scholarly journals Angle Class I malocclusion with anterior open bite treated with extraction of permanent teeth

2013 ◽  
Vol 18 (2) ◽  
pp. 133-140
Author(s):  
Matheus Melo Pithon

This clinical case reports the orthodontic treatment of a Class I malocclusion with anterior open bite and bimaxillary dentoalveolar protrusion in a 28-year-old female patient. The treatment of choice was to perform tooth extractions followed by retraction of the anterior teeth, with consequent closure of the anterior open bite and better accommodation of the teeth on their bony bases. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO), representing the Category 2 - i.e., an Angle Class I malocclusion, with anterior open bite, treated with extraction of permanent teeth -, as part of the requisites to become a BBO diplomate.


2020 ◽  
Vol 53 (4) ◽  
pp. 223
Author(s):  
Dewi Sartika Santoso ◽  
C. Christnawati ◽  
Cendrawasih Andusyana Farmasyanti

Background: Bimaxillary and bidental protrusion Class I Angle malocclusions have a characteristic convex facial profile and protrusion lips due to the labial inclination of the anterior teeth. Extraction of the first four premolars is the most common choice for orthodontic treatment of these cases when all the permanent teeth are complete and in good condition. Orthodontic treatment can be performed using the Begg or Straightwire techniques. Purpose: This study aims to investigate the difference in the effect of orthodontic treatment with Begg and Straightwire appliances on molar position, occlusal plane, and anterior and posterior facial height. Methods: Sixty pairs of lateral cephalograms before and after the treatment of patients with bimaxillary and bidental protrusive Angle malocclusion Class I, aged 18–35 years old, who underwent orthodontic treatment using the Begg and Straightwire techniques with the extraction of all first premolars that met the inclusion criteria. Data analysis was performed using two-way repeated analysis of variance (p<0.05) and Pearson correlation (p<0.05). Results: Molar position, occlusal plane angle, and anterior and posterior facial heights increased significantly after the Begg technique treatment and decreased significantly after the Straightwire technique treatment (p<0.05), but there were no significant differences between the four variables in the two techniques (p>0.05). Medium correlation was found between variables in both the Begg and Straightwire techniques. Conclusion: Molars were extruded and mesialized and the occlusal plane angle and height of the anterior and posterior faces increased after the Begg appliances treatment. The molars moved mesially and occlusally and there was a decrease in the occlusal plane angle, as well as the height of the anterior and posterior faces, after treatment with the Straightwire appliances. However, there was no difference between the two techniques.



2022 ◽  
Vol 9 ◽  
Author(s):  
Richard Togbedji Dahoue ◽  
Asmae Benkaddour ◽  
Fatima Zaoui ◽  
Afaf Houb-Dine ◽  
Loubna Bahije

The dental biprotrusion characteristic of certain ethnic groups raises the question of treatment or of abstaining. In many situations this is accompanied by open bite in relation to the lingual volume or lingual support during pronunciation, the therapeutic solution must be considered and individualized. This article describes the orthodontic treatment of an anterior open bite of functional origin in a 23-year-old adult patient embarrassed by the cosmetic defect.



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.



Author(s):  
SN Rita ◽  
SMA Sadat ◽  
MZ Hossain

Reported case of a 19 years old male, with Class III malocclusion, bilateral cross bite associated with anterior open bite, which was treated by fixed orthodontic treatment. After treatment there was a class I Molar and incisor relation as well as the open bite was corrected with accepted aesthetic and functional satisfaction of the patient. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15974 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 22-23



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



2021 ◽  
Vol 14 (54) ◽  
pp. 26-31
Author(s):  
Nivaldo Antônio Bernardo de Oliveira ◽  
Ney Tavares Lima Neto ◽  
Guaracy Lyra da Fonseca Junior ◽  
Gurgiane Rodrigues Gurgel Cavalcante ◽  
Luiz Felipe Azevedo ◽  
...  

