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At least 73 records · Page 4Linked to original sources
PubMed1995

Nonsurgical treatment of open bite in nongrowing patients.

Successful treatment of the adult patient with an open bite dental or skeletal pattern often presents a difficult challenge. While the causes of open bite may be multifactorial in nature, there are specific diagnostic criteria that may allow for an orthodontic treatment modality incorporating extraction therapy with retraction of incisors. Two case presentations illustrate treatment of adult patients with open bites due to proclined incisors. The diagnostic criteria and mechanics for appropriate and successful treatment are discussed. Although the selection of extraction therapy for correction of anterior open bite has a narrow range of application in the overall scheme of open bite treatment, this treatment method has certain areas of application in which success may be anticipated.

Adult↗
PubMed2002

Anterior open bite in the deciduous dentition: longitudinal follow-up and craniofacial growth considerations.

The aim of this longitudinal cephalometric study was to evaluate craniofacial growth changes in subjects with an anterior open bite in the deciduous dentition. From longitudinal records of untreated subjects, an open bite group (n = 14) was selected at the age of 5 years based on the presence of a negative overbite and compared with a control group (n = 14) with a regular overbite at this age. Cephalometric measurements were analyzed at ages 5, 9, and 12 years. Although only 1 subject in the deciduous dentition open bite group had an open bite at 12 years of age, the overbite remained lower during the longitudinal follow-up. Early cephalometric characteristics of the open bite group included a reduced overbite depth indicator and a lower ANB angle. At ages 9 and 12 years, the open bite sample was also characterized by shorter ramus height. An underlying skeletal pattern seems to be present in the deciduous dentition open bite sample that persists during the longitudinal follow-up. The overbite depth indicator might help to identify patients with anterior open bite tendencies.

Case-Control Studies↗
PubMed2005

Variation in dental and skeletal open bite malocclusion in humans with amelogenesis imperfecta.

The amelogenesis imperfectas (AI) are a diverse group of genetic disorders primarily affecting the quality and or quantity of enamel, however, affected individuals often have an open bite malocclusion. Three main AI types are recognized based on the perceived developmental mechanisms involved and the enamel phenotype. The purpose of this investigation was to evaluate the association of the AI enamel defect with craniofacial features characteristic of an open bite malocclusion. The sample consisted of 54 AI affected and 34 unaffected family members from 18 different kindreds. Lateral cephalograms were digitized and measurements evaluated for vertical plane alterations using Z-scores. Forty two percent of AI affected individuals and 12% of unaffected family members had dental or skeletal open bite malocclusions. Skeletal open bite malocclusion was variably expressed in AI affected individuals. The enamel phenotype severity did not necessarily correspond with the presence or severity of open bite malocclussion. Open bite malocclusion occurred in individuals with AI caused by mutations in the AMELX and ENAM genes even though these genes are considered to be predominantly or exclusively expressed in teeth. Affected AI individuals with cephalometric values meeting our criteria of skeletal open bite malocclusion were observed in all three major AI types. The pathophysiological relationship between AI associated enamel defects and open bite malocclusion remains unknown.

Adolescent↗
PubMed2006

Stability of anterior open-bite extraction and nonextraction treatment in the permanent dentition.

INTRODUCTION: Although stability of anterior open-bite extraction and nonextraction treatment has been investigated, results suggesting that extraction treatment is more stable have not been confronted. Therefore, the purpose of this cephalometric study was to compare the long-term stability of anterior open-bite extraction and nonextraction treatment in the permanent dentition. METHODS: Group 1 consisted of 21 patients treated without extractions, and group 2 included 31 patients treated with extractions who had orthodontic treatment with fixed appliances. Cephalometric headplates were obtained at pretreatment, posttreatment, and postretention. The groups were compared at these 3 times and during the treatment and posttreatment periods with independent t tests. The number of patients with a clinically significant relapse of the open bite was compared between the groups with chi-square tests. RESULTS: During treatment, the maxillary incisors had greater retraction amounts, and the mandibular incisors had greater retraction and lingual tipping, and less extrusion in the extraction group. In the posttreatment period, the extraction group demonstrated statistically greater stability of the overbite. However, there was no statistically significant difference in the percentages of patients with clinically significant relapse of the open bite between the groups. CONCLUSION: Open-bite extraction treatment has greater stability of the overbite than open-bite nonextraction treatment.

