior crossbite.
Eligibility Criteria
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Inclusion Criteria
* 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 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
8 Years
10 Years
ALL
No
Sponsors
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Tanta University
OTHER
Responsible Party
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Shaimaa Shaban Mohamed El-desouky
Lecturer of Pediatric dentistry
Locations
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Tanta University
Tanta, Gharbia Governorate, Egypt
Countries
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Central Contacts
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Facility Contacts
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References
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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.
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.
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.
Other Identifiers
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#R-PED-1-23-6
Identifier Type: -
Identifier Source: org_study_id
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