A simple treatment for labioversion of the anterior teeth and open bite cases (Clinic)

Author(s):  
Elizabeth E. Richardson
2003 ◽  
Vol 29 (1) ◽  
pp. 42-57
Author(s):  
Kyoko Fukumitsu ◽  
◽  
Fumie Ohno ◽  
Toshihide Ohno

Lip sucking and lip biting in the primary-dentition period can cause the upper incisors to tip labially and the lower incisors to collapse lingually with the lower lip wedged between the upper and lower anterior teeth. The resulting lip incompetence further aggravates maxillary protrusion. Thus, there is a causal relationship between lip sucking/lip biting and maxillary protrusion. Orofacial myologists provide lip training to activate the flaccid upper lip and raise the child's awareness to help stop the sucking or biting of the lower lip, sometimes using an oral screen. Two primary-dentition cases with lip sucking and lip biting were treated with a functional appliance (F.A.), resulting in the elimination of the habits in 5 to 6 months along with the improvement of the overjet, overbite and facial profile. The authors prioritize myofunctional therapy (MFT) when treating open bite cases with tongue thrust in the primary dentition. However, the treatment of maxillary protrusion due to lip sucking and lip biting is approached differently with priority given to morphological improvement to create an oral environment that makes lip sucking and lip biting difficult, which is complimented with lip exercises and habituation. This combined approach was found to be effective in breaking the lip-sucking and lip-biting habits.


Author(s):  
Rizwan Nazeer ◽  
Shizrah Jamal ◽  
Farhan Raza Khan

Abstract This case report is of a 31-year-old female who presented with splinted and faulty metalloceramic prosthesis on maxillary anterior teeth, which was responsible for localised periodontal disease and poor aesthetics. At multiple sites the ceramic had chipped off and the prosthesis colour did not match with the adjacent healthy teeth. A multidisciplinary approach of endodontics, periodontics and prosthodontics was employed for this case. The treatment plan consisted of removing the faulty prosthesis, endodontic retreatment of inadequately root-treated teeth and endodontics in the other coronally prepared abutment teeth. Crown lengthening surgery was performed for the correction of periodontal pockets and high smile line and maintenance of an adequate biological width. After periodontal healing, all-ceramic individual crowns were placed on the maxillary anterior teeth along with a three-unit all-ceramic bridge for the replacement of the left upper maxillary first premolar. Continuous...  


2011 ◽  
Vol 05 (01) ◽  
pp. 121-129 ◽  
Author(s):  
Demet Kaya ◽  
Tulin Ugur Taner

ABSTRACTThe aim of this case report was to present the orthodontic treatment of an adult with spaced dentition, Class III malocclusion, and open-bite tendency. A 28.4-year-old adult woman was concerned about the unesthetic appearance of her spaced dentition localized at both upper and lower arches while smiling. She had a mild tongue thrust, hypertropic upper frenum, and mild speech difficulty while pronouncing “s”. Her profile was straight with prominent lips. Molar relationship was Class III on both sides. Anterior teeth were in an end-to-end relationship. Lower dental midline was deviated to the left side. Cephalometric analysis revealed a skeletal Class III relationship with hyperdivergent facial pattern. The treatment plan included myotherapeutic exercises for the tongue thrust habit and a diagnostic set-up for closure of diastemas. A strict retention protocol was followed combined with gingivoplasty, fiberotomy, and frenectomy procedures. All spaces were closed successfully, adequate overbite and overjet relationships were obtained, and tongue thrust habit and speech difficulty while pronouncing “s” were eliminated. Clinical and cephalometric results indicated the maintenance of the treatment outcome at 6-months post-retention period. (Eur J Dent 2011;5:121-129)


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.


