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Status unknownNCT04970095Updated Jul 27, 2021

Alt-RAMEC Expansion and Protraction by EDO in Cleft Lip and Palate Patient

An interventional study of Maxillary Expander with Differential Opening (EDO) and Petit Face Mask in Cleft Lip and Palate, sponsored by Faculty of Dental Medicine for Girls. Status unknown at 1 site in Egypt. Open to participants aged 8 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-27.

Sponsored by Faculty of Dental Medicine for Girls · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
8 Years to 12 Years
Sex
All
01

Study summary

Evaluate the treatment outcome of Alternate Rapid Maxillary Expansion and Constriction Alt-RAMEC protocol on patients with cleft lip and palate, using a differential opening expander and face mask which will be measured and recorded by cone beam computed tomography (CBCT).

Read the detailed description

Cleft lip and palate are among the most common deformities in children.Clefts patient are usually having orofacial problems as missing or unerupted permanent teeth, alveolar bone defect, speech difficulty . Patients with cleft lip and palate (CLP) commonly have maxillary arch constriction (maxillary hypoplasia) and Class III malocclusions due to deficient of maxillary growth The upper jaw of patients with cleft palate will be expanded by Maxillary Expander with Differential Opening (EDO) with alternate rapid maxillary expansion and constriction (Alt-RAMEC) , which is opened by opening the expansion device by 1 mm per day for a week, then closing the device at a rate of 1 mm per day in the second week and so on alternately for 7 consecutive weeks after the completion of the expansion, the facemask device will be used to protraction of maxilla the measurement and difference before and after treatment will be assessment by cone beam computed tomography (CBCT). .

02

Conditions studied

  • Cleft Lip and Palate

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Keywords

  • Alt-RAMEC
  • expansion
  • cleft lip and palate patient
  • cone beam computed tomography (CBCT)
  • protraction
  • facemask
  • MAXILLARY EXPANDER WITH DIFFERENTIAL OPENING (EDO)
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In context

Cleft Lip

162 studies on the registry are indexed under Cleft Lip; 51 are open to participants now.

This study's planned enrollment of 10 is below the median of 30 across 114 interventional studies indexed under Cleft Lip.

Browse Cleft Lip studies →

Lead sponsor

Faculty of Dental Medicine for Girls is the lead sponsor of 52 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
8 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients of both sexes.
  • Cleft lip and palate patients.
  • All patient age ranges from 8 to 12 years.
  • All the cases showed maxillary arch constriction and deficiently
  • All patients had maxillary permanent first molars.
  • Primary lip adhesion and palatal closure.

Exclusion criteria

Exclusion Criteria:

  • Patients had received any surgical assisted expansion or maxillary protraction or fixed orthodontics before.

    1. Maxillary dentition unsuitable to bond the expander (less than two dental unit bedside first permanent molar) .
    1. Absent maxillary permanent first molars. 4. Uncooperative patients/parents
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    cleft lip and palate patient

    Clefts patient with transverse maxillary constriction and anteroposterior deficiency

    Device: Maxillary Expander with Differential Opening (EDO) · Device: Petit Face Mask

Interventions

  • DeviceMaxillary Expander with Differential Opening (EDO)

    The EDO is designed with two expansion screws positioned transversely. When more expansion is required between the canines, the anterior screw can be further activated. Both expansion screws can be activated to open in a parallel configuration. Pivoting corner screws allow for different amounts of expansion without significant risk of binding during activation.

  • DevicePetit Face Mask

    The face mask is anatomical, multi-adjustable, lightweight and an ideal therapeutic alternative for the correction of Class III malocclusion. consist of forehead cap chin cap cross bar

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What researchers measure

Primary outcomes

  1. change in 3D dimension of skull after and before expansion

    Full skull Cone Beam Computerized Tomography

    Time frame: six month

07

Study locations

1 of 1 sites recruiting
  • faculty of dental medicine for Girls, Al- Azhar University
    Cairo, Nasr City 0000, Egypt
    Recruiting
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References and documents

Publications

  • Garib D, Lauris RC, Calil LR, Alves AC, Janson G, De Almeida AM, Cevidanes LH, Lauris JR. Dentoskeletal outcomes of a rapid maxillary expander with differential opening in patients with bilateral cleft lip and palate: A prospective clinical trial. Am J Orthod Dentofacial Orthop. 2016 Oct;150(4):564-574. doi: 10.1016/j.ajodo.2016.05.006. PubMed 27692413 ↗
  • Singh S, Batra P, Raghavan S, Sharma K, Srivastava A. Evaluation of Alt-RAMEC With Facemask in Patients With Unilateral Cleft lip and Palate (UCLP) Using Cone Beam Computed Tomography (CBCT) and Finite Element Modeling-A Clinical Prospective Study. Cleft Palate Craniofac J. 2022 Feb;59(2):166-176. doi: 10.1177/10556656211000968. Epub 2021 Mar 23. PubMed 33754882 ↗

Individual participant data

Plan to share: No — Evaluation of EDO ,Alt-RAMEC With Facemask in Patients With Cleft lip and Palate (UCLP) Using Cone Beam Computed Tomography (CBCT)

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04970095
Lead sponsor
Faculty of Dental Medicine for Girls
Responsible party
sarah salah khalil Abdelaal (Principal Investigator, Faculty of Dental Medicine for Girls) — Principal investigator
First posted
Jul 21, 2021
Start date
Jul 15, 2021
Primary completion
Jul 2022 (estimated)
Completion
Jul 2023 (estimated)
Last update
Jul 27, 2021

Study contacts

sarah s. kahlil, master
Contact
sarahabdelaal.p5821@azhar.edu.eg
+201128899261
mohamed m. elabd, master
Contact
sarahlala83@gmail.com
+201064244061
maha m. mohamed, phd
study director · Lecturer of Orthodontics Department Faculty of Dental Medicine for Girls Al-Azhar University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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