scholarly journals Dental and skeletal components of Class II open bite treatment with a modified Thurow appliance

2014 ◽  
Vol 19 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Helder Baldi Jacob ◽  
Ary dos Santos-Pinto ◽  
Peter H. Buschang
Keyword(s):  
Class Ii ◽  
Open Bite ◽  
Control Group ◽  
State University ◽  
Plane Angle ◽  
Anterior Open Bite ◽  
Skeletal Changes ◽  
Mandibular Plane ◽  
School Of Dentistry ◽  
Experimental Group

INTRODUCTION: Due to the lack of studies that distinguish between dentoalveolar and basal changes caused by the Thurow appliance, this clinical study, carried out by the School of Dentistry - State University of São Paulo/Araraquara, aimed at assessing the dental and skeletal changes induced by modified Thurow appliance. METHODS: The sample included an experimental group comprising 13 subjects aged between 7 and 10 years old, with Class II malocclusion and anterior open bite, and a control group comprising 22 subjects similar in age, sex and mandibular plane angle. Maxillary/mandibular, horizontal/vertical, dental/skeletal movements (ANS, PNS, U1, U6, Co, Go, Pog, L1, L6) were assessed, based on 14 landmarks, 8 angles (S-N-ANS, SNA, PPA, S-N-Pog, SNB, MPA, PP/MPA, ANB) and 3 linear measures (N-Me, ANS-Me, S-Go). RESULTS: Treatment caused significantly greater angle decrease between the palatal and the mandibular plane of the experimental group, primarily due to an increase in the palatal plane angle. ANB, SNA and S-N-ANS angles significantly decreased more in patients from the experimental group. PNS was superiorly remodeled. Lower face height (ANS-Me) decreased in the experimental group and increased in the control group. CONCLUSIONS: The modified Thurow appliance controlled vertical and horizontal displacements of the maxilla, rotated the maxilla and improved open bite malocclusion, decreasing lower facial height.

scholarly journals Evaluation of the stability of open bite treatment using a removable appliance with palatal crib combined with high-pull chincup

2012 ◽  
Vol 17 (6) ◽  
pp. 52-60 ◽  
Author(s):  
Fernando Pedrin Carvalho Ferreira ◽  
Renato Rodrigues de Almeida ◽  
Fernando César Torres ◽  
Renata Rodrigues de Almeida-Pedrin ◽  
Marcio Rodrigues de Almeida ◽  
...  
Keyword(s):  
Statistical Tests ◽  
Open Bite ◽  
Control Group ◽  
Anterior Open Bite ◽  
Skeletal Changes ◽  
Lateral Cephalograms ◽  
The Stability ◽  
Removable Appliance ◽  
Experimental Group

OBJECTIVE: The aim of this prospective study was to cephalometrically analyze the stability of dentoalveolar and skeletal changes produced by a removable appliance with palatal crib associated to high-pull chincup in individuals with anterior open bite treated for 12 months, and compare them to individuals with similar malocclusion and age, not submitted to orthodontic treatment, also followed for the same period. METHODS: Nineteen children with a mean age of 9.78 years old treated for 12 months with a removable appliance with palatal crib associated with chincup therapy were evaluated after 15 months (post-treatment period) and compared with a control group of 19 subjects with mean age of 9.10 years with the same malocclusion that was followed-up for the same period. Seventy-six lateral cephalograms were evaluated at T1 (after correction) and T2 (follow-up) and cephalometric variables were analyzed by statistical tests. RESULTS: The results did not show significant skeletal, soft tissue or maxillary dentoalveolar changes. Overall, treatment effects on the experimental group were maintained at T2 evaluation with an increase of 0.56 mm in overbite. Overjet and maxillary incisors/molars position (vertical and sagittal) remained essentially unchanged during the study period. Only mandibular incisors showed significant changes (labial inclination and protrusion) compared to control group. CONCLUSIONS: Thus, it can be concluded that the early open bite treatment with a removable appliance and palatal crib associated with high-pull chincup therapy provided stability of 95%.

scholarly journals Effects of the cervical headgear in growing Angle Class II malocclusion patients: a prospective study

