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CTRI Number  CTRI/2024/04/065386 [Registered on: 08/04/2024] Trial Registered Prospectively
Last Modified On: 04/04/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Single Arm Study 
Public Title of Study   Evaluation of changes in lower jaw with intermaxillary elastics combined with anterior bite turbos. 
Scientific Title of Study   Evaluation of the skeletal, dental & soft tissue changes with intermaxillary elastics combined with anterior bite turbos for the correction of skeletal Class II malocclusion: A pilot study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Saugat Ray 
Designation  Reader & Instructor 
Affiliation  AFMC (Armed Forces Medical College) 
Address  Division of Orthodontics Dept of Dental Surgery & OHS AFMC (Armed Forces Medical College) Solapur Road

Pune
MAHARASHTRA
411040
India 
Phone  9057443123  
Fax    
Email  saugatray80@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Saugat Ray 
Designation  Reader & Instructor 
Affiliation  AFMC (Armed Forces Medical College) 
Address  Division of Orthodontics Dept of Dental Surgery & OHS AFMC (Armed Forces Medical College) Solapur Road


MAHARASHTRA
411040
India 
Phone  9057443123  
Fax    
Email  saugatray80@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Saugat Ray 
Designation  Reader & Instructor 
Affiliation  AFMC (Armed Forces Medical College) 
Address  Division of Orthodontics Dept of Dental Surgery & OHS AFMC (Armed Forces Medical College) Solapur Road


MAHARASHTRA
411040
India 
Phone  9057443123  
Fax    
Email  saugatray80@gmail.com  
 
Source of Monetary or Material Support  
DGAFMS (Anveshan Project) M Block Integrated HQ Ministry of Defence New Delhi 110001 
 
Primary Sponsor  
Name  Director General Armed Forces Medical Services  
Address  M Block Ministry of Defence New Delhi 01 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Saugat Ray  Armed Forces Medical College  Division of Orthodontics Dept of Dental Surgery & OHS Armed Forces Medical College Solapur Road
Pune
MAHARASHTRA 
9057443123

saugatray80@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, AFMC, Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q758||Other specified congenital malformations of skull and face bones,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intermaxillary elastics combined with anterior bite turbos  Use of intermaxillary elastics combined with anterior bite turbos for mandibular advancement in skeletal Class II patients. Intermaxillary elastics will be applied from TAD distal to upper canines bilaterally and lower molar hooks. The skeletal, dental and soft tissue changes will be observed after functional phase. Duration of intervention: 03 years 
Comparator Agent  Not Applicable  Not Applicable Duration: Not Applicable 
 
Inclusion Criteria  
Age From  11.00 Year(s)
Age To  16.00 Year(s)
Gender  Both 
Details  1. Class II Div 1 malocclusion with ANB more than 4 degrees
2. Bilateral Class II or Half Cusp Class II molar relation
3. Patients with cephalometric features of orthognathic maxilla and retro gnathic mandible
4. Positive visual treatment objective
5. CVMI stage III or IV
6. Patients giving written consent to participate in the study
 
 
ExclusionCriteria 
Details  1. Class II Div 2 Malocclusion
2. History of orthodontic treatment
3. Systemic diseases affecting bone metabolism
4. Patients with neuromuscular disorder & TMJ problems
5. Presence of any craniofacial anomalies or pathologies.
6. Presence of gross facial asymmetry.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Correction of skeletal Class II malocclusion  After completion of functional phase (Approximately 06 months) 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the total treatment duration & frequency of appliance breakages.  After completion of functional phase in approximately 06 months 
 
Target Sample Size   Total Sample Size="15"
Sample Size from India="15" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   20/04/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Subjects found suitable in the above inclusion criteria for the study shall be explained the scope of the study and written consent shall be obtained. Pre-treatment records (T1) in the form of photographs (extraoral & intraoral), radiographs i.e., OPG, Lateral cephalogram, and study models for maxillary and mandibular arch shall be recorded.

  The patients will undergo the fixed mechanotherapy with 0.022″ MBT PEA which will be started simultaneously with functional jaw orthopedics. Two micro-implants will be inserted (one on either side of the maxillary arch distal to maxillary canines), along with customized anterior bite turbos made with a mini mold kit bonded on upper incisors. Intermaxillary elastics will be used from lower molar hooks to the implants inserted in the maxillary arch. The intermaxillary elastics will aid in the forward positioning of the mandibular arch duly assisted by the anterior bite turbos. In addition, the bite turbos will further aid in opening the deep bite.

Post-functional records (T2) in the form of photographs (extraoral & intraoral), radiographs i.e., OPG, Lateral cephalogram, and dental models for maxillary and mandibular arch shall be obtained after completion of Functional phase of the treatment. The treatment effects at T1 and T2 will be evaluated and compared.

 
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