CHARTE-ODF: Validation of Dental Malocclusion Schematic Representations for Early Orthodontic Treatment
Study Details
Study Description
Brief Summary
Dental occlusion is the reciprocal confrontation of the two dental arches. The child has two set of temporary and permanent teeth and passes through different stages of dentition during which dental, skeletal or functional abnormalities may appear.
Dental malocclusion is defined as an incorrect position of the teeth in the bone base, as well as the incoordination of the teeth of the opposite arches or the displacement of the maxillary and mandibular skeletal bases.
When a malocclusion is detected during clinical examination, patients are referred to an orthodontic specialist. The interception in orthodontics is carried out during a growing period; it consists of correcting or reducing malocclusions in evolution and eliminating the functional causes to prevent aggravation of skeletal and dental abnormalities.
An epidemiological study conducted in France on 789 children showed that 37.4% had at least one type of dental malocclusion. In 2010, a study of 5988 French children showed that 14% of them had received orthodontic treatment. These studies reveal a discrepancy between treatment needs and treatments conducted. In addition, certain dental malocclusions and skeletal disorders, such as lateral and anterior crossbite, require early orthodontic treatment in order to avoid aggravation of the occlusion disorder and induction of craniofacial growth disorders. Unfortunately these discrepancies are not always detected by the caregivers (pediatrician, general dentist, pediatric dentist).
A schematic representation of malocclusions in temporary and mixed dentition requiring orthodontic interception has been developed by the investigator's team to provide a simple visual means of identifying these dental and skeletal disorders in order to improve early screening by practitioners involved in the mandatory medical follow-up of children.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Dental malocclusion is defined as an incorrect position of the teeth in the bone base, as well as the incoordination of the teeth of the opposite arches or the displacement of the maxillary and mandibular skeletal bases.
When a malocclusion is detected during clinical examination, patients are referred to an orthodontic specialist. The interception in orthodontics is carried out during a growing period; it consists of correcting or reducing malocclusions in evolution and eliminating the functional causes to prevent aggravation of skeletal and dental abnormalities. Early intervention is critical for specific dental malocclusions and skeletal disorders, such as lateral and anterior crossbite in order to avoid aggravation of the occlusion disorder and induction of craniofacial growth disorders. Unfortunately these discrepancies are not always detected by the caregivers (pediatrician, general dentist, pediatric dentist).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Other: Dental exam by orthodontic non-specialists Detection of the presence of at least one malocclusion by orthodontic non-specialists with the graphic chart |
Other: Dental Exam
Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert
|
| Other: Dental exam by orthodontic experts Detection of the presence of at least one malocclusion by orthodontic experts |
Other: Dental Exam
Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert
Other: Orthodontics consult
Consultation with an orthodontics specialist if a malocclusion requiring early intervention is detected
Other: Call back at 6 month
Telephone call back at six months of inclusion in the study if a malocclusion requiring early intervention is detected
|
Outcome Measures
Primary Outcome Measures
- Detection the presence of at least one malocclusion in children, requiring an early orthodontic treatment, compared to orthodontic experts (gold-standard) [2 months]
Study of the performance of orthodontic non-specialists with the graphic chart to detect the presence of at least one malocclusion in children, requiring an early orthodontic treatment, compared to orthodontic experts (gold-standard)
Secondary Outcome Measures
- Detection of each type of malocclusion requiring early orthodontic treatment by non-orthodontist practitioners versus orthodontic experts [2 months]
- Prevalence of malocclusions identified by orthodontic experts [2 months]
- Number of orthodontic consultations within 6 months among children screened for a malocclusion reacquiring early orthodontic treatment [6 months]
- Number of orthodontic treatments started within 6 months among children screened for a malocclusion reacquiring early orthodontic treatment [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
child between 5 and 10 years old
-
seen in consultation with pediatrician, pediatric dentist, or general dentist,
Exclusion Criteria:
-
child not letting himself be examined,
-
children who have already received orthodontic treatment and / or are currently undergoing orthodontic treatment
-
Absence of free and informed consent
-
Non affiliation to a social security regime or CMU
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Hôpital de jour pédiatrique - Hôpital Louis Mourier | Colombes | France | 92700 | |
| 2 | Odontologie Pédiatrique - Hôpital Louis Mourier | Colombes | France | 92700 | |
| 3 | Servide d'odontologie - Hôpital Louis Mourier | Colombes | France | 92700 | |
| 4 | Endocrinologie et diabète de l'enfant - Hôpital Bicêtre | Le Kremlin-Bicêtre | France | 94270 | |
| 5 | Neurologie Pédiatrique - Hôpital Bicêtre | Le Kremlin-Bicêtre | France | 94270 | |
| 6 | Cabinet d'odontologie pédiatrique | Montrouge | France | 92120 | |
| 7 | Cabinet privé pédiatrique | Paris | France | 75009 | |
| 8 | Cabinet privé pédodontie | Paris | France | 75014 | |
| 9 | Odontologie Pédiatrique - Hôpital Bretonneau | Paris | France | 75018 | |
| 10 | Service d'odontologie - Hôpital Bretonneau | Paris | France | 75018 | |
| 11 | Cabinet privé d'odontologie | Paris | France | Paris |
Sponsors and Collaborators
- Assistance Publique - Hôpitaux de Paris
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- APHP180562
- 2019-A01074-53