2020 ◽  
Vol 25 (2) ◽  
pp. 25-31
Author(s):  
Anderson Jaña Rosa ◽  
Rizomar Ramos do Nascimento ◽  
José Nelson Mucha ◽  
Oswaldo de Vasconcellos Vilella
Keyword(s):  
Significant Variation ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Angle Class Ii ◽  
Skeletal Changes ◽  
Division 1 ◽  
A Prospective Study ◽  
Untreated Individuals ◽  
Experimental Group

ABSTRACT Objective: Evaluate dental and skeletal changes resulting from the exclusive use of the cervical headgear for 15 ± 4 months in the treatment of patients with Class II division 1 malocclusion. Methods: Differences between the beginning (T1) and immediately after the end of the therapy (T2) with the cervical headgear in growing patients (Experimental Group, EG, n = 23) were examined and compared, during compatible periods, with those presented by a group of untreated individuals (Control Group, CG, n =22) with similar malocclusions and chronological age. The cephalometric variables evaluated were: ANB, GoGn.SN, AO-BO, S'-ANS, S'-A, S'-B, S'-Pog and S'-U6 (maxillary first molar). The Shapiro-Wilk and Levene tests were used to evaluate the results. Results: Significant differences were found relative to the ANB, S'-U6, AO-BO, S'-ANS, S'-A, S'-B and S'-Pog variables between T1 and T2 when comparing both groups. No statistically significant variation was found regarding the GoGn.SN angle. Conclusions: The use of cervical headgear promoted distal movement of the maxillary first molars and restricted the anterior displacement of the maxilla, without significantly affecting the GoGn.SN angle.

scholarly journals Treatment and Posttreatment Effects of Quad-Helix/Crib Therapy of Dentoskeletal Open Bite

2007 ◽  
Vol 77 (4) ◽  
pp. 640-645 ◽  
Author(s):  
Paola Cozza ◽  
Manuela Mucedero ◽  
Tiziano Baccetti ◽  
Lorenzo Franchi
Keyword(s):  
Nonparametric Test ◽  
Treated Group ◽  
Open Bite ◽  
Control Group ◽  
Anterior Open Bite ◽  
Mandibular Plane ◽  
Lateral Cephalograms ◽  
Thumb Sucking ◽  
Clinically Significant ◽  
Quad Helix

Abstract Objective: To investigate the effects of the quad-helix/crib (Q-H/C) appliance in subjects with thumb-sucking habits and dentoskeletal open bite at 2 years after the end of active treatment. Materials and Methods: The records of 21 subjects treated with the Q-H/C appliance were compared with a control group of 21 untreated subjects with similar vertical relationships. Lateral cephalograms were obtained before treatment (T1; mean age 8.4 ± 1.4 years) and at about 2 years after treatment (T2; mean age 11.7 ± 1.9 years) and analyzed. Mean treatment duration was 1.5 years ± 7 months. The T2–T1 changes in the two groups were compared with a nonparametric test for independent samples. Results: The mean increase in overbite during Q-H/C therapy (4.1 mm) represented an overcorrection of the amount of anterior open bite at T2. Both the maxillary and mandibular incisors showed significantly greater extrusion in the Q-H/C group than in the control group. The treated group showed a greater downward rotation (1.8°) of the palatal plane than did the control group. This change was associated with a clinically significant reduction in the palatal plane/mandibular plane angle (−2.5°) in the Q-H/C group. The upper lip showed significant retraction relative to the E-plane in the treated group (3.6 mm) compared with the controls. Conclusions: The Q-H/C appliance was effective in correcting dental open bite in 85% of the growing subjects with thumb-sucking habits and dentoskeletal open bites. Correction of anterior open bite was associated with a clinically significant improvement in maxillomandibular vertical skeletal relationships.

scholarly journals Multiloop edgewise archwire treatment for a patient with a severe anterior open bite and amelogenesis imperfecta

2021 ◽  
Author(s):  
Ahmed I. Masoud ◽  
T. Peter Tsay
Keyword(s):  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Radiographic Examination ◽  
Orthodontic Appliances ◽  
Plane Angle ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Mandibular Plane ◽  
Mandibular Plane Angle

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.

scholarly journals Dental, skeletal and soft tissue effects of the Distal Jet appliance: A prospective clinical study

