scholarly journals Early treatment of anterior open bite with functional orthopedic appliances. A case report

2017 ◽  
Vol 22 (2) ◽  
pp. 20-26
Author(s):  
Ana María Valencia ◽  
Ana María Hurtado ◽  
Jesús Alberto Hernández
Keyword(s):  
Clinical Findings ◽  
Open Bite ◽  
Respiratory Pattern ◽  
Orthopedic Treatment ◽  
Anterior Open Bite ◽  
Surgical Interventions ◽  
Functional Relationships ◽  
Clinical Changes ◽  
Skeletal Open Bite

Anterior open bites are characterized by altered occlusal relationships. They cause discrepancies at the jaws that trigger a parafunctional muscular imbalance throughout the stomatognathic system.When this alteration is intervened early,  again of normal functions can be achieved but also intervention causes facial changes that improve the aesthetics of the patient. It is important to take into consideration the complexity and the multifactorial etiology of anterior open bites to achieve their correction and long-term clinical stability. Different therapeutic approaches have been described for the treatment of anterior open bites including: orthodontics, functional orthopedics and even surgical interventions. Here We present a clinical case of a seven-year-old male patient who consulted for orthopedic treatment of an anterior open bite. Clinical findings determined a Class II cephalometric malocclusion with anterior skeletal open bite, oral respiratory pattern and atypical swallowing. Orthopedic treatment was done using Simoes Network 2 (SN2) functional appliances. At the first year of follow-up facial and intraoral clinical changes were noted. During the second year of follow-up radiographic changes showed improvement in craniofacial and functional relationships.  

Invisalign System as a Treatment of a Skeletal Open Bite: A Case Report With a 5-Year Follow-up

2021 ◽  
Author(s):  
Linda Sangalli
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Night Time ◽  
Myofunctional Therapy ◽  
Temporary Anchorage Devices ◽  
Molar Intrusion ◽  
Skeletal Open Bite ◽  
Lower Molar

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.

scholarly journals Treatment and retention of relapsed anterior open-bite with low tongue posture and tongue-tie: A 10-year follow-up

2014 ◽  
Vol 44 (4) ◽  
pp. 203 ◽  
Author(s):  
Yu-Jin Seo ◽  
Su-Jung Kim ◽  
Janchivdorj Munkhshur ◽  
Kyu-Rhim Chung ◽  
Peter Ngan ◽  
...  
Keyword(s):  
Open Bite ◽  
Anterior Open Bite

The functional treatment of anterior-open bite: three case reports

2001 ◽  
Vol 25 (4) ◽  
pp. 275-286
Author(s):  
Banu Dinçer ◽  
Serpil Hazar
Keyword(s):  
Case Reports ◽  
Post Treatment ◽  
Open Bite ◽  
Functional Treatment ◽  
Posterior Region ◽  
Anterior Open Bite ◽  
Facial Height ◽  
Skeletal Open Bite ◽  
Vertical Development

Functional treatment of three skeletal open-bite patients with Bionator, Frankel IV and Posterior biteblock appliances is presented. Pretreatment and post treatment records were evaluated. Correction of malocclusion by changing direction of the mandibular development, adaptive bony development of the condyle, vertical development in posterior region, an increase in ramus length, a decrease in the lower facial height were observed in this report. The results of functional treatment of three appliances had different effect mechanisms.

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 Microscrew Anchorage in Skeletal Anterior Open-bite Treatment

2007 ◽  
Vol 77 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Chunlei Xun ◽  
Xianglong Zeng ◽  
Xing Wang
Keyword(s):  
Alveolar Bone ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Miniscrew Implants ◽  
Mandibular Plane ◽  
Lateral Cephalograms ◽  
Patient Cooperation ◽  
Skeletal Pattern ◽  
Skeletal Open Bite

Abstract Objective: To evaluate the effectiveness of miniscrew anchorage for intrusion of the posterior dentoalveolar region to correct skeletal open bite. Materials and Methods: The study was comprised of 12 patients (aged 14.3 to 27.2 years; mean 18.7 years) with anterior open bites. All the patients presented a Class II skeletal pattern and excessive posterior growth. Self-drilling miniscrew implants were inserted into the posterior midpalatal area and the buccal alveolar bone between the lower molars. A transpalatal and a lingual arch were used to maintain the molars on each side in order to avoid overrotation during intrusion. A force of 150 g was applied to the microscrews on each side to intrude the posterior teeth. Lateral cephalograms of all 12 patients were taken preintrusion and immediately after completion of the intrusion. The cephalometric films were measured and compared. Results: The results showed that the anterior open bites in 12 patients were all corrected in a mean of 6.8 months. Overbite increased by a mean of 4.2 mm (P < .001), from −2.2 mm in preintrusion to 2.0 mm in postintrusion. The maxillary and mandibular first molars were intruded for an average of 1.8 mm (P < .001) and 1.2 mm (P < .001), respectively. The mandibular plane angle was reduced by 2.3° (P < .001), which led to a counterclockwise rotation of the mandible with a significant decrease in the anterior facial heights (mean of 1.8 mm; P < .001). Conclusion: Miniscrew anchorage has the advantages of being a simpler procedure, being minimally invasive, and requiring minimal patient cooperation.

