ClinicalTrials.gg
CompletedNCT05657522Updated Dec 20, 2022

Early Treatment of Anterior Open Bite Using the Rapid Molar Intruder

An interventional study of Rapid molar intruder in Open Bite, sponsored by Damascus University. Completed at 1 site in Syrian Arab Republic. Open to participants aged 8 Years to 12 Years. Per ClinicalTrials.gov, last updated 2022-12-20.

Sponsored by Damascus University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 years 2 months after the study started (first participant enrolled Sep 2013, registered Dec 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
8 Years to 12 Years
Sex
All
01

Study summary

This study evaluated the efficacy of rapid molar intruder (RMI) in treating anterior open bite in the mixed dentition. The study sample consisted of 40 patients who had a skeletal anterior open bite. The sample was allocated randomly into two groups: the RMI group and the control group. The skeletal, dentoalveolar and soft tissue changes occurring after treatment were assessed by using lateral cephalometric images.

Read the detailed description

Many appliances have been used to treat skeletal anterior open bite (AOB) malocclusion, such as removable appliances, extra-oral appliances (vertical chin cup and vertical head gear), fixed appliances, Orthognathic surgery and functional appliances. Treatment with these appliances produces soft and hard dentofacial tissue changes. Many studies have been carried out in order to study these changes.

In this study, the investigators treated AOB using RMI. Patients were divided into two groups to evaluate the efficacy of RMI.

RMI group: Rapid molar intruder was applied. Control group: Untreated control group. In order to evaluate the changes occurring, lateral cephalometric images were taken in both groups at the beginning of the treatment (T1) and after 9 months of the first cephalograms (T2).

02

Conditions studied

  • Open Bite

Browse trials for

Keywords

  • Anterior open bite
  • Rapid molar intruder
  • Mixed dentition
03

In context

Open Bite

34 studies on the registry are indexed under Open Bite; 8 are open to participants now.

This study's enrollment of 40 is above the median of 30 across 28 interventional studies indexed under Open Bite.

Browse Open Bite studies →

Lead sponsor

Damascus University is the lead sponsor of 212 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
8 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients in the mixed dentition
  2. Chronological age between 8 and 12 years
  3. skeletal class I or II malocclusion
  4. Skeletal anterior open bite was assessed clinically and then confirmed radiographically: SN/GoMe was greater than 33°, MM was greater than 27
  5. No general problems
  6. Good oral health

Exclusion criteria

Exclusion Criteria:

  1. Presence of periodontal diseases
  2. Presence of general diseases, syndromes or cleft lip and palate
  3. Patients with previous orthodontic treatment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Rapid Molar Intruder

    Patients in this group will undergo the interventional procedure, which is the application of the rapid molar intruder appliance. This will help in correcting the open bite.

    Device: Rapid molar intruder

  • No intervention
    Untreated Control Group

    Patients in this group will be monitored without any active treatment.

Interventions

  • DeviceRapid molar intruder

    The rapid molar intruder was applied.

06

What researchers measure

Primary outcomes

  1. Change in the SNA angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the position of the upper jaw in the cephalometric analysis in the anteroposterior direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  2. Change in the SNB angle.

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the position of the lower jaw in the cephalometric analysis in the anteroposterior direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  3. Change in the ANB angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the spatial relationship between the upper and lower jaws in the cephalometric analysis in the anteroposterior direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  4. Change in the MM angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the amount of vertical divergence between the upper and lower jaws in the cephalometric analysis.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  5. Change in the SN-OCP angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the relationship between the occlusion plane and the cranial base in the cephalometric analysis in the vertical direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  6. Change in the SN-MP angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the relationship between the lower jaw plane and the cranial base in the cephalometric analysis in the vertical direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  7. Change in the SN-SPP angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the relationship between the upper jaw plane and the cranial base in the cephalometric analysis in the vertical direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  8. Change in the overbite (Ovb)

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from the upper to the lower central incisors.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  9. Change in the overjet (Ovj)

    Lateral cephalometric images were taken for each patient. This was measured in millimetres Horizontally from the upper to the lower central incisors.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  10. Change in the Bjork sum (NS-Ar + S-Ar-Go +Ar-Go-Me)

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  11. Change in the UI- LI angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the relationship between the upper and the lower incisor axis in the cephalometric analysis in the anteroposterior direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  12. Change in the NS-GN angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the growth pattern of the mandible in the cephalometric analysis in the vertical direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  13. Change in the posterior facial height (S-Go)