Adolescent↗
PubMedDate not supplied

[Clinical experience in surgical-orthodontic treatment of patients with anterior skeletal open-bite].

After a short clinical classification of the various open-bite types, the Authors describe from the clinical and cephalometric point of view the main structural alterations responsible for the skeletal open-bite. Then they consider the orthodontic problems in the orthodontic surgical treatment of the skeletal open-bite. Finally they describe the combined orthodontic surgical treatment in two anterior skeletal open-bite clinical cases.

Adult↗
PubMed2003

A cephalometric comparison of black open-bite subjects and black normals.

Orthodontic surveys of the adolescent and adult population of the United States have shown that the incidence of anterior open bite is three to four times higher in blacks than in whites. A cephalometric comparison of black subjects with and without an open bite was used to identify skeletal and dental differences between the two groups. Statistically significant differences were found in the vertical skeletal dimensions and incisor proclination. The open-bite group had a significantly longer anterior lower facial height and total facial height. The mandibular plane was rotated down relative to the cranial base and Frankfort plane and gonial angle was increased in the open-bite sample. There were small differences between the open bite and non-open-bite groups in the cranial base angle and the overbite depth indicator of Kim. No significant differences were found in the skeletal anteroposterior dimensions or dental vertical development. The vertical skeletal pattern and the greater degree of dental proclination differentiated black patients with an anterior open bite from those without.

Adolescent↗
PubMed1985

Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients.

Long-term response of the anterior open-bite malocclusion was evaluated in forty-one white subjects who had undergone orthodontic treatment and were out of retention a minimum of 9 years 6 months. The purpose of the study was threefold: (1) to make cephalometric comparisons between a sample of open-bite patients and a sample with normal cephalometric standards, (2) to evaluate treatment and posttreatment changes that occurred in treated open-bite patients, and (3) to search for predictors and associations of value. Changes occurring across time in the open-bite patients were analyzed by computer means using pretreatment, posttreatment, and long-term cephalometric radiographs and dental casts. An analysis of subgroups was reviewed to compare dentoalveolar and skeletal relationships of both stable and relapse groups. More than 35% of the treated open-bite patients demonstrated a postretention open bite of 3 mm or more, with the relapse subgroup demonstrating across-time, less mandibular anterior dental height, less upper anterior facial height, greater lower anterior facial height, and less posterior facial height. Neither the magnitude of pretreatment open bite, mandibular plane angle, nor any other single parameter of dentofacial form proved to be a reliable predictor of posttreatment stability.

Adolescent↗
PubMed2001

[A classification of anterior open bite].

OBJECTIVE: It intended to investigate different craniofacial types of anterior open bite. METHODS: 116 patients with anterior open bite were selected randomly. The craniofacial morphology and airway structures were measured and analyzed with multivariate analyses. RESULTS: 4 factors (mandible rotation factor, facial height factor, dental and skeletal saggittal factor and maxillary rotation factor) were extracted from 156 items including age, gender and craniofacial characteristics by data reduction and factor analysis procedure. Anterior open-bite patients were classified into 5 types, which are dental-alveolar type, mandibular clockwise rotation type, long face type, maxillary counter-clockwise rotation type and skeletal Class III type with K-means cluster analysis procedure. A simple cluster method was summarized to facilitate clinical practice. CONCLUSION: It suggested that classification play an important role in diagnosis and decision making procedure.

Adolescent↗
PubMed2005

Sucking habits and facial hyperdivergency as risk factors for anterior open bite in the mixed dentition.

