scholarly journals Open bite case treated with Invisalign

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.

2008 ◽  
Vol 11 (1) ◽  
pp. 32-42 ◽  
Author(s):  
D Remmers ◽  
RWGJ Van’t Hullenaar ◽  
EM Bronkhorst ◽  
SJ Bergé ◽  
C Katsaros

2019 ◽  
Vol 24 (5) ◽  
pp. 69-78
Author(s):  
Carlos Alberto Estevanell Tavares ◽  
Susiane Allgayer

ABSTRACT Anterior open bite (AOB) is characterized by the lack of overlap or contact between maxillary and mandibular incisors, while the posterior teeth are in occlusion. Correction of this malocclusion is challenging due to difficulties in determining and addressing the etiologic factors, and the high relapse rate. A multidisciplinary approach may be necessary, with participation of Orthodontics, Surgery and Speech Therapy, to achieve adequate esthetic and functional results for long term stability. The present paper discusses the treatment options for AOB, their advantages and implications.


2020 ◽  
Vol 157 (3) ◽  
pp. 408-421
Author(s):  
Oscar Mario Antelo ◽  
Thiago Martins Meira ◽  
Dauro Douglas Oliveira ◽  
Matheus Melo Pithon ◽  
Orlando Motohiro Tanaka

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 ◽  
...  

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.


2016 ◽  
Vol 87 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Arturo Vela-Hernández ◽  
Rocio López-García ◽  
Verónica García-Sanz ◽  
Vanessa Paredes-Gallardo ◽  
Felicidad Lasagabaster-Latorre

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.


2017 ◽  
Vol 88 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Eiman S. Marzouk ◽  
Hassan E. Kassem

ABSTRACT Objectives: To evaluate soft tissue changes and their long-term stability in skeletal anterior open bite adults treated by maxillary posterior teeth intrusion using zygomatic miniplates and premolar extractions. Materials and Methods: Lateral cephalograms of 26 patients were taken at pretreatment (T1), posttreatment (T2), 1 year posttreatment (T3), and 4 years posttreatment (T4). Results: At the end of treatment, the soft tissue facial height and profile convexity were reduced. The lips increased in length and thickness, with backward movement of the upper lip and forward movement of the lower lip. The total relapse rate ranged from 20.2% to 31.1%. At 4 years posttreatment, 68.9% to 79.8% of the soft tissue treatment effects were stable. The changes in the first year posttreatment accounted for approximately 70% of the total relapse. Conclusions: Soft tissue changes following maxillary posterior teeth intrusion with zygomatic miniplates and premolar extractions appear to be stable 4 years after treatment.


2010 ◽  
Vol 138 (4) ◽  
pp. 396.e1-396.e9 ◽  
Author(s):  
Man-Suk Baek ◽  
Yoon-Jeong Choi ◽  
Hyung-Seog Yu ◽  
Kee-Joon Lee ◽  
Jinny Kwak ◽  
...  

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