Evidence map›Paper›PMID 36114553›Full record

ArticleTrials2022

Study protocol for the management of impacted maxillary central incisors: a multicentre randomised clinical trial: the iMAC Trial.

Jadbinder Seehra, Andrew T DiBiase, Shruti Patel, Rachel Stephens, Simon J Littlewood, Richard J Spencer, Tom Frawley, Philip E Benson, Anthony J Ireland, Farnaz Parvizi and 7 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 2 countries.

Jadbinder SeehraCentre for Craniofacial Development & Regeneration, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Floor 27, Guy's Hospital, London, SE1 9RT, UK. jadbinderpal.seehra@kcl.ac.uk.ORCID http://orcid.org/0000-0002-3243-1580
Andrew T DiBiaseMaxillofacial Unit, William Harvey Hospital, Kennington Rd., Willesborough, Ashford, TN24 0LZ, UK.
Shruti PatelDepartment of Orthodontics, Kings College Hospital NHS Foundation Trust, Bessemer Road, London, SE5 9RS, UK.
Rachel StephensDepartment of Orthodontics, Kings College Hospital NHS Foundation Trust, Bessemer Road, London, SE5 9RS, UK.
Simon J LittlewoodOrthodontic Department, St Luke's Hospital, Little Horton Lane, Bradford, BD5 0NA, UK.
Richard J SpencerOrthodontic Department, Pinderfields Hospital, Aberford Road, Wakefield, WF1 4DG, UK.
Tom FrawleyAcademic Unit of Oral Health and Development, School of Clinical Dentistry, Sheffield, S10 2TA, UK.
Philip E BensonAcademic Unit of Oral Health and Development, School of Clinical Dentistry, Sheffield, S10 2TA, UK.
Anthony J IrelandRoyal United Hospitals, Combe Park, Bath, Avon, BA1 3NG, UK.
Farnaz ParviziRoyal United Hospitals, Combe Park, Bath, Avon, BA1 3NG, UK.
Nikki AtackChild Dental Health, Bristol Dental School, Lower Maudlin St, Bristol, BS1 2LY, UK.
Giles KidnerOrthodontic Department, Stoke Mandeville Hospital, Aylesbury, HP17 8UZ, UK.
Gabriella WojewodkaResearch Portfolio Manager, King's College London, Oral Clinical Research Unit, Faculty of Dentistry, Oral & Craniofacial Sciences (FoDOCS), Room 365, Floor 25 Tower Wing, Guys Hospital, Great Maze Pond, London, SE1 9RT, UK.
Christopher WardSouth London CRN SSS Specialist and AcoRD Lead, NIHR Clinical Research Network (CRN), 16th Floor BRC Faculty, Guys Tower, Guys Hospital, London, SE1 9RT, UK.
Spyridon N PapageorgiouClinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032, Zurich, Switzerland.
Jonathon T NewtonPopulation & Patient Health, Floor 18, Tower Wing, Guy's Hospital, London, SE1 9RT, UK.
Martyn T CobourneCentre for Craniofacial Development & Regeneration, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Floor 27, Guy's Hospital, London, SE1 9RT, UK.
King's College London · GBGuy's Hospital · GBKing's College Hospital NHS Foundation Trust · GBRoyal United Hospital · GBUniversity of Sheffield · GBPinderfields Hospital · GBSt. Luke's Hospital · GBStoke Mandeville Hospital · GBUniversity Of Bristol Dental Hospital · GBUniversity of Zurich · CHWilliam Harvey Hospital · GB

Funding

British Orthodontic Society Foundation N/A
6 · The paper itself

Abstract

backgroundFailure of eruption of the maxillary permanent incisor teeth usually presents in the mixed dentition between the ages of 7 and 9 years. Missing and unerupted maxillary incisors can be regarded as unattractive and have a potentially negative impact on facial and dental aesthetics. The presence of a supernumerary tooth (or odontoma) is commonly responsible for failed eruption or impaction of the permanent maxillary incisors. The primary objective of this trial is to investigate the success of eruption associated with maxillary incisor teeth that have failed to erupt because of a supernumerary tooth in the anterior maxilla.

methodsThis protocol describes an interventional multicentre two-arm randomised clinical trial. Participants meeting the eligibility criteria will be randomised (unrestricted equal participant allocation [1:1]) to either space creation with an orthodontic appliance, removal of the supernumerary tooth and application of direct orthodontic traction or space creation with an orthodontic appliance, removal of the supernumerary tooth and monitoring. The primary outcome of this trial is to determine the prevalence of successfully erupted maxillary central permanent incisors at 6 months following removal of the supernumerary tooth. Secondary outcome measures include (1) the effect of initial tooth position (assessed radiographically) on time taken for the tooth to erupt, (2) time taken to align the unerupted tooth to the correct occlusal position, (3) gingival aesthetics and (4) changes in the self-reported Oral Health Related-Quality of Life (OHRQoL) (pre-and post-treatment). DISCUSSION: There is a lack of high-quality robust prospective studies comparing the effectiveness of interventions to manage this condition. Furthermore, the UK national clinical guidelines have highlighted a lack of definitive treatment protocols for the management of children who present with an unerupted maxillary incisor due to the presence of a supernumerary tooth. The results of this trial will inform future treatment guidelines for the management of this condition in young children.

trial registrationISRCTN Registry ISRCTN12709966 . Registered on 16 June 2022.

Indexed as

Tooth, ImpactedTooth, SupernumeraryChildChild, PreschoolHumansIncisorMulticenter Studies as TopicProspective StudiesQuality of LifeRandomized Controlled Trials as TopicEruptionMaxillary central incisorOrthodontic space openingOrthodontic tractionRandomised clinical trialSupernumerary toothUnerupted

Identifiers

PMID36114553
PMCPMC9479226
OpenAlexW4296041533

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.