scholarly journals Perawatan Gigitan Terbuka Anteroposterior Tipe Skeletal dengan Teknik Straightwire

2014 ◽  
Vol 21 (2) ◽  
pp. 178
Author(s):  
Vega Mandala ◽  
Wayan Ardhana ◽  
Christnawati Christnawati
Keyword(s):  
Orthodontic Treatment ◽  
Open Bite ◽  
Treatment Result ◽  
Anterior Open Bite ◽  
Anterior Crowding ◽  
Straight Wire ◽  
Anterior Teeth ◽  
Precise Diagnosis ◽  
Mandibular Teeth ◽  
Skeletal Open Bite

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.

scholarly journals Multicenter Study of Buruli Ulcer Disabilities in the Head and Neck Region

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Pius Agbenorku
Keyword(s):  
Head And Neck ◽  
Functional Disability ◽  
Buruli Ulcer ◽  
Neck Region ◽  
Clinical Findings ◽  
Head And Neck Region ◽  
Surgical Interventions ◽  
Ulcer Disease ◽  
Total Hospital Stay

Objective. To identify disabilities caused by Buruli Ulcer Disease (BUD) when it affects the Head and Neck Region (HNR) of patients in endemic areas and suggest possible ways to overcome the complications involved. Methods. Data for the study was collected from six different hospitals in the central part of Ghana from 2004–2009. Diagnosis of BUD was based on clinical findings and confirmed by positive result of Ziehl-Neelson Test for Acid Fast Bacilli, Polymerase Chain Reaction, or Histopathology. Treatment of BUD involved a combination of surgical interventions and antimycobacterial chemotherapy for 8 weeks. Results. The age of the 38 patients ranged from 0–56 years (mean age of 14.3 years), with males outnumbering females. Most (55.3%, ) of the patients reported to the facilities with developed BUD deformities. Patients who lost their eyeball () recorded the highest in terms of functional disability. A mean total hospital stay of 52 days and follow-up period of 2.3 years were recorded for the study. Conclusion. Visual impairment was the commonest form of disability recorded in the HNR. Management difficulties and BUD disabilities could be avoided by early detection of the disease and training of health professionals at district levels.

Stability Following Combined Orthodontic-surgical Treatment for Skeletal Anterior Open Bite – a Cephalometric 15-Year Follow-up Study

2007 ◽  
Vol 68 (3) ◽  
pp. 245-256 ◽  
Author(s):  
Yun Ding ◽  
Tian-Min Xu ◽  
Bettina Lohrmann ◽  
Nils-Claudius Gellrich ◽  
Rainer Schwestka-Polly
Keyword(s):  
Surgical Treatment ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Follow Up Study

scholarly journals Perawatan Ortodontik Gigitan Terbuka Anterior

2014 ◽  
Vol 21 (1) ◽  
pp. 1
Author(s):  
Yuniar Zen
Keyword(s):  
Clinical Skill ◽  
Treatment Method ◽  
Open Bite ◽  
Treatment Modalities ◽  
Treatment Result ◽  
Anterior Open Bite ◽  
Orthodontic Patients ◽  
Orthognatic Surgery ◽  
The Stability ◽  
Skeletal Open Bite

Perawatan gigitan terbuka anterior telah lama dianggap sebagai tantangan bagi ortodontis. Prevalensi gigitan terbuka anterior antara 3,5% hingga 11% terdapat pada berbagai usia dan kelompok etnis, serta ada sekitar 17% pasien ortodonti memiliki gigitan terbuka. Stabilitas hasil perawatan gigitan terbuka anterior sangat sulit, karena adanya kombinasi diskrepansi anteroposterior dengan gigitan terbuka skeletal sehingga dibutuhkan tingkat keterampilan diagnosis dan klinis yang tinggi. Etiologi gigitan terbuka anterior sangat kompleks karena dapat melibatkan skeletal, dental, dan faktor-faktor habitual. Eliminasi faktor etiologi merupakan hal yang penting dalam perawatan gigitan terbuka anterior. Berbagai cara perawatan untuk koreksi gigitan terbuka anterior diantaranya bedah ortognatik dan perawatan ortodontik kamuflase, seperti high-pull headgear, chincup, bite blocks, alatfungsional, pencabutan gigi, multi-loop edgewise archwires dan mini implan. Stabilitas hasil perawatan adalah kriteria yang paling penting dalam menentukan cara perawatan gigitan terbuka anterior.Orthodontic Treatment of Anterior Open Bite. An anterior open bite therapy has long been considered a challenge to orthodontist. The prevalence of anterior openbite range from 3,5 % to 11% among various age and ethnic groups and it has been shown that approximately 17% of orthodontic patients have open bite. Stability of treatment result of anterior open bite with well-maintained results is difficult, because the combination of anteroposteriorly discrepancy with skeletal open bite requires the highest degree of diagnostic and clinical skill. The etiology is complex, potentially involving skeletal, dental and habitual factors. The importance of an anterior open bite therapy is to eliminate the cause of the open bite. Various treatment modalities for the correction of an anterior open bite have been proposed, orthognatic surgery and orthodontic camouflage treatment such as high-pull headgear, chin cup, bite blocks, functional appliances, extractions, multi-loop edgewise arch wires and mini implant. The stability is the most important criterion in deciding the treatment method for anterior open bite malocclusion.

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