Orthodontic and orthopaedic treatment for anterior open bite in children

Lentini-Oliveira, Débora Aparecida; Carvalho, Fabrício Kitazono de; Qingsong, Y.; Junjie, L.; Saconato, Humberto; Machado, Myrela O.; Prado, Lucila Bizari Fernandes do; Prado, Gilmar Fernandes do

doi:10.1002/14651858.cd005515.pub3

Cited by 31 publications

(19 citation statements)

References 37 publications

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“…10 Despite a notable variation in the prevalence of malocclusion, there is some evidence that malocclusion in primary dentition may be a predictor of permanent dentition malocclusion and later orthodontic treatment needs. 26 Facing the lack of scientific evidence that early orthodontic or orthopedic interventions are effective in correcting malocclusion in permanent dentition, 27,28 we believe that oral health promotion is the best way to avoid occlusal disorders in adolescence given that the presence of malocclusion is associated with later poor quality of life. 29 Therefore, not only malocclusion but also several diseases such as overweight, obesity, and high systolic blood pressure could be avoided with the promotion of breastfeeding.…”

Section: Figurementioning

confidence: 99%

Exclusive Breastfeeding and Risk of Dental Malocclusion

et al. 2015

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OBJECTIVES: The distinct effect of exclusive and predominant breastfeeding on primary dentition malocclusions is still unclear. We hypothesized that exclusive breastfeeding presents a higher protective effect against malocclusions than predominant breastfeeding and that the use of a pacifier modifies the association between breastfeeding and primary dentition malocclusions.METHODS: An oral health study nested in a birth cohort study was conducted at age 5 years (N = 1303). The type of breastfeeding was recorded at birth and at 3, 12, and 24 months of age. Open bite (OB), crossbite, overjet (OJ), and moderate/severe malocclusion (MSM) were assessed. Poisson regression analyses were conducted by controlling for sociodemographic and anthropometric characteristics, sucking habits along the life course, dental caries, and dental treatment.RESULTS: Predominant breastfeeding was associated with a lower prevalence of OB, OJ, and MSM, but pacifier use modified these associations. The same findings were noted between exclusive breastfeeding and OJ and between exclusive breastfeeding and crossbite. A lower prevalence of OB was found among children exposed to exclusive breastfeeding from 3 to 5.9 months (33%) and up to 6 months (44%) of age. Those who were exclusively breastfed from 3 to 5.9 months and up to 6 months of age exhibited 41% and 72% lower prevalence of MSM, respectively, than those who were never breastfed.CONCLUSIONS: A common risk approach, promoting exclusive breastfeeding up to 6 months of age to prevent childhood diseases and disorders, should be an effective population strategy to prevent malocclusion. WHAT'S KNOWN ON THIS SUBJECT:Breastfeeding provides a protective effect against some malocclusions, and there is a strong inverse correlation between the duration of breastfeeding and the duration of pacifier use. WHAT THIS STUDY ADDS:The protective effects of predominant and exclusive breastfeeding against malocclusion are distinct: exclusive breastfeeding reduces the risk of malocclusions regardless of pacifier use, whereas the effect of predominant breastfeeding depends on the duration of the pacifier use. Dr K. Peres coordinated the oral health data collection, conceptualized the study, and drafted the initial manuscript; Dr Cascaes conducted all statistical analyses and reviewed and revised the manuscript; Dr M. Peres trained field workers and supervised data collection and critically reviewed the manuscript; Dr Demarco, together with Dr K. Peres, coordinated the oral health data collection, trained field workers and supervised data collection, and critically reviewed the manuscript; Dr Santos coordinated all stages of the birth cohort study and critically reviewed the manuscript; Dr Matijasevich critically reviewed the manuscript; and Dr Barros, together with Dr Santos, coordinated all stages of the birth cohort study and critically reviewed the manuscript. All authors approved the final version of the manuscript and agree to be accountable for all aspects of the work. It is well known that b...