INTRODUCTION: The aim of this study was to evaluate sucking habits and hyperdivergency as risk factors for anterior open bite in mixed-dentition subjects. METHODS: Anamnestic and pretreatment cephalometric records of 1710 mixed-dentition subjects were assessed for sucking habits, dental open bite, and facial hyperdivergency. RESULTS: The rate of anterior open bite was 17.7%. Multiple logistic regression showed that both prolonged sucking habits and hyperdivergent vertical relationships significantly increased the probability of an anterior dentoalveolar open bite, with a prevalence rate of 36.3%. This was 4 times the prevalence of sucking habits and facial hyperdivergency in subjects without anterior open bite (9.1%). CONCLUSIONS: Prolonged sucking habits and hyperdivergent facial characteristics are significant risk factors for anterior open bite in the mixed dentition.

Age Factors↗
PubMed1994

Cephalometric characteristics of open bite in adults: a three-dimensional cephalometric evaluation.

The purpose of this study was to evaluate the morphogenetic characteristics that contribute to the development of open bite in adults. The linear dimensions of various maxillofacial structures of adults with anterior open bite were compared to those of a normal adult population. Lateral and posteroanterior cephalometric radiographs were taken of 22 men and 34 women who exhibited an anterior open bite of at least 2 mm. A control group consisted of 27 men and 33 women who had an orthognathic profile, a normal skeletal pattern, and a Class I occlusion. In both men and women with open bite, total facial height (nasio menton) and three dentoalveolar heights--anterior maxillary (maxillary central incisor-palatal plane), posterior maxillary (maxillary first molar-palatal plane), and anterior mandibular (mandibular central incisor-mandibular plane)--were significantly greater than the same dimensions in the control groups. Ramus height (condylion-gonion) and depth, gonial depth, maxillary length (anterior nasal spine-posterior nasal spine), and facial length (basion-point A) were significantly smaller in those with open bite. Mandibular length (gonion-pogion) and facial width were significantly smaller only in the female open bite group. Both male groups had significantly larger measurements than did the female groups. The only exceptions were the nasal width in the control groups and the ramus depth in the open bite groups, for which there were no statistically significant differences between men and women.

Adult↗
PubMed1990

Correction of open bite by mandibular surgery.

Open bite, when it is accompanied by vertical facial skeletal excess, cannot be treated by orthodontics alone. Two surgical procedures for the correction of mandibular malocclusion are presented. Results of follow-up investigations are discussed.

Female↗
PubMed1976

Anterior open bite and oral port constriction.

Intraoral air pressure and rate of oral airflow were measured simultaneously during fricative sound production in ten subjects with anterior open bite and ten subjects with normal occlusion and speech. From these measurements the area of oral port constriction was calculated and the values compared within and between the two groups. Findings revealed that: (1) The area of oral port constriction was very consistent and reproducible in subjects with normal speech production and normal occlusion. (2) The area of oral port constriction was significantly larger in open-bite subjects compared with control subjects for all sounds. (3) Severe anterior open-bite subjects with a vertical defect over five millimeters were found to produce significantly larger oral port openings than those with only moderate open bite (3-5 mm) for most sounds. (4) A direct correlation between the degree of open bite and the area of oral port constriction was found. As the amount of open bite increased, the area of the oral port increased, especially in the severe open-bite group (5 mm and over).

Adolescent↗
PubMed2007

Social and biological early life influences on the prevalence of open bite in Brazilian 6-year-olds.

OBJECTIVE: Little is known about the effects of social and biological risk factors for open bite on the primary dentition. The aim of this study was to assess the early-life risk factors affecting anterior open bite. METHODS: A cross-sectional study using a birth cohort was carried out in Pelotas, Brazil. A sample of 400, 6-year-old children was employed. The Foster and Hamilton criteria were used to classify open bite. Data concerning social conditions, and perinatal and childhood health and behaviour were obtained from birth to 12 months of age and during the fifth year of the children's lives. Unconditional bivariate and multiple logistic regression analysis were performed. RESULTS: The prevalence of anterior open bite was 46.3%. Risk factors included: a maternal age of between 30 and 39 years, as compared with children whose mothers were younger; breast-feeding for < 9 months; dental caries experience; pacifier sucking between 12 months and 5 years, as compared to no sucking or a shorter duration of sucking; and the presence of finger-sucking at 6 years of age. CONCLUSION: Open bite in the primary dentition was associated with older mothers, early weaning, dental caries occurrence, long-term use of a pacifier and finger-sucking at 6 years of age. These findings support the common risk approach for intervention to prevent open bite in the primary dentition.

