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Children (7\u201311\u00a0years) with AOB were randomly allocated into two treatment groups (SBU or S). The Child Perception Questionnaire (CPQ<jats:sub>8\u201310<\/jats:sub>) was applied 1 and 12\u00a0months after installation of the appliances. Questionnaires evaluating functional adaptation and discomfort during the first month of treatment were also applied. A visual analog scale (VAS) was used in these questionnaires. Generalized mixed models were used for analyzing OHRQOL and discomfort data. Generalized linear models were used to assess adaptation outcomes (\u03b1\u2009=\u20090.05). The SBU group included 24 patients (7 males and 17 females; mean age 8.2\u00a0years) and the S group included 25 patients (11 males and 14 females; mean age 8.3\u00a0years). Regardless of the treatment type, overall OHRQOL scores at 12\u00a0months were 0.69 times those recorded at 1\u00a0month after the appliances installation (i.e., ~\u200931% reduction; exp (\u03b2)\u2009=\u20090.69; 95% CI: 0.55, 0.88). A significant interaction between treatment and time was detected for the \u2018functional limitations\u2019 domain. For this domain, a significant improvement from the first to the twelfth month was observed in the S group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Patients in both treatment groups showed similar and easy adaptation to the appliances. Independent of the type of treatment, tongue-related discomfort decreased over time. One week and one month after the appliance\u2019s delivery, the discomfort scores were 0.19 (i.e., ~\u200981% reduction; exp (\u03b2)\u2009=\u20090.19; 95% CI: 0.13, 0.28; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and 0.02 (i.e., ~\u200998% reduction; exp (\u03b2)\u2009=\u20090.02; 95% CI: 0.01, 0.07; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) times, respectively, those issued immediately after the installation of the appliances. Regardless of treatment type; overall OHRQOL improved from the first to the twelfth month of AOB treatment. The functional limitations score decreased in the S group. Children showed easy adaptation, and their discomfort decreased 1\u00a0week after the installation of the appliances.<\/jats:p><jats:p><jats:bold>Trial registration:<\/jats:bold> Clinicaltrials.gov; NCT03702881, date of registration: October 11, 2018.<\/jats:p>","DOI":"10.1038\/s41598-024-56363-0","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T11:01:51Z","timestamp":1709895711000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Oral health-related quality of life, adaptation\/discomfort during open bite treatment with spurs: complementary analysis from a randomized clinical trial"],"prefix":"10.1038","volume":"14","clinical-trial-number":[{"clinical-trial-number":"nct03702881","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Aron","family":"Aliaga-Del Castillo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido Artemio","family":"Mara\u00f1\u00f3n-V\u00e1squez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Janson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Vilanova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicia","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila","family":"Massaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvio Augusto","family":"Bellini-Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Ernesto","family":"Arriola-Guill\u00e9n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilia","family":"Yatabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Carlos","family":"Ruellas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Cevidanes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Garib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"56363_CR1","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1177\/0022034511399918","volume":"90","author":"L Sischo","year":"2011","unstructured":"Sischo, L. & Broder, H. 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