Anterior open bite is a type of malocclusion in which there is the presence of a negative vertical overlap between the incisal edges of the upper and lower anterior teeth. It is considered a complex anomaly with distinct characteristics and difficult to treat with prevalence of 25% to 38% of patients orthodontically treated. The aim of this article is to report a clinical case of Class III right subdivision and open bite using 3DBOT technique, a fixed, comfortable, predictable, imperceptible technique with 3D technology and with extreme clinically proven satisfaction. Case report: Patient V.B.V.S., 23 years and 1 month old, leukoderma, male, mild dholico, straight profile, symmetrical, Class ¼ of Class III of molar and canine right subdivision, anterior open bite, inverted smile, mild upper and anterior dental crowding. Treatment plan: The use of 3DBOT was planned along with the use of intermaxillary elastics and refinement with the aid of MyAligner® aligners. Conclusion: The 3DBOT technique showed to be a viable option for treating anterior open bite



2020 ◽  
Author(s):  
Huanye Liu ◽  
Heeyeon Suh ◽  
Young-Eun Jung ◽  
Kaiyuan Xu ◽  
Dan Zhang ◽  
...  

Abstract Background: An anterior open bite is considered challenging to treat because of its multifactorial etiology. Condylar resorption, which is one of the temporomandibular disorders (TMD) symptoms, has been identified as an etiologic factor of anterior open bites. It is essential to find an effective and efficient method to correct open bites while reducing the risk of exacerbating TMD during orthodontic treatment.Objectives: To evaluate the effect of the multi-loop edgewise archwire (MEAW) technique in correcting anterior open bite in patients with TMD. Materials and Methods: In this retrospective study, 20 patients with anterior open bites and TMD were included. 19 cephalometric measurements and 2 open bite indices were evaluated. A paired t-test was used to assess changes between pre- and post-treatments. Results: There were statistically significant changes after the treatment using the MEAW technique. The cephalometric measurements, including vertical positions of the incisors and molars, changed significantly. The maxillary and mandibular regional superimpositions for a subgroup of non-extraction patients showed slight intrusion of the upper molars (-0.6±1.0mm, p=0.04) and slight extrusion of the lower molars (1.0±1.1mm, p<0.01). Open bite correction was achieved predominantly through retraction and extrusion of the upper and lower incisors. Conclusions: The anterior open bite was successfully corrected by using the MEAW technique. However, the primary mechanism was the extrusion of the anterior teeth with a maintained vertical dimension. In the absence of apparent symptoms of joint discomfort, it is effective and relatively safe to use the MEAW technique to treat open bite patients with TMD.



2016 ◽  
Vol 14 (2) ◽  
pp. 171-183 ◽  
Author(s):  
Antonio Gracco ◽  
Laura Siviero ◽  
Alberto de Stefani ◽  
Giovanni Bruno ◽  
Edoardo Stellini


1970 ◽  
Vol 8 (2) ◽  
pp. 93-96 ◽  
Author(s):  
JN Sharma

Setting: College of Dental Surgery, B P Koirala Institute of Health Sciences, Sunsari, Nepal. Aims: To evaluate the pattern and distribution of malocclusions in patients seeking for orthodontic treatment from Sunsari district of Nepal. Material and Methods: Total of 350 patients who were permanent inhabitants of Sunsari district of age range 8-36 years were included in the study. A standard format was prepared to record the data. Descriptive statistics for mean, standard deviation and frequencies were calculated. Ages and Class I, II and III malocclusions were cross tabulated to check for any relationship using ANOVA. Intra investigator error was calculated using kappa statistics. Results: The prevalence of Class I, II and III malocclusions were 62.28 %, 29.4%.and 8.2% respectively. Out of 350 cases studied for various occlusal traits the nature of distribution of various occlusal findings were: absent teeth-12.6%, supernumerary teeth-2.9% ectopic eruption-7.1%, midline diastema-16%, incisor crowding-52.9%, spacing-30%, malformations-3.1%, increased overjet (>4mm)- 42.3%, anterior open bite . 5.1% and deep bite (>4mm )- 40 % and cleft lip and palate was 0.28%. Most prevalent age group seeking orthodontic treatment was 12-24 years with females to male ratio of 2.3:1 Comparison of mean ages with different malocclusion groups using ANOVA was statistically not significant. Conclusion: Class I malocclusion was the most prevalent followed by Class II malocclusion and the Class III malocclusion showed least prevalence. There were diverse occlusal traits. Keywords: Malocclusion; Angle’s Classification; Sunsari; BPKIHS



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