2021 ◽  
Author(s):  
Ahmed I. Masoud ◽  
T. Peter Tsay

ABSTRACT Amelogenesis imperfecta is a rare hereditary disorder that affects dental enamel and is often associated with an anterior open bite. Orthodontic treatment of a 16-year-old female patient with hypocalcified amelogenesis imperfecta and a 9-mm anterior open bite was presented. Radiographic examination revealed a steep mandibular plane angle, an increased lower face height, a Class II skeletal pattern, and a convex profile. Additionally, the patient had stainless steel crowns on all upper and lower posterior teeth and composite veneers on the upper anterior teeth. The patient was treated nonsurgically using a multiloop edgewise archwire (MEAW). MEAW mechanics allowed for successful correction of the anterior open bite, with significant reduction in the mandibular plane angle and improvement in the patient's profile. No fixed retainers were used, results remained stable 78 months after removal of orthodontic appliances. MEAW mechanics should be considered for patients with large anterior open bites, although this technique requires excellent patient compliance.


2014 ◽  
Vol 21 (2) ◽  
pp. 178
Author(s):  
Vega Mandala ◽  
Wayan Ardhana ◽  
Christnawati Christnawati

Gigitan terbuka merupakan maloklusi yang bercirikan tidak terdapatnya tutup menutup gigi rahang atas dan bawah, dapat terjadi pada regio anterior maupun posterior dan dapat melibatkan dental maupun skeletal. Maloklusi ini memerlukan ketelitian dalam penentuan diagnosis dan perawatan untuk mendapatkan hasil perawatan yang baik dan kestabilan jangka panjang. Tujuan penulisan studi kasus ini adalah untuk menginformasikan manajemen pasien dengan gigitan terbuka tipe skeletal. Pasien pria berumur 19 tahun datang ke Klinik Ortodonsia FKG UGM dengan keluhan utama gigi depan yang tidak rata dan tidak dapat digunakan untuk menggigit. Pemeriksaan klinis menunjukkan pasien memiliki kebiasaan menelan dengan menjulurkan lidah. Pemeriksaan model studi menunjukkan maloklusi Angle kelas I dengan gigitan terbuka anterior dari regio premolar kedua kanan ke kiri sebesar 10,7 mm disertai malposisi gigi individual dan pergeseran garis tengah rahang bawah ke kiri. Pemeriksaan sefalometri menunjukkan relasi skeletal kelas II dengan retrusif bimaksila, rotasi mandibula searah jarum jam dan gigitan terbuka skeletal. Pasien menolak tindakan bedah ortognatik sehingga dilakukan perawatan ortodontik kamuflase. Perawatan diawali dengan latihan miofungsional untuk melatih cara penelanan yang benar dilanjutkan dengan perawatan ortodontik teknik straightwire dengan pencabutan empat gigi molar pertama. Penutupan gigitan terbuka menggunakan elastic box anterior. Hasil evaluasi menunjukkanpengurangan besar gigitan terbuka dari 10,7 mm menjadi 1,25 mm. Kesimpulannya elastic box anterior dapat digunakan untuk mengoreksi gigitan terbuka yang etiologinya melibatkan intrusi gigi anterior.  Skeletal Anteroposterior Open Bite Treatment with Straight Wire Technique. Open bite is a malocclusion with characteristic no overlapping between maxillar and mandibular teeth. This malocclusion may occur in anterior or posterior region and involved dental or skeletal. This malocclusion needed precise diagnosis and treatment to get a good treatment result and long term stability. The aim of this case report was to inform management of patient with skeletal open bite. A 19 years old male came to orthodontic clinic Faculty of Dentistry Gadjah Mada University with the chief complaint anterior crowding, and anterior teeth cannot be used to bite. Clinical finding showed patient had tongue thrusting habit. Study model analysis showed class I Angle malocclusion with 10.7 mm anterior open bite from right second premolar to left second premolar, with individual teeth malposition and mandibular midline shifting to the left. Cephalometric finding showed class II skeletal relationship with bimaxillar retrusive, clockwise mandibular rotation and skeletal open bite. This patient refused orthognatic surgery, so he received camouflage orthodontic treatment. This treatment was started with monofunctional exercise to correct the swallowing action then continued with straight wire orthodontic treatment with four first molar extractions. Anterior box elastic was used to close the bite. Evaluation result showed open bite was decreased from 10.7 mm to 1.25 mm. The conclusion was anterior box elastic could be used in open bite correction that involved anterior teeth intrusion as an etiology.