2019 ◽  
Vol 24 (6) ◽  
pp. 56-64 ◽  
Author(s):  
Rachelle Simões Reis ◽  
José F. C. Henriques ◽  
Guilherme Janson ◽  
Karina Maria Salvatore Freitas ◽  
Wilana Moura
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Plane Angle ◽  
Tissue Effects ◽  
Mandibular Plane ◽  
Maxillary Incisors ◽  
Distal Jet ◽  
Mandibular Plane Angle

ABSTRACT Objective: This study evaluated the dental, skeletal and soft tissue effects in Class II malocclusion patients treated with Distal Jet appliance, compared to an untreated control group. Methods: 44 patients with Class II malocclusion were divided into two groups: Group 1 (experimental) - 22 patients, mean age of 12.7 years, treated with the Distal Jet appliance for a mean period of 1.2 years; Group 2 (control) - 22 untreated patients, mean age of 12.2 years, followed by a mean period of 1.2 years. Lateral cephalograms were obtained before treatment (T0) and at the end of the distalization (T1).Independent t test was used to identify intergroup differences. Results: When compared to control group, the Distal Jet produced a significant increase in mandibular plane angle (0.7 ± 2.0o). The maxillary second molars presented distal inclination (6.6 ± 3.8o), distalization (1.1 ± 1.1 mm) and extrusion (1.3 ± 2.1 mm). The maxillary first molars distalized by 1.2 ± 1.4 mm. The maxillary first premolars mesialized by 3.4 ± 1.1 mm. The maxillary incisors showed slight labial tipping of 4.3 ± 4.7o and were protruded by 2.4 ± 1.7 mm. There were no significant changes in the facial profile. The overjet increased 1.5 ± 1.1 mm and overbite had no significant changes. Conclusion: The Distal Jet appliance is effective to distalize the maxillary first molars, but promotes increase in mandibular plane angle, distal inclination, extrusion and distalization of maxillary second molars, mesialization of maxillary first premolars, proclination and protrusion of maxillary incisors, and increase in overjet, when compared to a control group.

scholarly journals Nonsurgical treatment of skeletal anterior open bite in adult patients: Posterior build-ups

2016 ◽  
Vol 87 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Arturo Vela-Hernández ◽  
Rocio López-García ◽  
Verónica García-Sanz ◽  
Vanessa Paredes-Gallardo ◽  
Felicidad Lasagabaster-Latorre
Keyword(s):  
Open Bite ◽  
Anterior Open Bite ◽  
Retention Period ◽  
Term Stability ◽  
Long Term Stability ◽  
Skeletal Changes ◽  
Molar Intrusion ◽  
Mandibular Plane ◽  
Lateral Cephalograms

ABSTRACT Objective: To (1) evaluate the efficacy of build-ups in the correction of anterior open bite in adults, (2) evaluate their efficacy in producing molar intrusion, (3) analyze skeletal and dental changes, and (4) assess the long-term stability. Materials and Methods: The sample consisted of 93 lateral cephalograms from 31 patients with skeletal and dental anterior open bite. The patients had received orthodontic treatment consisting of bonded resin blocks on the maxillary molars combined with Tip-Edge Plus bracket appliances. Cephalometric measurements were performed on radiographs taken before treatment (T1), after treatment (T2), and after a retention period (T3), which were analyzed and compared. Results: Significant dental and skeletal changes were observed after treatment. Molar intrusion averaging 1 mm; 1.44 and 1.57 mm extrusion of mandibular and maxillary incisors, respectively; and a mean of 3.98 mm overbite increase were observed. The mandibular plane angle showed a mean closure of 1.19°, and there was a mean decrease in anterior facial height of 0.7 mm. A mild relapse tendency was observed, but long-term stability was acceptable. Conclusions: Build-ups are an effective treatment alternative for anterior open bite in adults. Outcomes remain significantly stable during the retention period.

scholarly journals Vertical segmental anterior mandibular distraction to aid closure of a severe anterior open bite associated with an accentuated reverse curve of Spee

2021 ◽  
pp. 146531252110000
Author(s):  
Peter Fowler ◽  
Jennifer Haworth ◽  
Leon Steenberg
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Plane Angle ◽  
Anterior Open Bite ◽  
Le Fort ◽  
Mandibular Distraction ◽  
Curve Of Spee ◽  
Mandibular Plane ◽  
Le Fort I ◽  
Lower Arch

