Effects of bonded spurs, fixed and removable palatal crib in the early treatment of anterior open bite: A systematic review and meta-analysis

Meng, Mingmei; Xie, Yongting; Cao, Jingwei; Yu, Yue; Zou, Jing

doi:10.1016/j.ajodo.2022.10.017

Cited by 3 publications

(2 citation statements)

References 40 publications

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“…So, habit breaking appliances (palatal crib, lingual spurs) were not used during the 10 months application period of the extrusion arch, to eliminate their effect in the correction of the AOB. 16 For standardization and to avoid any bias in the results, patients with similar malocclusion (Table 1) were included in the present study. All the participants in this study were female adolescents (age range = 16.5±1.5 years) in the permanent dentition.…”

Section: Resultsmentioning

confidence: 99%

Dentoalveolar effects of skeletally anchored extrusion arch in anterior open bite patients: A prospective clinical trial

ELSHAL,

MOHAMMAD,

TAWFIK

et al. 2023

Dental Press J. Orthod.

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Objective: The purpose of this prospective clinical trial was to explore the dental and soft tissue changes accompanying the use of skeletally anchored nickel-titanium (NiTi) extrusion arch in the correction of anterior open bite (AOB). Material and Methods: Twenty female patients with a mean age of 16.5 ± 1.5 years and a mean dentoalveolar AOB of 2.38±0.7 mm participated in this study. All patients were treated with an maxillary 0.017×0.025-in NiTi extrusion arch, with the aid of miniscrews inserted between the maxillary second premolars and first molars bilaterally, to act as indirect anchorage. Three-dimensional digital models and lateral cephalometric radiographs were taken just before the insertion of the extrusion arch (T0) and after 10 months (T1). Paired-sample t-tests were used in analyzing the data, to evaluate the changes after treatment (T1-T0). A significance level of p < 0.05 was used. Results: AOB was successfully closed in all patients, with a 4.35 ± 0.61 mm increase in the overbite. Maxillary incisors significantly extruded (2.52 ± 1.02 mm) and significantly reclined (5.78 ± 0.77°), with a resultant decrease in the overjet of 1.58 ± 0.5mm. A significant intrusion of maxillary first molars with no change in their inclination was observed. The upper lip showed a significant retraction tendency to the E-plane, and a significant increase in the nasolabial angle was observed. Conclusion: The skeletally anchored NiTi extrusion arch was an effective technique in treating AOB, with no adverse effects on the molars.

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Section: Resultsmentioning

confidence: 99%

Dentoalveolar effects of skeletally anchored extrusion arch in anterior open bite patients: A prospective clinical trial

ELSHAL,

MOHAMMAD,

TAWFIK

et al. 2023

Dental Press J. Orthod.

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“…J Postgrad Med Inst 2023;37(3): 195-200. http://doi.org/10.54079/ jpmi.37. 3.3160 habits and compensatory tongue thrusting to create an oral seal 3 . Leptoprosopic facial form is associated with mouth breathing 4 while Class III malocclusion is associated with a short upper lip, redundant lower lip, and low tongue posture 5 .…”

Section: This Article May Be Cited Asmentioning

confidence: 99%

Influence of Resting Tongue Posture on Mandibular Arch Width and Vertical Dimensions of Face

2023

JPMI

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Objective: To evaluate the influence of tongue posture on the arch width of the mandible and the facial proportions in the vertical dimension.Methodology: A cross-sectional analysis was carried out utilizing lateral cephalograms and dental molds from 120 participants (45 males, 75 females). The participants were classified into three categories based on the dimensions of their vertical facial structure: Normodivergent, Hyperdivergent, and Hypodivergent. The posture of the tongue was ascertained by measuring the distance from the tongue to the palate using the technique introduced by Graber and colleagues. The widths of the mandibular dental arches were assessed using the study molds. Differences among the groups were evaluated using one-way ANOVA. Relationships between mandibular arch widths and six distinct tongue-to-palate measurements were investigated using Pearson's correlation. A p-value of ≤ 0.05 was deemed to indicate a statistically significant result. Results:The comparison of the tongue to palate distances (D1, D2, and D3) at 0, 30, and 60 degrees among study groups showed statistically nonsignificant differences, however, the tongue to palate distances (D4, D5, and D6) showed statistically significant differences amongst all groups. Statistically significant differences were found in intercanine and intermolar width among the three study groups. The correlation of tongue posture with mandibular intercanine width and intermolar width at all six tongue-to-palate distances was weak. Conclusion:In hyperdivergent patients, the tongue posture was lower as compared to hypodivergent and norm divergent patients, especially at the mid-dorsum, anterior dorsum, and tongue tip regions. A weak correlation was found between mandibular arch width and tongue posture.

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Oral health-related quality of life, adaptation/discomfort during open bite treatment with spurs: complementary analysis from a randomized clinical trial

Aliaga-Del Castillo,

Marañón-Vásquez,

Janson

et al. 2024

Sci Rep

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This single-center trial aimed to longitudinally compare the oral health-related quality of life (OHRQOL), adaptation and discomfort during anterior open bite (AOB) treatment with lingual spurs and build-ups (SBU) versus spurs only (S) approaches. Children (7–11 years) with AOB were randomly allocated into two treatment groups (SBU or S). The Child Perception Questionnaire (CPQ8–10) was applied 1 and 12 months after installation of the appliances. Questionnaires evaluating functional adaptation and discomfort during the first month of treatment were also applied. A visual analog scale (VAS) was used in these questionnaires. Generalized mixed models were used for analyzing OHRQOL and discomfort data. Generalized linear models were used to assess adaptation outcomes (α = 0.05). The SBU group included 24 patients (7 males and 17 females; mean age 8.2 years) and the S group included 25 patients (11 males and 14 females; mean age 8.3 years). Regardless of the treatment type, overall OHRQOL scores at 12 months were 0.69 times those recorded at 1 month after the appliances installation (i.e., ~ 31% reduction; exp (β) = 0.69; 95% CI: 0.55, 0.88). A significant interaction between treatment and time was detected for the ‘functional limitations’ domain. For this domain, a significant improvement from the first to the twelfth month was observed in the S group (P < 0.001). Patients in both treatment groups showed similar and easy adaptation to the appliances. Independent of the type of treatment, tongue-related discomfort decreased over time. One week and one month after the appliance’s delivery, the discomfort scores were 0.19 (i.e., ~ 81% reduction; exp (β) = 0.19; 95% CI: 0.13, 0.28; P < 0.001) and 0.02 (i.e., ~ 98% reduction; exp (β) = 0.02; 95% CI: 0.01, 0.07; P < 0.001) times, respectively, those issued immediately after the installation of the appliances. Regardless of treatment type; overall OHRQOL improved from the first to the twelfth month of AOB treatment. The functional limitations score decreased in the S group. Children showed easy adaptation, and their discomfort decreased 1 week after the installation of the appliances.Trial registration: Clinicaltrials.gov; NCT03702881, date of registration: October 11, 2018.

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Effects of bonded spurs, fixed and removable palatal crib in the early treatment of anterior open bite: A systematic review and meta-analysis

Cited by 3 publications

References 40 publications

Dentoalveolar effects of skeletally anchored extrusion arch in anterior open bite patients: A prospective clinical trial

Dentoalveolar effects of skeletally anchored extrusion arch in anterior open bite patients: A prospective clinical trial

Influence of Resting Tongue Posture on Mandibular Arch Width and Vertical Dimensions of Face

Oral health-related quality of life, adaptation/discomfort during open bite treatment with spurs: complementary analysis from a randomized clinical trial

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