- Visibility 350 Views
- Downloads 349 Downloads
- Permissions
- DOI 10.18231/j.jco.v.9.i.3.2
-
CrossMark
Treatment effects of posterior bite blocks for correction of skeletal anterior open bite in growing patients. A systematic review
- Author Details:
-
Suryakant Narsing Powar
-
Gopinath Kallampilly
-
Sumeet Ghonmode
-
Prafull Parchak
-
Kaustubh Dnyaneshwar Chandwale *
Kaustubh Dnyaneshwar Chandwale *
Objective: Posterior bite blocks (PBB) are commonly used to treat anterior open bite in mixed dentition to take advantage of the active growth for producing faster and more stable results. PBB impedes posterior teeth eruption and their design has been continuously modified. The present review aims to bring information on the effectiveness of different types of bite blocks for an open bite in growing patients.
Materials and Methods: An electronic search of 4 databases was performed from January 1, 1985 to July 30, 2021. Studies were considered for inclusion if they reported on open bite samples that underwent orthodontic treatment in the mixed dentition. Records were required at the initial and posttreatment times. Hand-searching of reference lists of the included studies was performed. The methodological quality of individual selected studies was done using the risk-of-bias assessment tool as elaborated in Cochrane Handbook for Systematic Review of Interventions (version 5.4.0).Result: The search strategy resulted in 467 articles. After selection according to the inclusion/exclusion criteria, 5 articles qualified for the final review analysis. The qualified articles include 5 RCTs. A total sample of 137 patients was analyzed in analysis with ages ranging from 7 to 14 years.
Conclusion: Although the quality of evidence for treatment of open bite with bite block and its modification is not high, all included five studies reported both dental and skeletal correction of open bite. Prospero registration no. CRD42021270606
References
- Subtelny JD, Sakuda M. Open-bite: diagnosis and treatment. Am J Orthod. 1964;1;50(5):337-58.
- De Castro Cabrera M. Lateral open bite: treatment and stability. Am J Orthod Dentofacial Orthop.2010;1;137(5):701-11.
- Kelly JE, Sanchez M, Van Kirk LE. An Assessment of the Occlusion of Teeth of Children 6–11 Years [US Public Health Service DHEW Pub No 130]. Washington, DC: Nat Cent Health Stat;1973:3.
- Proffit WR, Fields HW. Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United State estimate from the N- Hanes III survey. Int J Adult Orthod Orthognath Surg.1988;13:97–
- Dawson PE: Evaluation, Diagnosis, and Treatment of Occlusal Problems, 2nd ed. St Louis, MO: C V Mosby o, 1989, p 535-42.
- Richardson A. Skeletal factors in anterior open-bite and deep overbite. Am J Orthod.1969; 56(2):114–27
- Cangialosi TJ. Skeletal morphologic features of anterior open bite. Am J Orthod.1984; 85(1):28–36.
- Grippaudo C, Oliva B, Greco AL, Sferra S, Deli R. Relationship between vertical facial patterns and dental arch form in class II malocclusion. Prog Orthod.2013;4:43.
- Zecca PA, Fastuca R, Beretta M, Caprioglio A, Macchi A. Correlation Assessment between Three-Dimensional Facial Soft Tissue Scan and Lateral Cephalometric Radiography in Orthodontic Diagnosis. Int J Dent. 2016;2016:1-8. doi:10.1155/2016/1473918
[Google Scholar] - Ngan P, Fields HW. Open bite: a review of etiology and management. Pediatr Dent. 1997;19:91–8.
- Sankey WL. Early treatment of vertical skeletal dysplasia: the hyperdivergent phenotype. Am J Orthod Dentofacial Orthop. 2000;118(3):317–27.
- English JD. Early treatment of skeletal open bite malocclusions. Am J Orthod Dentofacial Orthop.2002;121(6):563–5.
- Buschang P, Sankey W, English JD. Early treatment of hyperdivergent open-bite malocclusions. Semin Orthod. 2002;8(30:130–40.
- Kiliaridis S, Egermark I, Thilander B. Anterior open bite treatment with magnets. Eur J Orthod.1990;12(4):447-57.
- Kuster R, Ingervall B. The effect of treatment of skeletal open bite with two types of bite-blocks. Eur J Orthod.1992;14(6):489-99.
- Işcan HN, Akkaya S, Koralp E. The effects of spring-loaded posterior bite-block on maxillo-facial morphology. Eur J Orthod.1992;14(1):54-60.
- Iscan HN, Sarisoy L. Comparison of the effects of passive posterior bite-blocks with different construction bites on craniofacial and dentoalveolar structures. Am J Orthod. Dentofacial Orthop.1997;112(2):171-8.
- Bauucchi A, et al. Evidence of correction of open bite malocclusion using active vertical corrector treatment. Semi Orthod.1999;5(2):110-120.
- Albogha MH, Takahashi I, Sawan MN. Early treatment of anterior open bite: Comparison of the vertical and horizontal morphological changes induced by magnetic bite-blocks and adjusted rapid molar intruders. Korean J Orthod. 2015;45(1):38-46.
- Doshi UH, Bhad WA. Long-term stability of early anterior open bite treatment by magnetic and spring-loaded bite blocks. APOS Trends Orthod. 2019;9(1):44-51.
- Doshi UH, Bhad WA. Spring-loaded bite blocks for early correction of skeletal open bite associated with thumb sucking. Am J Orthod Dentofacial Orthop. 2011;140:115–20.
- Işcan HN, et al. Effects of vertical chin cup therapy on the mandibular morphology in open-bite patients. Am J Orthod Dentofacial Orthop.2002;122:506–11.
- Turkkahraman H, Cetin E. Comparison of two treatment strategies for the early treatment of an anterior skeletal open bite. J Orofac Orthop. 2017;78(4):338-47
- Fränkel R, Fränkel C. A functional approach to treatment of skeletal open bite. Am J Orthod. 1983;84:54–68.
- Erbay E, Ugur T, Ulgen M. The effects of Fränkel’s function regulator (FR-4) therapy on the treatment of angle class I skeletal anterior open bite malocclusion. Am J Orthod Dentofacial Orthop.1995;108:9–21.
- Ngan P, et al. Treatment of class II open bite in the mixed dentition with a removable functional appliance headgear. Quintessence Int.1992; 23:323–33.
- Haydar B, Enacar A. Functional regulator therapy in the treatment of skeletal open-bite. J Nihon Univ Sch Dent.1992;34:278–87.
- Weinbach JR, Smith RJ. Cephalometric changes during treatment with the open bite Bionator. Am J Orthod Dentofacial Orthop. 1992;101(4):367–74.
- Defraia E. Early orthodontic treatment of skeletal open-bite malocclusion with the open-bite bionator: a cephalometric study. Am J Orthod Dentofacial Orthop. 2007;132(5):595–8.
- Fränkel R, Fränkel C. Functional aspects of molar extraction in skeletal open bite. In: Graber LW, Graber TM, editors. Orthodontics: State of the Art: Essence of the Science. Mosby: St Louis.1986;184–
- 301 Chandwale et al / Journal of Contemporary Orthodontics 2025;9(3):295-301
- Pedrin F, Almeida MR, Almeida RR, Almeida-Pedrin RR, Torres F. A prospective study of the treatment effects of a removable appliance with palatal crib combined with high-pull chin cup therapy in anterior open-bite patients. Am J Orthod Dentofacial Orthop.2006;129(3):418–23.
- Torres F, Almeida RR, de Almeida MR, Almeida-Pedrin RR, Pedrin F, Henriques JF. Anterior open bite treated with a palatal crib and high-pull chin cup therapy. A prospective randomized study. Eur J Orthod. 2006;28(6):610–7.
- Cozza P, Baccetti T, Franchi L, McNamara Jr JA. Treatment effects of a modified quad-helix in patients with dentoskeletal open bites. Am J Orthod Dentofacial Orthop.2006;129(6):734–9.
- Cozza P, Mucedero M, Baccetti T, Franchi L. Treatment and posttreatment effects of quad-helix/crib therapy of dentoskeletal open bite. Angle Orthod. 2007;77:(4)640–5.
- Cozza P, Baccetti T, Franchi L, Mucedero M. Comparison of 2 early treatment protocols for open-bite malocclusions. Am J Orthod Dentofacial Orthop. 2007;132(6):743–7.
- McNamara JA. An experimental study of increased vertical dimension in growing face. Am J Orthod. 1977;71: 382-395
- Subtelny J D 1988 Open bite malocclusion: early and late diagnosis and correction. In: Moorrees C F A, Van der Linden F P G M (eds), Orthodontics: evaluation and future, Department of Orthodontics, University of Nymegen, Nymegen, 239-60.
- Woodside D G, Linder-Aronson S 1986 Progressive increase in lower anterior face height and the use of posterior occlusal bite- block in its management. Graber LW Orthodontics; state of the art, essence of the science. 200-21.
- Barbre RE, Sinclair PM. A cephalometric evaluation of anterior open bite correction with magnetic active vertical corrector. Angle Orthod.1991;61(2):93-102.
- Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta- Analyses: the PRISMA statement. PLoS Med. 2009;6(6):1000097.
- National Health Service (NHS) Centre for Reviews and Dissemination Report number 4. Undertaking systematic reviews of research on effectiveness. 2nd ed. University of York: York Publishing Services; 2001.