Bottle Feeding↗
PubMed2000

A cineradiographic study of deglutitive tongue movement and nasopharyngeal closure in patients with anterior open bite.

The purpose of this study was to investigate the movement of the tip and the dorsal surface of the tongue during deglutition in patients with anterior open bite using cineradiography. The subjects were 10 female patients with anterior open bites and 10 female controls with normal overbites. By cineradiography we established 7 stages of tongue movement and bolus position during deglutition and analyzed the tongue position, tongue movement and the time. The tongue-tip position was more protrusive during deglutition in anterior open bite than in the controls. After the head of the bolus arrived at the opening of the esophagus, the rear part of the dorsal surface of the tongue demonstrated slower movement in patients with anterior open bite than in controls. The nasopharynx closed earlier in patients with anterior open bite than in controls. It is suggested that anterior open bite patients had compensatory coordination of tongue movement, soft palate movement and pharyngeal constrictor muscle activity during deglutition.

Adolescent↗
PubMed2001

[Pre- and post-surgical orthodontic treatment for skeletal open bite].

OBJECTIVE: To Study the principles and rules of pre- and post-surgical orthodontic treatment for skeletal open bite patients. METHODS: Thirty-two surgically treated open bite cases were analyzed, of which 9 were males, and 23 were females, aged from 16 to 38. Open bite was from 1 to 8.5 mm, average was 4 mm. 31 patients were Class III malocclusion, while 1 patient was Class II malocclusion. RESULTS: 1. Totally 21 patients were treated with orthodontics before and after orthognathic surgery, while 8 patients had pre-surgical orthodontics only, and other 3 had post-surgical orthodontics only. The duration for pre-surgical orthodontics was from 4 to 33 months, average was 12 months. The duration for post-surgical orthodontics was from 3 to 17 months, average was 8.5 months. 2. Presurgical orthodontic treatment included: Alignment of arches, decompensation of incisors, avoiding extrusion of incisors, and slight expansion of arches for coordination of arches. 3. Post-surgical orthodontic treatment included: Closure of residual spaces in the arches, realignment of arches, vertical elastics and Class II or III intermaxillary elastics. CONCLUSIONS: Skeletal open bites require combined orthodontic-orthognathic surgery for optimal and esthetical pleasing results.

Adolescent↗
PubMed1993

The significance of posterior open bite after anterior repositioning splint therapy for anteriorly displaced disk of the temporomandibular joint.

Spontaneous posterior open bite was observed in 15 patients after the application of anterior repositioning splints in the treatment of anteriorly displaced disk. Recapture of the disk after treatment was clinically diagnosed in five patients. Arthrography performed on 10 patients with open bite revealed a completely recaptured disk in four patients, an anteriorly displaced disk without reduction in four patients, and an anteriorly displaced disk with reduction in two patients. This suggests that recapture of the disk in the correct position at mouth closing should be a major cause of the posterior open bite in patients who have a relatively short duration of locking and successful mandibular manipulation. Although the cause of posterior open bite with the persistently displaced disk is still unclear, an increase in the posterosuperior joint space by the posterior open bite appears to eventually produce favorable effects to joints with anteriorly displaced disks.

Adolescent↗
PubMed1990

Surgical-orthodontic correction of open bite accompanied with Class III malocclusion.

In a patient with a long face, skeletal open bite and excessive mandibular body length, it was found that the sagittal split ramus osteotomy to close the open bite was unstable, when the lower jaw alone was a moved surgically to correct the open bite and progenie. There was a slight relapse of the open bite and lingual compensation of the upper incisors, which may have been due to tissue rebound during the retention period.

Child↗