Treatment Of Deep Bite Research Articles

The role of Function Generating Bite (FGB) devices on changes of chewing patterns and muscle activity in deep bite malocclusion

Background: A malocclusion known as a deep bite occurs when the mandibular incisors are covered by the maxillary incisors by more than the normal value of 30-40% or 2-4 mm. Deep bite is a type of malocclusion that is often found in children and adults, with a prevalence of 23.83% in the Asian population. Patients with a deep bite have a restricted masticatory pattern and have excess function of the mastication muscles. Active muscle training should be recommended to improve jaw bone morphology. Objective: This review aims to explain the role of the Function Generating Bite (FGB) device on changes in masticatory patterns and muscle activity in deep bite malocclusion. Methods: The search for literature reviews was conducted using the ScienceDirect, PubMed, and Google Scholar databases. The selected literature was published between 2010 - 2023 in English and Indonesian. Discussion: Treatment of deep bite in each patient varies depending on the etiology of the malocclusion. One of the functional therapies that can be used to correct malocclusion is FGB. The FGB device has an anchorage system on the muscles, which can regulate and exert pressure intermittently, so as to correct dental malocclusion and functional imbalance. Conclusion: Treatment with FGB has been shown to significantly improve the lateral component of the masticatory pattern and reduce muscle hyperactivity in deep bite patients during mastication.

Actual problems of prevalence and treatment of deep bite with functional correction of the musculo-articular complex in the permanent bite

The significant prevalence of deep bite and pathology of the musculo-articular complex dictates the need for a comprehensive study of this issue. A deep bite is diagnosing in about 78% of cases with vertical anomalies in the permanent bite. Also, according to the latest research, this pathology occurs most often in Europe, 37.4%. Deep bite is diagnosed more often among men. In addition, there is an increase in the prevalence of deep bite with age in adult patients. In addition, complaints about the musculo-articular complex have become more frequent: pain in the temporomandibular joints, muscle tension, teeth grinding, stronger clenching. All these factors dictate the need for a detailed study of this pathology. The article presents an analysis of modern domestic and foreign literature, which highlights the issues of prevalence, etiology, clinical manifestations, diagnostic criteria and classification of forms of deep bite, its impact on the musculo-articular complex and features of treatment of this pathology in the permanent bite. The reviewed scientific works offer different methods of diagnosis and treatment of deep bite. In particular, the methods of treatment depend on the etiology and nature of deep bite. Many scientific works associate the occurrence of musculo-articular disorders with deep bite in patients. The improvement of the condition of the muscle-articular complex after the orthodontic treatment is also determined. However, a consensus was not reached on this issue, so research continues. After the analysis of the scientific works of many authors from the PubMed database, the need for a more detailed study of the problem, diagnostic methods and the creation of algorithms for the treatment of deep bite with functional correction of the musculo-articular complex in the permanent bite is followed. Keywords: temporomandibular joint, orthodontical treatment tactics, treatment algorithms.

Evaluation of efficacy of utility arch with inter-maxillary elastics for treating skeletal deep bite with retroclined upper incisors in the mixed dentition: a clinical randomized controlled trial.

To investigate the effectiveness of utility arch (UA) with inter-maxillary elastics compared with fixed anterior bite plane (FABP) for treating deep bite in brachy-facial children. This was a single-center, randomized controlled trial. Participants were children aged between 9 and 12 years with deep bite and a hypodivergent skeletal pattern. The sample was divided into the following two groups: (1) a UA group that was composed of patients with UAs with posterior inter-maxillary elastics and (2) an FABP group as a control. Outcomes were skeletal and dentoalveolar variables on cephalometric X-rays. A total of 28 patients (13 boys, 15 girls) with a mean age of 10.66 years were enrolled. The treatment duration was 8.16 months in the UA group and 7.22 months in the FABP group. After treatment, the angle between the anterior cranial base and the mandible in the vertical plane increased significantly (P = .000) in both groups (about 1.97 degrees in the UA group and 2.75 degrees in the FABP group). Overbite decreased significantly in both groups (-2.1 m in the UA group and -3.64 m in the FABP group), but it decreased less significantly in the UA group than in the FABP group. The upper incisors flared significantly after treatment with both appliances (6.6 degrees in the UA group and 5.9 degrees in the FABP group). Treatment of deep bite in children with a horizontal growth pattern by each of the appliances used in this study is effective. The mandible showed minor, significant backward rotation after treatment. The overbite decreased less in the UA group than in the FABP group.

Case Report: Management of Class II Division 2 Case with Cetlin Intrusion Arch

Deep bite is one of the frequently seen malocclusion, that occurs along with other associated malocclusions. It is said to be one of the most perpetuating and damaging malocclusions. It may jeopardize the periodontal support, occlusion itself or TMJ. Intrusion mechanics are considered if there is an inadequate or normal freeway space. Deep overbite correction by intrusion of anterior teeth affords a number of advantages including simplifying control of the vertical dimension and allowing forward rotation of the mandible to aid in Class II correction. This article highlights the treatment of deep bite with Cetlins intrusion arch.

Deep bite treatment in relation to mandibular growth rotation

This paper illustrates some of the changes which occur during the treatment of Class II division 1 malocclusions complicated by a deep bite, and reviews the significance of these changes in relation to concepts of deep bite treatment. Particular reference is made to mandibular growth rotation and consequent differential tooth eruption in assessing factors involved in initial bite opening and consolidation of the opened bite. The cases shown illustrate that although an initial bite opening may occur by incisor intrusion and molar eruption, when viewed over a longer period of time rotational mandibular growth and associated differential eruption of teeth in which molars erupt more than incisors may be a more significant factor. Differential eruption which takes place in response to vertical condylar growth under guidance of the appliance would appear to be a significant factor in treatment of deep bite.

The use of a new design orthodontic device for the treatment of deep bite

One of the most common anomalies of the dental system is a deep bite, which is observed during the entire period of formation of the dental system. Its main clinical sign is a violation of the cutting-tubercle contact with the overlap of the lower frontal teeth. Deep bite "in its pure form" is rare. Quite often it is combined with anomalies in the sagittal plane, as well as with anomalies in the position of individual teeth. Such a bite leads to a violation of the functions of the chewing apparatus and the body as a whole. However, the reasons prompting the patient to consult a doctor are most often a cosmetic defect, pain, a feeling of fatigue in the temporomandibular joints.