scholarly journals Outcomes and stability in patients with anterior open bite and long anterior face height treated with temporary anchorage devices and a maxillary intrusion splint

2014 ◽  
Vol 146 (5) ◽  
pp. 594-602 ◽  
Author(s):  
Nicole R. Scheffler ◽  
William R. Proffit ◽  
Ceib Phillips
2003 ◽  
Vol 40 (5) ◽  
pp. 550-555 ◽  
Author(s):  
Tomohide Taniyama ◽  
Noriyuki Kitai ◽  
Yoshitaka Iguchi ◽  
Shumei Murakami ◽  
Miho Yanagi ◽  
...  

Objective We present the case of a 6-year-old boy with a coarse face, cleft palate, and malocclusion with anterior open bite who had been diagnosed with Simpson-Golabi-Behmel syndrome. Morphology of the craniofacial structures was examined on the basis of conventional radiographs, three-dimensional (3D) computed tomography (CT) and magnetic resonance (MR) scanning. Patient This patient had 13 ribs on the right side, slight scoliosis, supernumerary nipples, a coarse face, hypertelorism, a short broad upturned nose, a wide mouth, a straight facial profile with incompetence of the lips, midline groove of tongue, and cleft palate. The patient also had severe anterior open bite, a distal step-type molar relationship, five congenitally missing teeth, and a supernumerary tooth. Lateral cephalometric analysis revealed a large anterior cranial base, a large maxilla and mandible, a large inferior face height, and skeletal Class I jaw relationship with a high mandibular plane angle and large gonial angle. The 3D CT image showed a large cranium, a long face height, and prominent skull sutures. The MR image showed a large tongue, midline groove of the tongue, and a small space between tongue and palate.


Dental Update ◽  
2021 ◽  
Vol 48 (3) ◽  
pp. 193-199
Author(s):  
Ariane Sampson ◽  
Ali Payam Sattarzadeh

The prevalence of an anterior open bite ranges in the literature from 1.5% to 11%, with great racial variance. Stable non-surgical treatment of an anterior open bite is notoriously unpredictable, with a high risk of relapse and an uncertainty of true skeletal change. Temporary anchorage devices (TADs) are increasingly used to enhance and simplify orthodontic biomechanics, enabling clinicians to push the boundaries of orthodontic treatment. In anterior open bite cases, TADs may be used predictably for molar intrusion and improvement of the overbite. We describe a 16-year-old male with a Class I incisal relationship on a skeletal I base and increased vertical proportions, complicated by a 4-mm anterior open bite secondary to a previous digit sucking habit. Treatment involved fixed orthodontic appliances on an extraction basis, and molar intrusion using TADs. TADs provide a safe and effective alternative to reducing an anterior bite in a patient whose growth is complete. CPD/Clinical Relevance: Understanding the options for the treatment of an anterior open bite and the limits of orthodontic camouflage will help clinicians provide their patients with the necessary information with which to make informed decisions.


2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Ahmad Saleem Alsafadi ◽  
Mohannad M. Alabdullah ◽  
Humam Saltaji ◽  
Anas Abdo ◽  
Mohamed Youssef

2021 ◽  
Author(s):  
Linda Sangalli

Background: Orthodontic treatments of skeletal open bite are among the most challenging and at high relapse. Available therapies vary from behaviour-modifying appliances in growing patients to surgical approach in adults. Recently, clear aligners, such as Invisalign®, have also been proposed as a treatment modality, to be used alone or in combination with temporary anchorage devices. Case report: A 19-year-old female presented with 3-mm anterior open bite, peg-shaped upper lateral incisors, incorrect tongue posture at rest and during function. Due to aesthetic request, an orthodontic camouflage with Invisalign® was carried out for 17½ months, along with myofunctional therapy and composite veneers on upper lateral incisors. During the first months of retention, intermaxillary vertical elastics were maintained at night-time as positive feedback to the tongue. A 5-year follow-up confirmed stability of the results. Conclusions: A system of clear aligners in combination with myofunctional therapy was effective in the treatment of a skeletal open bite malocclusion, with stability at 5 years. The closure of the anterior open bite was obtained through a combination of lower molar intrusion, incisor extrusion and counterclockwise rotation of the mandible. In selected cases of optimal compliance, Invisalign® may constitute a feasible treatment option in management of open bite in non-growing patients.


2020 ◽  
Vol 10 ◽  
pp. 253-258
Author(s):  
Adith Venugopal ◽  
M. Srirengalakshmi ◽  
Anand Marya ◽  
Paolo Manzano

A variety of treatment options may be implemented on a Class III malocclusion associated with skeletal discrepancy ranging from functional orthopedics at an early age to orthognathic surgery in adults. In the current scenario, many Class III malocclusion patients are referred for orthognathic surgery without even considering the options of an orthodontic camouflage, as orthodontists do not want to burden themselves with the tedious treatment planning and risks involved with treating such cases. This case report describes a 27-year-old female diagnosed with a skeletal Class III malocclusion, severe open bite, and periodontally compromised dentition. Although orthognathic surgery was proposed as the best treatment modality, it was denied by the patient due to financial and psychological constraints. She was treated with mild upper arch expansion using archwires and upper premolar intrusion using temporary anchorage devices (TADs) alongside retraction of lower anterior teeth using TADs and intermaxillary elastics. At the end of 18 months of active treatment, a decent result was achieved with good occlusion and facial esthetics. Post-treatment results showed an improved profile and Class I canine relationships, with optimal overjet and overbite. The anterior open bite was corrected, and the overall facial balance was greatly improved. Extraoral photographs displayed a relaxed lip closure and an esthetic smile meeting the patient’s expectations. Two-year follow-up records demonstrated a stable occlusion and optimal facial esthetics.


2015 ◽  
Vol 48 (01) ◽  
pp. 089-091
Author(s):  
N. K. Koteswara Prasad ◽  
Syed Altaf Hussain ◽  
Arun B. Chitharanjan ◽  
Jyotsna Murthy

ABSTRACTOpen bite deformity following a successful midface advancement by distraction osteogenesis is a common complication. Temporary anchorage devices can be deployed during the distraction and post-distraction settling phases for restoring the occlusion even in severe cases. The following report describes the management of severe anterior open bite following maxillary distraction.


Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul

Contents. What is orthodontics?. Definitions. Orthodontic assessment. The Index of Orthodontic Treatment Need. Cephalometrics. More cephalometrics. Treatment planning. Management of the developing dentition. Extractions. Extraction of poor quality first permanent molars. Spacing. Distal movement of the upper buccal segments. Buccally displaced maxillary canines. Palatally displaced maxillary canines. Increased overjet. Increased overbite. Management of increased overbite. Anterior open bite (AOB). Reverse overjet. Crossbites. Anchorage. Temporary anchorage devices (TAD). Removable appliances. Fixed appliances. Functional appliances—rationale and mode of action. Types of functional appliance and practical tips. Orthodontics and orthognathic surgery. Cleft lip and palate.


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