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

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.

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Severe Anterior Open Bite during Mixed Dentition Treated with Palatal Spurs

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-40.3.247 ◽

2016 ◽

Vol 40 (3) ◽

pp. 247-250 ◽

Cited By ~ 1

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.

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Escobar Syndrome—An Multidisciplinary Approach for an Excellent Outcome With 3 Years of Follow-Up

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665618823416 ◽

2019 ◽

Vol 56 (7) ◽

pp. 970-977

Author(s):

Fernanda Blaudt C. Marques ◽

Liliane Siqueira de Morais ◽

Luciana Rougemont Squeff ◽

Margareth Maria Gomes de Souza ◽

Ana Maria Bolognese

Keyword(s):

Orthodontic Treatment ◽

Multidisciplinary Approach ◽

Speech Therapy ◽

Multidisciplinary Treatment ◽

Open Bite ◽

Mixed Dentition ◽

Anterior Open Bite ◽

Excellent Outcome ◽

Facial Esthetics ◽

Cleft Palate Repair

This case report intends to provide the facial characteristics of Escobar syndrome and to describe the orthodontic treatment of a 12-year-old female patient diagnosed with it. Escobar syndrome, a variant of the multiple pterygium syndrome, is a rare disorder with many systemic, facial, and oral manifestations.The patient presented with mixed dentition, severe dolichofacial pattern, increased lower facial height, convex profile, severe anterior open bite, maxillary hypoplasia, and mandibular retrognatism. The multidisciplinary approach included soft cleft palate repair, orthodontic treatment, orthognathic surgery, restorative cosmetic dentistry, speech therapy, and physiotherapy. Despite the limitations imposed by the syndrome, this report illustrates how the multidisciplinary treatment approach aided in the correction of occlusal function and facial esthetics and improvement in the quality of life of the patient with Escobar syndrome.

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

Case Reports in Dentistry ◽

10.1155/2014/127175 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 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.

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Open bite in adult patients

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.24.5.069-078.bbo ◽

2019 ◽

Vol 24 (5) ◽

pp. 69-78

Author(s):

Carlos Alberto Estevanell Tavares ◽

Susiane Allgayer

Keyword(s):

Multidisciplinary Approach ◽

Speech Therapy ◽

Treatment Options ◽

Functional Results ◽

Open Bite ◽

Anterior Open Bite ◽

Posterior Teeth ◽

Long Term Stability ◽

High Relapse Rate

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.

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

Orthodontic Science and Practice ◽

10.24077/2021;1454-2631 ◽

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

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

International Orthodontics ◽

10.1016/j.ortho.2016.03.011 ◽

2016 ◽

Vol 14 (2) ◽

pp. 171-183 ◽

Cited By ~ 1

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

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

Journal of Applied Oral Science ◽

10.1590/s1678-77572006000600015 ◽

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.

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Multidisciplinary Therapy of Extensive Oligodontia: A Case Report

Brazilian Dental Journal ◽

10.1590/0103-6440201302158 ◽

2013 ◽

Vol 24 (2) ◽

pp. 174-178 ◽

Cited By ~ 2

Author(s):

Thaís Marques Simek Vega Gonçalves ◽

Letícia Machado Gonçalves ◽

José Ribamar Sabino-Bezerra ◽

Alan Roger Santos-Silva ◽

Wander José da Silva ◽

...

Keyword(s):

Case Report ◽

Speech Therapy ◽

Social Acceptance ◽

Treatment Plan ◽

Multidisciplinary Treatment ◽

Open Bite ◽

Permanent Teeth ◽

Anterior Open Bite ◽

Tongue Position ◽

Two Phases

Oligodontia is a rare congenital disorder consisting in the absence of six or more teeth. This case report describes a multidisciplinary treatment approach for a 12-year-old male with absence of 11 permanent teeth. Prior to any procedure, all primary teeth were scheduled for extraction due to poor crown-to-root ratio. The treatment plan comprised two phases: 1. orthodontic and speech therapy aimed at overbite and anterior open bite adjustment, as well as tongue position improvement; and 2. prosthetic treatment by insertion of removable temporary partial dentures. The multidisciplinary treatment involving orthodontics, speech and prosthetic therapies have reestablished the masticatory function and aesthetics, allowing the patient to achieve greater self-esteem and better social acceptance.

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Breaking the Thumb Sucking Habit: When Compliance Is Essential

Case Reports in Dentistry ◽

10.1155/2016/6010615 ◽

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.

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