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Section: Figurementioning

confidence: 99%

Exclusive Breastfeeding and Risk of Dental Malocclusion

et al. 2015

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“…29 Effectiveness and long-term stability of available treatment modalities are critical issues because of the lack of strong scientific evidence. 1,30 In the present study, at the end of active therapy (T2) and at long-term follow-up (T3), all treated subjects showed a corrected positive overbite (overbite at T2: þ0.2 mm; overbite at T3: þ1.3 mm) and a decreased facial divergence (FMA T2-T1: À0.98; FMA T3-T1: À0.58). Several studies described downward movement of the maxilla, posterior rotation of the mandible, and opening of the mandibular plane angle as side effects of RME.…”

Section: Discussionmentioning

confidence: 47%

Long-term evaluation of rapid maxillary expansion and bite-block therapy in open bite growing subjects:

Mucedero

Fusaroli

Franchi

et al. 2018

The Angle Orthodontist

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Objective: To evaluate the long-term effects of rapid maxillary expansion (RME) and posterior bite block (BB) in prepubertal subjects with dentoskeletal open bite. Materials and Methods: The treatment group (TG) comprised 16 subjects (14 girls, 2 boys) with dentoskeletal open bite with a mean age of 8.1 6 1.1 years treated with RME and BB. Three consecutive lateral cephalograms were available before treatment (T1), at the end of the active treatment with the RME and BB (T2), and at a follow-up observation at least 4 years after the completion of treatment (T3). The TG was compared with a control group (CG) of 16 subjects (14 girls, 2 boys) matched for sex, age, and vertical skeletal pattern. An independent sample t-test was used to compare the T1 to T3, T1 to T2, and T2 to T3 cephalometric changes between the TG and the CG. Results: In the long term, the TG showed a significantly greater increase in overbite (þ1.8 mm), reduced extrusion of maxillary and mandibular molars (À3.3 mm), and, consequently, a significant decrease in facial divergence (À2.88) when compared with untreated subjects. Conclusions: The RME and BB protocol led to successful and stable recovery of positive overbite in 100% of the patients considered. Correction of open bite was associated with reduced extrusion of maxillary and mandibular molars with a significant improvement in vertical skeletal relationships when compared with the CG. (Angle Orthod. 2018;88:523-529.)

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“…However, treatment of skeletal anterior open bite is still one of the most difficult challenges for the orthodontist. Effectiveness and long-term stability of available treatment modalities are critical issues because of the lack of a strong scientific evidence [ 42 , 43 ].…”

Section: Reviewmentioning

confidence: 99%

“…Recently, Feres et al [ 42 ] performed a systematic review on the effectiveness of the open-bite treatment in growing children and adolescents concluding that consistent results were not found. A further review by Lentini-Oliveira published in 2014 including only RCTs assessed that there were no clear evidence on which to make a clinical decision of the type of intervention to use [ 43 ].…”

Section: Reviewmentioning

confidence: 99%

Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition

et al. 2016

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BackgroundThe treatment options for the early treatment of anterior open bite are still controversial. The aim of this study was to evaluate the actual available evidence on treatments of anterior open bite in the mixed dentition in order to assess the effectiveness of the early treatment in reducing open bite, the most efficacious treatment strategy and the stability of the results.Materials and methodsA literature survey was done on November 15, 2015, by means of appropriate Medical Subject Headings (MeSH) using the following databases: PubMed, EMBASE, Cochrane Library, LILACS, VHL, and WEB OF SCIENCE.Randomized clinical trials and studies with a control group (treated or untreated) were then selected by two authors. Trials including patients with syndromes or in the permanent dentition and studies concerning treatment with extractions, full-fixed appliances, or surgery were not considered.Full articles were retrieved for abstracts or titles that met the initial inclusion criteria or lacked sufficient detail for immediate exclusion.ResultsTwo thousand five hundred sixty-nine studies about open bite were available; the search strategy selected 240 of them.Twenty-four articles have been judged suitably for the final review, and their relevant data were analyzed.DiscussionAlthough this review confirms the effectiveness of early treatment of open bite, particularly when no-compliance strategies are employed, meta-analysis was unfeasible due to lack of standardization, important methodological limitations, and shortcomings of the studies.ConclusionsA more robust approach to trial design in terms of methodology and error analysis is needed. Besides, more studies with longer periods of follow-up are required.

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Orthodontic and orthopaedic treatment for anterior open bite in children

Cited by 31 publications

References 37 publications

Exclusive Breastfeeding and Risk of Dental Malocclusion

Exclusive Breastfeeding and Risk of Dental Malocclusion

Long-term evaluation of rapid maxillary expansion and bite-block therapy in open bite growing subjects:

Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition

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