Abstract
BackgroundThe treatment options for the early treatment of anterior open bite are still controversial. The aim of this study was to evaluate the actual available evidence on treatments of anterior open bite in the mixed dentition in order to assess the effectiveness of the early treatment in reducing open bite, the most efficacious treatment strategy and the stability of the results.Materials and methodsA literature survey was done on November 15, 2015, by means of appropriate Medical Subject Headings (MeSH) using the following databases: PubMed, EMBASE, Cochrane Library, LILACS, VHL, and WEB OF SCIENCE.Randomized clinical trials and studies with a control group (treated or untreated) were then selected by two authors. Trials including patients with syndromes or in the permanent dentition and studies concerning treatment with extractions, full-fixed appliances, or surgery were not considered.Full articles were retrieved for abstracts or titles that met the initial inclusion criteria or lacked sufficient detail for immediate exclusion.ResultsTwo thousand five hundred sixty-nine studies about open bite were available; the search strategy selected 240 of them.Twenty-four articles have been judged suitably for the final review, and their relevant data were analyzed.DiscussionAlthough this review confirms the effectiveness of early treatment of open bite, particularly when no-compliance strategies are employed, meta-analysis was unfeasible due to lack of standardization, important methodological limitations, and shortcomings of the studies.ConclusionsA more robust approach to trial design in terms of methodology and error analysis is needed. Besides, more studies with longer periods of follow-up are required.
Highlights
The treatment options for the early treatment of anterior open bite are still controversial
Anterior open bite is a malocclusion characterized by a deficiency in the normal vertical overlap between antagonist incisal edges when the posterior teeth are in occlusion [1]
Dental and dentoalveolar open bite is the result of a mechanical blockage of the vertical development of the incisors and the alveolar component while skeletal relationships are normal; skeletal open bite is determined by a vertical skeletal discrepancy [2]
Summary
The treatment options for the early treatment of anterior open bite are still controversial. Dental and dentoalveolar open bite is the result of a mechanical blockage of the vertical development of the incisors and the alveolar component while skeletal relationships are normal; skeletal open bite is determined by a vertical skeletal discrepancy [2]. Additional features are lip incompetence, profile convexity, Pisani et al Progress in Orthodontics (2016)7:8 marked incisors labial inclination and crowding [5, 6]. For these reasons, anterior open bite is a major cause of masticatory and phonatory function impairment and causes considerable esthetic issues to the affected patients [7]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
