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CTRI Number  CTRI/2024/07/069755 [Registered on: 01/07/2024] Trial Registered Prospectively
Last Modified On: 25/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Relation of mouth breathing with oral health related quality of life in 6 to 13 year old children a cross sectional study 
Scientific Title of Study   Association of mouth breathing with oral health related quality of life in six to thirteen year old children a cross sectional 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  Mansi Mahesh Mangela 
Designation  PG Student 
Affiliation  Y. M .T Dental college and Hospital, Kharghar , navimumbai 
Address  Room no 21 department of Pediatric and Preventive dentistry , Y. M. T Dental college and Hospital , Sector 4 Kharghar

Raigarh
MAHARASHTRA
410210
India 
Phone  9665005665  
Fax    
Email  mansimangela@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amar Katre 
Designation  Professor 
Affiliation  Y. M .T Dental college and Hospital, Kharghar , navimumbai 
Address  Room no 21, Department of Pediatric and Preventive Dentistry , Y M T Dental college and Hospital, Sector 4, Kharghar , navimumbai

Raigarh
MAHARASHTRA
410210
India 
Phone    
Fax    
Email  amar_katre@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Mansi Mahesh Mangela 
Designation  PG Student 
Affiliation  Y .M .T Dental college and Hospital, Kharghar , navimumbai 
Address  Room no.21, department of pediatric and preventive dentistry, Y M T Dental college and Hospital, Sector 4 , Kharghar , navimumbai

Raigarh
MAHARASHTRA
410210
India 
Phone    
Fax    
Email  mansimangela@gmail.com  
 
Source of Monetary or Material Support  
Dr Mansi Mangela Jivdani Darshan bunglow, mangela aali, naringi village , near naringi cricket ground ,virar west 401303 , Maharashtra ,India 
 
Primary Sponsor  
Name  Dr Mansi Mangela 
Address  Jivdani darshan bunglow, mangela aali, naringi village, near naringi cricket ground, virar west, 401303, maharashtra, india 
Type of Sponsor  Other [Self Funded] 
 
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 Mansi Mangela  Y.M.T Dental college and Hospital , Kharghar , Navimumbai  Department of pediatric and preventive dentistry,YMT Dental College and Hospital, Institutional area,Sector 4,Kharghar, Navimumbai - 410210
Raigarh
MAHARASHTRA 
9665005665

mansimangela@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee, YMT Dental college and hospital, Kharghar, Navimumbai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J00-J99||Diseases of the respiratory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  13.00 Year(s)
Gender  Both 
Details  Healthy children between six to thirteen years of age and their parents.  
 
ExclusionCriteria 
Details  1. Children who are physically or mentally challenged and/or medically compromised.
2. Children with known History asthma or suffering from acute URTI
3. Children whose general condition interferes with examination and data collection.
4. Children undergoing or completed orthodontic treatment.
5. Children whose parents refuse to give consent 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
1. To assess prevalence of mouth breathing
2. To assess the OHRQoL (using COHIP) in six- to thirteen-year-old children with nasal and mouth breathing
3. To compare the OHRQoL between six- to thirteen-year-old children with nasal and mouth breathing. 
At baseline only, no further recall  
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess the prevalence of tonsillar hypertrophy using Brodsky’s criteria
2. To assess the inter-canine and inter-molar width in children with mouth breathing.
3. To assess the association of tonsillar hypertrophy and OHRQoL
4. To assess the association of mouth breathing and inter-canine and inter-molar width  
At baseline only, no further recall 
 
Target Sample Size   Total Sample Size="210"
Sample Size from India="210" 
Final Enrollment numbers achieved (Total)= "213"
Final Enrollment numbers achieved (India)="213" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/08/2024 
Date of Study Completion (India) 30/01/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/01/2026 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Not yet published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Based on the results of the current study, we conclude that Mouth breathing (MB) is associated with poor OHRQoL in 6 to 13year old children.

The following objective specific conclusions can be drawn from the study:

1.     Prevalence of MB was 47.89% in the study population.

2.     The COHIP domain scores and total score showed moderate variability among participants, indicating differences in oral health-related quality of life within the study population.

3.     Nasal breathing is associated with better oral health-related quality of life, whereas mouth breathing is associated with a negative impact on OHHRQoL.

4.     Prevalence of abnormal tonsillar size was 50.23% in six- to thirteen-year-old children.

5.     Children with nasal breathing showed slightly greater maxillary inter-canine width, the difference was not statistically significant in the study population.

6.     There was no significant difference in mandibular inter-canine width between nasal and mouth breathing children in the study population.

7.     Children with nasal breathing had significantly greater maxillary inter-molar width compared to mouth breathing in the study population.

8.     There was no statistically significant difference in mandibular inter-molar width between nasal and mouth breathing children in the study population.

9.     Children with a mouth-breathing were significantly more likely to present with a Class II molar relationship compared to nasal breathing children in the study population.

10.  Mouth breathing is associated with an increased prevalence of crossbite.

11.  Mouth breathing may have a stronger relationship with transverse discrepancies than with vertical malocclusions in the present study population.

12.   Decrease in OHRQoL with increasing overjet in the present study population.

13.   Increase in overbite was associated with higher COHIP total scores in the study population.

14.   Overall, the findings indicate that occlusal parameters (overjet and overbite), breathing pattern, and tonsil visibility were significantly associated with COHIP total scores, whereas age and sex did not have a statistically significant relationship.


 
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