Evaluation of Alt-RAMEC by EDO With Facemask in Patients With Cleft Lip and Palate (UCLP) Using Cone Beam Computed Tomography (CBCT)
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 10
- 试验地点
- 2
- 主要终点
- change in 3D dimension of skull after and before expansion
研究概览
简要总结
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).
详细描述
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). .
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 12 Years(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Patients had received any surgical assisted expansion or maxillary protraction or fixed orthodontics before.
- •Maxillary dentition unsuitable to bond the expander (less than two dental unit bedside first permanent molar) .
- •Absent maxillary permanent first molars.
- •Uncooperative patients/parents
结局指标
主要结局
change in 3D dimension of skull after and before expansion
时间窗: six month
Full skull Cone Beam Computerized Tomography
次要结局
未报告次要终点
研究者
sarah salah khalil Abdelaal
Principal Investigator
Faculty of Dental Medicine for Girls