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from S point to GO point.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  14. Change in the anterior facial height (N-Me)

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from N point to Me point.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  15. Change in the U1-Palatal plane measurement

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from the upper central incisor apex and the palatal plane.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  16. Change in the U6-Palatal plane measurement

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from the tip of the mesial cusp of the upper first molar and the palatal plane.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  17. Change in the L1-GoMe measurement

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from the lower central incisor apex and the mandibular plane.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  18. Change in the L6-GoMe measurement

    Lateral cephalometric images were taken for each patient. This was measured in millimetres vertically from the tip of the mesial cusp of the lower first molar and the mandibular plane.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

Secondary outcomes

  1. Change in the Li-Esth measurement

    Lateral cephalometric images were taken for each patient. This was measured in millimetres from the Labrale inferius and E-Line of Ricketts.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  2. Change in the Ls-Esth measurement

    Lateral cephalometric images were taken for each patient. This was measured in millimetres from the Labrale superius and E-Line of Ricketts.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  3. Change in the Nasolabial angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the relationship between the nose and the upper lip in the cephalometric analysis in the anteroposterior direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

  4. Change in the Mentolabial angle

    Lateral cephalometric images were taken for each patient, and this angle was measured in degrees. This angle represents the relationship between the chin and the lower lip in the cephalometric analysis in the anteroposterior direction.

    Time frame: Time 1: One week before the beginning of the treatment, Time 2: after nine months from the beginning of active treatment.

07

Study locations

1 site
  • University of Damascus
    Damascus, Syrian Arab Republic
08

References and documents

Publications

  • Pisani L, Bonaccorso L, Fastuca R, Spena R, Lombardo L, Caprioglio A. Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition. Prog Orthod. 2016 Dec;17(1):28. doi: 10.1186/s40510-016-0142-0. Epub 2016 Sep 19. PubMed 27615261 ↗
  • Feres MF, Abreu LG, Insabralde NM, de Almeida MR, Flores-Mir C. Effectiveness of open bite correction when managing deleterious oral habits in growing children and adolescents: a systematic review and meta-analysis. Eur J Orthod. 2017 Feb;39(1):31-42. doi: 10.1093/ejo/cjw005. Epub 2016 Feb 3. PubMed 26846264 ↗
  • Turkkahraman H, Cetin E. Comparison of two treatment strategies for the early treatment of an anterior skeletal open bite : Posterior bite block-vertical pull chin cup (PBB-VPC) vs. posterior bite block-high pull headgear (PBB-HPH). J Orofac Orthop. 2017 Jul;78(4):338-347. doi: 10.1007/s00056-017-0095-z. Epub 2017 May 9. PubMed 28488080 ↗
  • Meibodi SE, Fatahi Meybodi S, Samadi AH. The effect of posterior bite-plane on dentoskeletal changes in skeletal open-bite malocclusion. J Indian Soc Pedod Prev Dent. 2009 Oct-Dec;27(4):202-4. doi: 10.4103/0970-4388.57653. PubMed 19915269 ↗
  • Cinsar A, Alagha AR, Akyalcin S. Skeletal open bite correction with rapid molar intruder appliance in growing individuals. Angle Orthod. 2007 Jul;77(4):632-9. doi: 10.2319/071406-292. PubMed 17605497 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2013 to primary completion in Apr 2014, 6 months.

Of 24 interventional studies with no phase under Open Bite, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 36. This study's 6 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 11, 2022
First posted
Dec 20, 2022
StartActual
Sep 25, 2013
Primary completionActual
Apr 20, 2014
CompletionActual
Jan 20, 2015
Last update
Dec 20, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05657522
Responsible party
Sponsor
First posted
Dec 20, 2022
Start date
Sep 25, 2013
Primary completion
Apr 20, 2014
Completion
Jan 20, 2015
Last update
Dec 20, 2022

Study contacts

Hammam Zeidan, DDS,MSc
principal investigator · Department of Orthodontics, University of Al-Baath Dental School, Hama, Syria.
Amjad A Hasan, DDS,MSc
principal investigator · Department of orthodontics, Damascus University, Syria
Mohammad Y. Hajeer, DDS,MSc,PhD
study director · Department of orthodontics, Damascus University, Syria
Azzam Al-Jundi, DDS,MSc,PhD
study director · Department of Orthodontics, University of Hama, Dental School, Hama, Syria.

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion