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2017, Number 2

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Rev Mex Ortodon 2017; 5 (2)

Correction of an skeletal anterior open bite with mini-screws and a modifi ed bite block

Miranda SÁE, Sánchez VA

Language: Spanish
References: 27
Page: 107-115
PDF size: 696.20 Kb.


ABSTRACT

Skeletal anterior open bite may be treated with mini-screws since they provide an absolute anchorage to correct it through maxillary molar intrusion. With an adequate control a bite block was used in this case to help correct the malocclusion. Case report: A 15 year-old male dolichofacial patient with an Angle class II division 1 malocclusion, a -4.5 mm anterior open bite and incompetent lips is hereby presented. Etiology: reduced anterior upper facial height. The treatment goal was to obtain a normal anterior overbite decreasing the posterior maxillary dentoalveolar height. Orthognathic surgery was indicated but the patient refused it. So the treatment consisted in two mini-screws implanted on the palatal side and a modified fixed bite block, activated with elastomeric chains. Results: A molar intrusion of 2 mm was achieved; the anterior overbite changed to +2 mm, a mandibular counterclockwise rotation took place and the facial profile was improved. Conclusions: The anterior open bite was corrected with a good control during molar intrusion and without buccal tipping.


REFERENCES

  1. Park YC, Lee HA, Choi NC, Kim DH. Open bite correction by intrusion of posterior teeth with miniscrews. Angle Orthod. 2008; 78 (4): 699-710. doi: 10.2319/0003-3219(2008)078[0699:OBCBIO]2.0.CO;2.

  2. Lin LH, Huang GW, Chen CS. Etiology and treatment modalities of anterior open bite malocclusion. J Exp Clin Med. 2013; 5 (1): 1-4. doi: 10.1016/j.jecm.2013.01.004.

  3. Uribe FA, Janakiraman N, Nanda R. Chapter 9. Management of open-bite malocclusion. In: Esthetics and biomechanics in orthodontics. 2015; 147-179. doi:10.1016/B978-1-4557-5085-6.00009-6.

  4. Proffit WR, Fields HW, Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES III survey. Int J Adult Orthodon Orthognath Surg. 1998; 13 (2): 97-106.

  5. Oropeza LM, Meléndez Ocampo AF, Sánchez RO, López AF. Prevalencia de las maloclusiones asociada con hábitos bucales nocivos en una muestra de mexicanos. Rev Mex Ortod. 2014; 2 (4): 220-227. doi: 10.1016/S2395-9215(16)30038-1.

  6. Proffit W, Fields H, Sarver D. Contemporary orthodontics. 2007. doi: 10.1038/sj.bdj.2012.829.

  7. Graber TM, Vanarsdall RL VK. Orthodontics. Current Principles & Techniques. 4th ed.; 2005.

  8. Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. Angle Orthod. 1987; 57 (4): 290-321. doi: 10.1043/0003-3219(1987)057<0290:AOAITW>2.0.CO;2.

  9. Janson G, Laranjeira V, Rizzo M, Garib D. Posterior tooth angulations in patients with anterior open bite and normal occlusion. Am J Orthod Dentofac Orthop. 2016; 150 (1): 71-77. doi:10.1016/j.ajodo.2015.12.016.

  10. Ricketts RM. Perspectives in the clinical application of cephalometrics. Angle Orthod. 1981; 51 (2): 115-150. doi:10.1043/0003-3219.

  11. Biggerstaff RH, Allen RC, Tuncay OC, Berkowitz J. A vertical cephalometric analysis of the human craniofacial complex. Am J Orthod. 1977; 72 (4): 397-405. doi: 10.1016/0002-9416(77)90352-9.

  12. Sassouni V. The class II syndrome: differential diagnosis and treatment. Angle Orthod. 1970; 40 (4): 334-341. doi: 10.1043/0003-3219(1970)040<0334:TCISDD>2.0.CO;2.

  13. Uribe FA, Chandhoke TK, Nanda R. Individualized orthodontic diagnosis. Second Edi. Elsevier Inc.; 2014. doi: 10.1016/B978-1-4557-5085-6.00001-1.

  14. Gurton AU, Akin E, Karacay S. Initial intrusion of the molars in the treatment of anterior open bite malocclusions in growing patients. Angle Orthod. 2004; 74 (4): 454-464. doi:10.1043/0003-3219(2004)074<0454:IIOTMI>2.0.CO;2.

  15. Iscan HN, Sarisoy L. Comparison of the effects of passive posterior bite-blocks with different construction bites on the craniofacial and dentoalveolar structures. Am J Orthod Dentofacial Orthop. 1997; 112 (2): 171-178. doi:10.1016/S0889-5406(97)70243-9.

  16. Erverdi N, Usumez S, Solak A, Koldas T. Noncompliance open-bite treatment with zygomatic anchorage. Angle Orthod. 2007; 77 (6): 986-990. doi:10.2319/101206-422.1.

  17. Kuo CC, Chen YJ, Lai EHH, Yao CCJ, Chang JZC. Long-term stability of an adult class III open-bite malocclusion treated with multiloop edgewise archwire. J Dent Sci. 2009; 4 (3): 149-158. doi:10.1016/S1991-7902(09)60020-9.

  18. Hart TR, Cousley RRJ, Fishman LS, Tallents RH. Dentoskeletal changes following mini-implant molar intrusion in anterior open bite patients. Angle Orthod. 2015; 85 (6): 941-948. doi: 10.2319/090514-625.1.

  19. Kuroda S, Sakai Y, Tamamura N, Deguchi T, Takano-Yamamoto T. Treatment of severe anterior open bite with skeletal anchorage in adults: Comparison with orthognathic surgery outcomes. Am J Orthod Dentofac Orthop. 2007; 132 (5): 599-605. doi:10.1016/j.ajodo.2005.11.046.

  20. Erverdi N, Tosun T, Keles A. A new anchorage site for the treatment of anterior open bite: zygomatic anchorage. Case report. World J Orthod. 2002; 43 (3): 147-153. doi:10.1067/mod.2002.128731.

  21. Çifter M, Saraç M. Maxillary posterior intrusion mechanics with mini-implant anchorage evaluated with the finite element method. Am J Orthod Dentofacial Orthop. 2011; 140 (5): 233-241. doi: 10.1016/j.ajodo.2011.06.019.

  22. Buschang PH, Carrillo R, Rossouw PE. Orthopedic correction of growing hyperdivergent, retrognathic patients with miniscrew implants. J Oral Maxillofac Surg. 2011; 69 (3): 754-762. doi: 10.1016/j.joms.2010.11.013.

  23. Xun C, Zeng X, Wang X. Microscrew anchorage in skeletal anterior open-bite treatment. Angle Orthod. 2007; 77 (1): 47-56. doi:10.2319/010906-14R.1.

  24. Ludwig B, Glasl B, Kinzinger GS, Lietz T, Lisson JA. Anatomical guidelines for miniscrew insertion: vestibular interradicular sites. J Clin Orthod. 2011; 45 (3): 165-173.

  25. Deguchi T, Kurosaka H, Oikawa H, Kuroda S, Takahashi I, Yamashiro T et al. Comparison of orthodontic treatment outcomes in adults with skeletal open bite between conventional edgewise treatment and implant-anchored orthodontics. Am J Orthod Dentofac Orthop. 2011; 139 (4 Suppl): S60-S68. doi:10.1016/j.ajodo.2009.04.029.

  26. Scheffler NR, Proffit WR, Phillips C. Outcomes and stability in patients with anterior open bite and long anterior face height treated with temporary anchorage devices and a maxillary intrusion splint. Am J Orthod Dentofac Orthop. 2014; 146 (5): 594-602. doi:10.1016/j.ajodo.2014.07.020.

  27. Alsafadi AS, Alabdullah MM, Saltaji H, Abdo A, Youssef M. Effect of molar intrusion with temporary anchorage devices in patients with anterior open bite: a systematic review. Prog Orthod. 2016; 17 (1): 9. doi:10.1186/s40510-016-0122-4.




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