Severe Anterior Open Bite during Mixed Dentition Treated with Palatal Spurs

2016 ◽  
Vol 40 (3) ◽  
pp. 247-250 ◽  
Author(s):  
Mauro Henrique Andrade Nascimento ◽  
Telma Martins de Araújo ◽  
Andre Wilson Machado
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Early Stage ◽  
Open Bite ◽  
Mixed Dentition ◽  
Dental Occlusion ◽  
Anterior Open Bite ◽  
Oral Habits ◽  
Nutritive Sucking ◽  
Thumb Sucking

Deleterious oral habits, such as non-nutritive sucking or tongue thrusting, if not intercepted at an early stage can cause complex malocclusions. This manuscript describes a clinical case report of a successful interception of a severe anterior dental open bite caused by thumb sucking and tongue thrusting habits. The case involved a six-year-old female patient treated with the use of palatal spurs and maxillary removable crib followed by monitoring the development of dental occlusion. At the end of the interceptive phase acceptable results were achieved, showing the efficacy of the treatment undertaken as well the importance of an early intervention to remove harmful oral habits.

scholarly journals Multidisciplinary approach in the anterior open bite using a McNamara expander with palatal crib during mixed dentition stage: A case report

2021 ◽  
Vol 2 (3) ◽  
pp. 166-175
Author(s):  
Wendes Dias Mendes ◽  
Paôla Caroline da Silva Mira ◽  
Paula Regina Ávila Silvan ◽  
Patrícia Maria Monteiro ◽  
Mirian Aiko Nakane Matsumot ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Multidisciplinary Approach ◽  
Speech Therapy ◽  
Open Bite ◽  
Mixed Dentition ◽  
Adenoid Hypertrophy ◽  
Anterior Open Bite ◽  
Tongue Thrust ◽  
Maxillary Deficiency

Open bite can be defined as an absence of occlusion, most frequently located in the anterior region of dental arches and its etiology is multifactorial. We present a clinical case of an 8 years and 10 months child presenting an anterior open bite (AOB) with transverse maxillary deficiency caused by tongue thrust during mixed dentition. The malocclusion was corrected by means of a McNamara expander with a palatal crib jointly with the association of speech therapy for tongue repositioning, and otolaryngology to treat adenoid hypertrophy due to its correlation with AOB. The multidisciplinary approach was effective in correcting the malocclusion with stable results after 2 years post-treatment.

scholarly journals Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

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 ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Preventive Treatment ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth

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.

scholarly journals Assessment of oral health literacy of principal caregivers and its association with dental caries in Mexican disabled pediatric patients

2021 ◽  
Vol 2 (3) ◽  
pp. 151-157
Author(s):  
Julio Carlos Garnica-Palazuelos ◽  
Mercedes Bermúdez ◽  
Juan Luis Cota-Quintero ◽  
Gerardo Bueno-Acuña ◽  
Sandra Santana-Delgado ◽  
...  
Keyword(s):  
Clinical Case ◽  
Multidisciplinary Approach ◽  
Speech Therapy ◽  
Pediatric Patients ◽  
Open Bite ◽  
Mixed Dentition ◽  
Oral Health Literacy ◽  
Anterior Open Bite ◽  
Tongue Thrust ◽  
Maxillary Deficiency

Open bite can be defined as an absence of occlusion, most frequently located in the anterior region of dental arches and its etiology is multifactorial. We present a clinical case of an 8 years and 10 months child presenting an anterior open bite (AOB) with transverse maxillary deficiency caused by tongue thrust during mixed dentition. The malocclusion was corrected by means of a McNamara expander with a palatal crib jointly with the association of speech therapy for tongue repositioning, and otolaryngology to treat adenoid hypertrophy due to its correlation with AOB. The multidisciplinary approach was effective in correcting the malocclusion with stable results after 2 years post-treatment.