Background: The correction of severe anterior open bite is technically challenging, often requiring the use of complex orthodontic mechanics and/or orthognathic surgery and has a relatively high risk of relapse. A marked reverse curve of Spee in the lower arch presents additional challenges when correcting a severe anterior open bite. Methods and Materials: A 22.2-year-old Caucasian man presented with concerns relating to poor anterior occlusion associated with a 1.3-cm anterior open bite. There was an accentuated reverse curve of Spee to the lower arch, an increased maxillary-mandibular plane angle and increased lower face height. Multidisciplinary treatment involving the use of segmental anterior mandibular distraction to level the curve of Spee before undertaking a Le Fort I posterior maxillary impaction is described in this case report. Results: Long-term post-treatment records showed stable anterior open bite correction. Conclusions: This case report illustrates the successful use of segmental anterior mandibular vertical distraction followed by conventional Le Fort I posterior impaction surgery to correct a severe anterior open bite associated with an accentuated reverse curve of Spee and high maxillary-mandibular plane angle.

scholarly journals Cephalometric comparison of adult anterior open bite treatment using clear aligners and fixed appliances

2018 ◽  
Vol 89 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Bella Shen Garnett ◽  
Kimberly Mahood ◽  
Mai Nguyen ◽  
Aliaa Al-Khateeb ◽  
Siqi Liu ◽  
...  
Keyword(s):  
Vertical Dimension ◽  
Open Bite ◽  
Plane Angle ◽  
Anterior Open Bite ◽  
Treatment Groups ◽  
Mandibular Plane ◽  
Fixed Appliances ◽  
Clear Aligner ◽  
Cephalometric Measurements ◽  
Mandibular Plane Angle

ABSTRACT Objectives: To compare fixed appliances and clear aligner therapy in correcting anterior open bite and in controlling the vertical dimension in adult patients with hyperdivergent skeletal patterns. Materials and Methods: In this retrospective study, two treatment groups of adult (≥18 years old) hyperdivergent patients (mandibular plane angles of ≥38°) with anterior open bites were included: 17 fixed appliance patients and 36 clear aligner patients. Thirteen cephalometric measurements representing the vertical dimension were reported for each group. A two-sample t-test was used to assess differences in changes in mandibular plane angle and overbite between the two treatment groups. Results: There were no statistical differences found in the magnitude of overbite correction and the changes in any of the cephalometric measurements for vertical control. The clear aligner group showed a slightly greater amount of lower incisor extrusion (P = .009). The main mechanism of open bite correction was similar between the two treatment groups and was accomplished through retroclination of the upper and lower incisors while maintaining the vertical position of the upper and lower molars. Conclusions: Cephalometric comparison of anterior open bite correction and changes in the mandibular plane angle associated with use of clear aligners and fixed appliances did not demonstrate statistically significant differences in adult hyperdivergent patients.

scholarly journals Evaluation of the influence of malocclusion in interpersonal relations among adolescents

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Ana de Lourdes Sá De Lira ◽  
Francisco Dário Carvalho de Sousa
Keyword(s):  
Interpersonal Relationships ◽  
Interpersonal Relations ◽  
Class Ii ◽  
Open Bite ◽  
Control Group ◽  
Anterior Open Bite ◽  
Cross Sectional ◽  
Male And Female ◽  
Normal Occlusion ◽  
Dental Crowding

Aim: To evaluate the influence of malocclusion on interpersonal relationships among adolescents. Method: A cross-sectional, quantitative study was carried out with 360 students. Photographs of male and female mouth with malocclusions were manipulated and superimposed on the smile images of two individuals of both genders with normal occlusion (corresponding to the control group, GC) respectively, for assembly of 4 malocclusions: (1) anterior open bite, ( 2) anterior crossbite (3) dental crowding , and (4) Class II, in this order. These images were provided to the participants, who evaluated them through a questionnaire. Results: The less attractive malocclusion was dental crowding. For both flirting and maintaining a serious relationship the previous open bite was the most rejected, with Class II being the most acceptable. Conclusion: For adolescents, dental crowding is the most appropriate malocclusion to be corrected orthodontically. Malocclusions negatively influence the development of interpersonal relationships among adolescents.KEYWORDSAdolescent; Malocclusion; Interpersonal relationships.

Sign in / Sign up

Export Citation Format

Share Document