2019 ◽  
Vol 5 (1) ◽  

Anterior open bite (AOB) is defined as the lack of incisal contact between anterior teeth in centric relation. Prevalence in the population ranges from 1.5% to 11.6%. The age factor, however, affects prevalence, since sucking habits decrease and oral function matures with age. At six years old 4.2% present with AOB whereas at age 14 the prevalence decreases to 2%. Anterior open bite is considered to be one of the most difficult treatments. Proper diagnosis and treatment planning, successful treatment, and retention have been stressed for the long-term stability of open bite treatment. There are several factors that could be related to the development of open bite. Among these are an unfavorable mandibular growth pattern, heredity, imbalances between jaw postures, digit-sucking habits, nasopharyngeal airway obstruction, tongue posture and activity and head position. Various treatment modalities have been proposed for the correction of anterior open bites: surgical and nonsurgical. In general, stability is the most important criteria in choosing an acceptable method of treatment for patients with open bite malocclusion. Many previous studies have indicated that if open bite correction is not stable, it is because the tongue continues to be postured anteriorly, which causes the bite to reopen. We will present an adult case treated with Invisalign. The treatment duration was 40 weeks and the anterior open bite was mainly corrected with relative extrusion of the incisors.


2017 ◽  
Vol 8 (4) ◽  
pp. 304-308 ◽  
Author(s):  
Rahul Gaikwad ◽  
Sachin C Sarode ◽  
Seema Kamble ◽  
Shivalinga S Hiremath ◽  
Ashwini Biradar

ABSTRACT Aim The aim of this study was to assess the association of dental caries and dental anomalies among 5- to 15-year-old children with cleft lip and cleft palate. Materials and methods A cross-sectional study was conducted among 500 children with cleft lip and/or cleft palate and 500 children without cleft of the age group 5 to 15 years. The clinical examination was carried out using decayed, missing, and filled teeth (DMFT) by Klein Plamer and Knutson, and dmft by Grubbel and 1997 World Health Organization (WHO) pro forma. Results The results showed a statistically significant increase in the prevalence of dental caries in children with cleft lip and/or cleft palate. The mean DMFT was found to be significantly higher in operated children than in the children who were not operated. Other dental abnormalities included an increased frequency of enamel hypoplasia (p < 0.001), hyperdontia (p < 0.014), anterior, unilateral and bilateral cross-bite (p < 0.001), and open bite (p < 0.001). Conclusion The results of this study show that children with cleft have higher prevalence of dental anomalies than the normal children. With increased occurrence of hypoplasia in children with cleft, reduced access for cleaning upper anterior teeth after surgical repair leads to poor oral hygiene status, leading to increased risk to dental caries. Clinical significance Given the high caries experience among the children with cleft lip and cleft palate, it is necessary to advocate a more rigorous approach to the prevention of dental disease in these high-risk children. They should therefore, be subjected to regular checkups, oral hygiene advice, diet advice, appropriate fluoride supplementation, and, when required, appropriate referral for secondary care. How to cite this article Kamble S, Hiremath SS, Puranik MP, Gaikwad R, Biradar A, Gadbail AR, Sarode SC, Sarode GS, Patil S. Dental Caries and Dental Anomalies in Children with Cleft Lip and Cleft Palate in Bengaluru City, India. World J Dent 2017;8(4):304-308.


2019 ◽  
Vol 9 (2) ◽  
pp. 82-87
Author(s):  
Kratika Mishra ◽  
Amit Bhardwaj

A female patient of 26 years reported to the Department of Orthodontics, with a chief complaint of spacing between upper and lower front teeth. Patient has a habit of thumb sucking during night time since last 24 years. On extra oral examination she has mesoprosopic facial form, competent lips, bilaterally asymmetric face, convex profile, acute nasolabial angle, high clinical FMA. Intra oral examination reveals anterior open bite with Angle’s Class I molar relation and class I canine relation, proclined upper and lower anterior teeth slightly crowded. Cephalometrically skeletal class II malocclusion, vertical growth pattern with bidental proclination with 10 mm openbite. Detailing treatment strategies such as bracket repositioning, occlusal adjustment,and elastics were used


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Ali Saad Al-Qahtani

The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.


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