Tratamento de mordida aberta com a técnica ortodôntica fixa sem bráquetes, com tecnologia tridimensional 3DBOT (bracketless orthodontics treatment)

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 ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Viable Option ◽  
Anterior Open Bite ◽  
3D Technology ◽  
Anterior Teeth ◽  
Dental Crowding

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

Anterior open-bite orthodontic treatment in an adult patient: A clinical case report

2016 ◽  
Vol 14 (2) ◽  
pp. 171-183 ◽  
Author(s):  
Antonio Gracco ◽  
Laura Siviero ◽  
Alberto de Stefani ◽  
Giovanni Bruno ◽  
Edoardo Stellini
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Open Bite ◽  
Anterior Open Bite

scholarly journals Effects of breastfeeding and sucking habits on malocclusion in a birth cohort study

2007 ◽  
Vol 41 (3) ◽  
pp. 343-350 ◽  
Author(s):  
Karen Glazer Peres ◽  
Aluísio J D Barros ◽  
Marco Aurélio Peres ◽  
César Gomes Victora
Keyword(s):  
Risk Factors ◽  
Birth Cohort ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Open Bite ◽  
Mixed Dentition ◽  
Birth Cohort Study ◽  
Anterior Open Bite ◽  
Cross Sectional ◽  
Nutritive Sucking

OBJECTIVE: To estimate the prevalence of malocclusion and to examine the effects of breastfeeding and non-nutritive sucking habits on dentition in six-year-old children. METHODS: A cross-sectional study was carried out nested into a birth cohort conducted in Pelotas, Southern Brazil, in 1999. A sample of 359 children was dentally examined and their mothers interviewed. Anterior open bite and posterior cross bite were recorded using the Foster & Hamilton criteria. Information regarding breastfeeding and non-nutritive sucking habits was collected at birth, in the first, third, sixth and 12th months of life, and at six years of age. Control variables included maternal schooling and child's birthweight, cephalic perimeter, and sex. Data were analyzed by Poisson regression. RESULTS: Prevalence of anterior open bite was 46.2%, and that of posterior cross bite was 18.2%. Non-nutritive sucking habits between 12 months and four years of age and digital sucking at age six years were the main risk factors for anterior open bite. Breastfeeding for less than nine months and regular use of pacifier between age 12 months and four years were risk factors for posterior cross bite. Interaction between duration of breastfeeding and the use of pacifier was identified for posterior cross bite. CONCLUSIONS: Given that breastfeeding is a protective factor for other diseases of infancy, our findings indicate that the common risks approach is the most appropriate for the prevention of posterior cross bite in primary or initial mixed dentition.

scholarly journals Long-term stability of an anterior open-bite malocclusion treated in the mixed dentition: a case report

2006 ◽  
Vol 14 (6) ◽  
pp. 470-475
Author(s):  
Márcio Rodrigues de Almeida ◽  
Renato Rodrigues de Almeida ◽  
Ana Claúdia de Castro Ferreira Conti ◽  
Ricardo de Lima Navarro ◽  
Giovani de Oliveira Correa ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Clinical Case ◽  
Open Bite ◽  
Mixed Dentition ◽  
Facial Growth ◽  
Maxillary Expansion ◽  
Anterior Open Bite ◽  
Long Term Stability

A clinical case with anterior open-bite, treated in the mixed dentition, is presented. This approach demonstrates one of the possible approaches of treatment, which is capable of interfering with growth and redirecting its vectors. Orthodontic and orthopedic methods were used, consisting of slow maxillary expansion, through a fixed palatal crib soldered in a bi-helix appliance, and high-pull traction on the mandible for 16 hours a day. After eight years of follow-up, stable outcomes were accomplished. These results may be explained by the fact that treatments were performed at the appropriate period of development, thus establishing perioral muscular equilibrium, matching the final period of facial growth. The combination of orthodontic and orthopedic treatments was necessary to prevent the need of further orthognathic surgery treatment.

scholarly journals Impact of two non-nutritive sucking patterns on the development of anterior open bite in children of two kindergartens in Baghdad city

2020 ◽  
Vol 32 (4) ◽  
pp. 12-16
Author(s):  
Munad J Al Duliamy
Keyword(s):  
Harmful Effect ◽  
Causative Factor ◽  
Primary Dentition ◽  
Preschool Age ◽  
Open Bite ◽  
The Other ◽  
Anterior Open Bite ◽  
Nutritive Sucking ◽  
Thumb Sucking ◽  
The Impact

