Management of Dental Anterior Open Bite with Tonque Thrusting in Growing Patient: Penatalaksanaan Gigitan Gigi Depan Terbuka Karena Kebiasaan Mendorong Lidah Pada Pasien Tumbuh Kembang (original) (raw)

[Etiological aspects of anterior open bite and its implications to the oral functions]

Pró-fono : revista de atualização científica

Open bite is a complex anomaly that has a difficult treatment. Frequently, unsatisfactory results and relapse of orthodontic treatment are observed. To associate orofacial malfunction and deleterious oral habits to anterior open bite. To congregate evidences for the better understanding of the etiology and of the development of anterior open bite and its potential association to myofunctional disorders. An exploratory study, to obtain relative risk measurements associating clinical characteristics, sucking habits and myofunctional alterations in 130 scholars. This study was developed in two stages: the first was based on a questionnaire about the child's oral habits which was answered by the parents, and the second involved odontologic and speech-language evaluations. In this sample, the most prevalent occlusion disorder was anterior open bite, which was associated to vertical facial growth (relative risk (RR) 3.12; confidence internal (CI) 1.20-9.90) and to Angle's Class II...

Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study

The open dentistry journal, 2017

The purpose of this study was to present early and adult cases of anterior open bite that were treated efficiently using different treatment approaches and mechanics. Five patients of different age groups (from 7 to 27 years), suffering from a clear Anterior open bite deformity, were properly diagnosed and relevant treatment modality for each was selected. Positive overbite was efficiently achieved for all patients. Patient compliance is a key factor in using removable habit breakers. However, fixed palatal crib gave the same results but in shorter time. Anterior open bite of skeletal components should be thoroughly evaluated before selecting camouflage or orthognathic surgery treatment modality.

Frequency of Anterior Open Bite in Preadolescent Patients Reporting for Orthodontic Treatment

Introduction: Failure to overlap the teeth can be seen in orthodontics OPD on routine basis. This is some time very alarming as it can lead to vertical excess which need to be treated by surgery. Objective: To determine the frequency of Anterior open bite in preadolescent subjects Material & Methods: It's a Descriptive Cross sectional study This study was conducted at orthodontic department Liaquat University Hospital, Jamshoro/Hyderabad from February 2008 to November 2009. Preadolescent patients with anterior open bite were selected for the study by purposive sampling technique. Dental cast and a brief history of 118 patients were taken after informed concern and fulfilling inclusion criteria. Dental casts were assessed for the presence of anterior open bite. The frequency of anterior open bite and its percentage with respect to gender and age was calculated. Results: The frequency of open bite was found to be 8%,from these 3% patients had anterior open bite of less than 1 mm, while 5% patients had anterior open bite of between 1.1-2 mm. Male to female ratio of patients having anterior open bite was 1:3. Conclusion: The value of high incidence of anterior open bite in preadolescents suggest that there is need to intensify oral health education in our environment, targeted at both parents and children to enable them benefit from interceptive orthodontic care which has numerous advantages.

Orthodontic treatment of anterior open bite

2021

It is increasingly common for orthodontists to perform compensatory treatments for the correction of malocclusions presented by their patients, through a mechanism that is efficient and enables good results and long-term stability. An open vertical bite is defined as an open bite between the upper and lower incisal borders. It is one of the malocclusions of greater functional aesthetic impairment, with several etiological factors involved. It is emphasized that it is a discrepancy in the vertical direction, making it more difficult to correct and with less stability in its final results. Given the above, the objective of this article is to review the literature on orthodontic treatment in anterior open bite. The methodology used was an integrative literature review. In the first stage of the study, 227 articles were found, which referred to the orthodontic treatment of the anterior open bite (MAA). After reading the titles of the selected articles, 112 articles were selected. After reading the abstracts, only 55 studies were selected to be included in the critical and integral reading. Finally, 13 studies met the inclusion criteria. In clinical situations where a diagnosis is anterior open bite, during the mixed dentition period, the treatment option is the indication of the removable acrylic with Hawley's arch, the expander screw and palatal grid. However, it is important to note that success treatment in this case is also due to the cooperation of the patient.

