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Findings from the world’s
largest orthodontic dental trial show children as young as eight
who have prominent front teeth can benefit physically, socially
and psychologically from having dental braces fitted. The study
funded by the Medical Research Council (MRC) showed the appliances
corrected the position of teeth and significantly improved children’s
confidence and self-esteem.
The five-year early-intervention
trial led by Professor Kevin O’Brien at the University of Manchester
included orthodontists based at 14 district hospitals across the
UK. The trial is the first to investigate the socio-psychological
aspects of treatment as well as the physical benefits.
The trial randomly allocated
174 children aged 8-10 into two groups. One group consisted of 89
children who had the corrective brace fitted, and a control group
of 85 children were not given any corrective treatment at this time.
The trial showed that
the 84% of the children who wore a ‘Twin Block’ brace for the duration
of the study, successfully had their teeth re-aligned without causing
changes to their facial bones.
Children with this problem
are traditionally treated much later, when they are teenagers. But
this trial showed that children would prefer to be spared years
of teasing and anxiety even if it meant extra corrective dental
work later on.
The children were asked
to fill in questionnaires at the start of the study about their
social experiences, such as bullying. The children also completed
another questionnaire 15 months later. The results showed that corrective
treatment had improved confidence and self-esteem.
Professor O’Brien said:
“We’re extremely pleased by the results of this trial. We’ve successfully
realigned children’s teeth but most dramatically it’s changed children’s
perception of themselves.
“The children felt happier,
were less anxious and felt they were more popular. In addition they
felt they were teased less and had less negative comments about
their teeth.”
“The trial also demonstrated
that it is possible to include children of this age in discussions
about choice of treatments and the benefits they perceived.”
The research is published
this month in the world’s leading orthodontic dental journal; the
American Journal of Orthodontics and Dentofacial Orthopedics.
The MRC has funded the
research team for a further five years to follow-up participants
to ensure intervention at this age results in permanent changes
to position of the teeth.
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