Background: Non-nutritive sucking habit (NNSH) is the main environmental causative factor that disturbs normal orofacial development. In spite of the harmful effect of pacifier as a NNSH, mothers aware from the other types of NNSH like thumb sucking far more than pacifier use. Open bite is one of the most challenging malocclusions in orthodontics due to the high prevalence of relapse after treatment, so preventing the causative factor of its occurrence is essential at early age of child life. This study aims to assess the impact of two non-nutritive patterns on the development of anterior open bite in primary dentition and to compare which of these habits mostly affect open bite development. Materials and Methods: The sample consisted of 313 Iraqi children (135 boys, 178 girls), aged 3-5 years, enrolled at two public kindergartens in Baghdad city, the Capital of Iraq. A pre-tested questionnaire with clinical examination were used to obtain data regarding thumb sucking, pacifier and the presence of open bite. Excel sheets were used for data processing, and Chi square test was used in data analysis. Results: There was a significant association between NNSH and the development of open bite (p value = 0.01). No gender differences in open bite prevalence were observed. The prevalence of non-nutritive sucking habits and open bite was 63.11% and 52.9% respectively with no gender difference. There was no significant differences between the effect of pacifier and thumb sucking habits on the development of an anterior open bite. Conclusion: Both pacifier and thumb sucking at preschool age are significant causative factors that lead to development of open bite in primary dentition. Encouraging mothers to ban and discontinue pacifier and thumb sucking habits as early as possible in the child's life is a crucial factor to prevent open bite development. On the other hand if general health of the child indicates the use of pacifier, mothers should use an orthodontic pacifier and for short time

scholarly journals Breaking the Thumb Sucking Habit: When Compliance Is Essential

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Orlando Tanaka ◽  
Wagner Oliveira ◽  
Melissa Galarza ◽  
Vanessa Aoki ◽  
Bruno Bertaiolli
Keyword(s):  
Clinical Case ◽  
Multidisciplinary Approach ◽  
Good Prognosis ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Thumb Sucking

The anterior open bite (AOB) and posterior cross bite are the most frequent malocclusions associated with prolonged sucking habits. This clinical case illustrates and discusses the use of a Haas-type palatal expander for stopping a thumb sucking habit. The improvement in closing the open bite with discontinuation of the habit was observed. But with the return of the habit and lack of cooperation, the relapse of anterior open bite occurred. Therefore, different approaches are necessary. The need of a multidisciplinary approach, consent, and cooperation are keys to a good prognosis.

scholarly journals Inflammatory fibrous hyperplasia in pediatric dentistry due to deleterious habit: case report

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Marcelle Danelon ◽  
Nayara Gonçalves Emerenciano ◽  
Marjully Eduardo Rodrigues da Silva ◽  
Robson Frederico Cunha
Keyword(s):  
Breathing Pattern ◽  
Oral Surgery ◽  
Oral Pathology ◽  
Pediatric Dentistry ◽  
Open Bite ◽  
Mixed Dentition ◽  
Oral Habits ◽  
Nutritive Sucking ◽  
Oral Mucosal Lesions ◽  
Mucosal Lesions