Anterior open bite and its management in orthodontics: A systemic review

In contemporary orthodontics management of anterior open bite (AOB) is challenging chore for an orthodontist. As anterior open bite can be skeletal and dental a thorough diagnosis of etiologic factors should be done for providing a stable results post treatment. Because AOB is more prevalent in primary dentition than permanent dentition it is possible to make early diagnosis and treatment plan for the patient. There are multiple etiologic factors responsible for AOB but childhood oral habits such as thumb sucking, tongue thrusting are believed to have strong relationship with AOB. Patients with anterior open bite have long face syndrome.AOB effects the esthetics, mastication and articulation of some phonemes which results in dyslalias in some patients. In addition to these steepness of mandibular plane, large interlabial gap, increased posterior dentoalveolar height, increased lower anterior facial height and gonial angle are found on clinical and radiographic examination. Treatment plan for AOB varies in growing individuals and adults, functional appliances and orthodontic intervention can be used in mixed dentition patients where as in adults orthodontic intervention and orthognathic surgery are the choice of treatment in adults. Various treatment modalities has been used for treating AOB in order to achieve the stable results such as, Fränkel regulator-4 (FR-4), open-bite bionator (OBB), quad-helix appliance, posterior bite blocks, maxillary expansion appliances + vertical pull chin cup (VPCC), rapid maxillary intruders (RMI), class II headgears appliances, vertical-pull chin cup (VPCC), temporary anchorage devices (TAD'S).But early treatment of AOB still remains a controversy. The main aim of this review was to address the etiology, treatment options and post-treatment stability in AOB patients.

Anterior open bite: a case–control study

Objective. The aim of this study was to assess the influence of sucking habits and facial pattern measurements on the development of anterior open bite (AOB). Methods. A case-control study was carried out on 60 children aged 7 and 8 years attending municipal public schools in the city of Recife, Brazil. Data collection included interviews with guardians, oral examinations, and facial growth pattern analysis using cephalometric radiographs. The following cephalometric measurements were assessed: SN.Gn, SN.GoGn, FMA, and Facial Axis. Statistical analyses were performed using the Student's t-test and Pearson's chi-square test at a 5% level of significance.

Correction of Anterior Open Bite and Facial Profile by Orthognathic Surgery– A Case Report

Bangabandhu Sheikh Mujib Medical University Journal, 2010

An anterior open bite is a lack of contact in a vertical direction between the incisal edges of the maxillary and mandibular anterior teeth 1. Numerous theories of openbite etiology have been proposed, including unfavorable growth patterns, heredity, digital habits, and tongue function 2. Among the treatments used are habit-breaking appliances, bite blocks, high-pull headgear therapy, vertical-pull chin cups, vertical elastics, multiloop edgewise archwire therapy, and surgical correction 3-6. History and Etiology: Patient Rubel, an 18years old male attended to the Orthodontic department of the BSMMU with the complaints of anterior open bite associated with

Open bite: a review of etiology and management

Diagnosis and treatment of open bite malocclusion challenges pediatric dentists who attempt to intercept this malocclusion at an early age. This article updates clinicians on the causes and cures of anterior open bite based on clinical data. Patients with open bite malocclusion can be diagnosed clinically and cephalometrically, however, diagnosis should be viewed in the context of the skeletal and dental structure. Accurate classification of this malocclu-sion requires experience and training. Simple open bite during the exchange of primary to permanent dentition usually resolves without treatment. Complex open bites that extend farther into the premolar and molar regions, and those that do not resolve by the end of the mixed den-tition years may require orthodontic and~or surgical intervention. Vertical malocclusion develops as a result of the interaction of many different etiologic factors including thumb and finger sucking, lip and tongue habits, airway obstruction, and true skeletal growth abnormalities.

Orthodontic and orthopaedic approach in the treatment of skeletal open bite

European Journal of Orthodontics, 1992

The aim of this study was to make a detailed evaluation of the changes in the dentofacial structures that could be effective in the elimination of skeletal open bite. The study was performed on 32 skeletal open bite cases which were treated with Begg technique, Edgewise technique, and functional appliances and findings were analysed by multivariate statistical methods. Open bite was significantly reduced in all of the treatment groups. Apart from minor differences, similar changes were observed with Begg and Edgewise technique treatments. During fixed appliance therapy marked increases in the upper and lower posterior dentoalveolar height were observed, and the mandible rotated backwards. On the other hand, with the functional appliances vertical growth of the posterior upper and lower dentoalveolar region was depressed, and the mandible was rotated forwards and upwards with the centre at the premolars. These findings were confirmed by regression analysis: rotational changes in the maxillary and mandibular bases explained 46 per cent of variance of the reduction of open bite in the functional group, while 28 and 16 per cent of variance was explained in the Edgewise and Begg groups, respectively.