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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-A01074-53 | Other Identifier | IDRCB |
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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.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dental exam by orthodontic non-specialists | Other | Detection of the presence of at least one malocclusion by orthodontic non-specialists with the graphic chart |
|
| Dental exam by orthodontic experts | Other | Detection of the presence of at least one malocclusion by orthodontic experts |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dental Exam | Other | Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert |
|
| Measure | Description | Time Frame |
|---|---|---|
| Detection the presence of at least one malocclusion in children, requiring an early orthodontic treatment, compared to orthodontic experts (gold-standard) | 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) | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital de jour pédiatrique - Hôpital Louis Mourier | Colombes | 92700 | France | |||
| Odontologie Pédiatrique - Hôpital Louis Mourier |
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| Orthodontics consult | Other | Consultation with an orthodontics specialist if a malocclusion requiring early intervention is detected |
|
| Call back at 6 month | Other | Telephone call back at six months of inclusion in the study if a malocclusion requiring early intervention is detected |
|
| 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 |
| Colombes |
| 92700 |
| France |
| Servide d'odontologie - Hôpital Louis Mourier | Colombes | 92700 | France |
| Endocrinologie et diabète de l'enfant - Hôpital Bicêtre | Le Kremlin-Bicêtre | 94270 | France |
| Neurologie Pédiatrique - Hôpital Bicêtre | Le Kremlin-Bicêtre | 94270 | France |
| Cabinet d'odontologie pédiatrique | Montrouge | 92120 | France |
| Cabinet privé pédiatrique | Paris | 75009 | France |
| Cabinet privé pédodontie | Paris | 75014 | France |
| Odontologie Pédiatrique - Hôpital Bretonneau | Paris | 75018 | France |
| Service d'odontologie - Hôpital Bretonneau | Paris | 75018 | France |
| Cabinet privé d'odontologie | Paris | Paris | France |
| ID | Term |
|---|---|
| D008310 | Malocclusion |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| D003945 | Diagnosis, Oral |
| ID | Term |
|---|---|
| D003813 | Dentistry |
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