This paper reports the clinical case of a pediatric dentistry patient, presenting a correlation between non-nutritive suction and inflammatory fibrous hyperplasia. A 10-year-old female patient attended the Pediatric Dentistry Clinic of the Araçatuba Dental School-Brazil (FOA/UNESP) with her mother, who reported a "little ball under the upper lip" of the daughter, observed three months before, with gradual increase. The clinical examination revealed poor positioning of tooth 21 and a fibrous hyperplasia at 2 cm from the upper region of the respective tooth. A presumptive diagnosis of inflammatory fibrous hyperplasia was established. The proposed treatment was lesion excision, fabrication of a Hawley appliance for repositioning of tooth 21 and counseling on the need to cease the deleterious digital sucking habit. We conclude that elimination of the traumatic agent is fundamental for therapeutic success, in addition to surgical removal.Descriptors: Hyperplasia; Fingersucking; Habits.ReferencesEspinoza-Zapata M, Loza-Hernández G, Mondragón-Ballesteros R. Prevalence of buccal mucosa lesions in pediatric patients. Preliminary report. Cir Cir. 2006; 74(3):153-57.Cawson R, Eveson J. Oral pathology and diagnosis: Color atlas with integrated text. Phipadelphia, USA: Saunders, 1995;1-128.Rodriguez AF, Sacsaquispe SJ. Hyperplasia Fibrosa Inflamatória y posibles factores asociados em adultos mayores. Rev Estomatol Heridiana.2005;15(2):139-44.American Academy of Pediatric Dentistry. Management considerations for pediatric oral surgery and oral pathology. Pediatr Dent 2018;40(6):373-82.Neville B, Damm DD, Allen C, Chi A. Oral and Maxillofacial Pathology, 4th ed. Elsevier; 2016.Góis EG, Ribeiro HC, Vale MP, Paiva SM, Serra-Negra JMC, Ramos-Jorge ML et al. Influence of nonnutritive sucking habits, breathing pattern and adenoid size on the development of malocclusion. Angle Orthod. 2008;78(4):647-54.Scarpelli BB, Berger SB, Punhagui MF, Oliveira CAZ, Ferelle A, Oltramari-Navarro PVP. Evaluation of a preventive educational program for malocclusions: 7-year study. Braz oral res. 2016;30(1):e119.Cavalvanti AL, Bezerra PKM, Moura C, Bezerra PM, Granville-Gracia AF. Relationship between malocclusion and deleterious oral habits in preschool children in Campina Grande, PB, Brazil. Stom Glass S. 2008;55:154-62.Montaldo L, Montaldo P, Cuccaro P, Caramico N, Minervini G. Effects of feeding on non-nutritive sucking habits and implications on occlusion in mixed dentition. Int J Paediatr Dent. 2011;21(1):68-73.Vasconcelos FMN, Massoni ACLT, Heimer MV, Ferreira AMB, Katz CRT, Rosenblatt A. Non-nutritive sucking habits, anterior open bite and associated factors in Brazilian children aged 30-59 months. Braz Dent J. 2011;22(2):140-45.Suhani RD, Suhani MF, Muntean A, Mesaros M, Badea ME. Deleterious oral habits in children with hearing impairment. Clujul Med. 2015;88(3):403-7.Bueno SB, Bittar TO, Vazquez FL, Meneghim MC, Pereira AC. Association of breastfeeding, pacifier use, breathing pattern and malocclusions in preschoolers. Dental Press J Orthod.2013;18(1):30e1-6.Gheno JN, Martins MAT, Munerato MC, Hugo FN, Sant'ana Filho M, Weissheimer C et al. Oral mucosal lesions and their association with sociodemographic, behavioral, and health status factors. Braz oral res. 2015;29(1):00289.Warren JJ, Bishara SE, Steinbock KL, Yonezu T, Nowak AJ. Effects of oral habit´s duration on dental characteristics in the primary dentition. J Am Dent Assoc. 2001;132(12):1685-93.Barros RMG, Campos KSM, Cabral LM. Relato de caso clínico de hiperplasia fibrosa inflamatória. Rev Odontol Araçatuba. 2014;35(2):15-18.Dutra KL, Longo L, Grando LJ, Riveiro ERC. Incidence of reactive hyperplastic lesions in the oral cavity: a 10 years’ retrospective study in Santa Catarina, Brazil. Braz J Otorhinolaryngol 2019; Braz j otorhinolaryngol. 2019;85(4):399-407.Palacios-Sánchez B, Cerero-Lapiedra R, Campo-Trapero J, Esparza-Gómez GC. Alteraciones gingivales no relacionadas con placa. RCOE. 2006;11(1):43-55.Coelho CM, Sousa YT, Daré AM. Denture-related oral mucosal lesions in a Brazilian school of dentistry. J Oral Rehabil. 2004;31(2):135-39.

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