Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents

Batista, Klaus B S L; Thiruvenkatachari, Badri; Harrison, Jayne E; O’Brien, Kevin

doi:10.1002/14651858.cd003452.pub4

Cited by 118 publications

(122 citation statements)

References 167 publications

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“…Since an increased overjet is a modifiable risk factor, meaning that it can be controlled or altered in some way, the risk for TDI can be reduced . Interceptive orthodontic treatment can be instituted to reduce overjet size, thus helping to minimize the risk for TDI in those with an increased overjet . Furthermore, mouthguards, also known as mouth protectors, can also help reduce TDI occurrence during sports .…”

Section: Discussionmentioning

confidence: 99%

“…From a public health perspective, prevention is favored over disease management. Therefore, one strategy to prevent TDIs in children who have prominent front teeth is to institute interceptive orthodontic treatment . However, there is presently no clear consensus when an overjet should be considered prominent or increased .…”

Section: Introductionmentioning

confidence: 99%

“…Given the increased delivery of interceptive orthodontic treatment over the last 20 years, as well as increasing patient education and interest in dental health, facilitated by a wealth of dental information published on the Internet, there is a need to present updated findings on the association of increased overjet and TDI. Furthermore, although orthodontic treatment is often sought to address esthetic concerns, such treatment can also reduce the trauma risk of prominent teeth . However, there is presently no universally accepted threshold when an overjet is considered prominent or large .…”

Section: Introductionmentioning

confidence: 99%

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The association of overjet size and traumatic dental injuries—A systematic review and meta‐analysis

Arraj

Rossi‐Fedele

Doğramacı

2019

Dental Traumatology

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Background/Aims Traumatic dental injuries are one of the most prevalent diseases globally, impacting people of different ages and socio‐economic statuses. As disease prevention is preferable to management, understanding when an individual's overjet is prone to dental trauma helps identify at‐risk patients, so to institute preventive strategies. The aim of this study was to identify the different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages. Methods The title and protocol were registered and published a priori with the Joanna Briggs Institute (JBI) and PROSPERO (CRD42017060907) and followed the JBI methodology of systematic reviews of association (etiology). A three‐step search strategy was performed, including electronic searches of gray literature and four databases. Studies of healthy human participants of any age and in any dental dentition stage were considered for inclusion. Only high methodological quality studies with low risk of bias were included. Where possible, meta‐analyses were performed using the random‐effects model, supplemented with the fixed‐effects model in situations where statistical heterogeneity was ≤50%, assessed using the I2 statistic. Results The study identified 3718 articles, 41 were included. An increased overjet was significantly associated with higher odds of developing trauma in all dentition stages and age groups. Children 0‐6 years with an overjet ≥3mm have an odds of 3.37 (95%CI, 1.36‐8.38, P = 0.009) for trauma. Children in the mixed and secondary dentition with an overjet >5mm have an odds of 2.43 (95%CI, 1.34‐4.42, P = 0.004). Twelve‐year‐old children with an overjet >5mm have an odds of 1.81 (95%CI, 1.44‐2.27, P < 0.0001). Conclusions The results confirm the association between increased overjet and dental trauma. A child in the primary dentition could be considered as having an overjet at risk for trauma when it is ≥3mm. In the early secondary dentition, the threshold for trauma is an overjet ≥5mm.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The association of overjet size and traumatic dental injuries—A systematic review and meta‐analysis

Arraj

Rossi‐Fedele

Doğramacı

2019

Dental Traumatology

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“…A clear link between the risk of dental trauma and increased overjet has been demonstrated, in which an overjet of >3 mm doubles the risk of dental trauma. Early orthodontic treatment for such a large overjet has been shown to be more effective at reducing the risk of incisal trauma than later treatment in adolescence . Furthermore, over 10% of orthodontic patients have sustained dental injuries before starting their orthodontic treatment …”

Section: Introductionmentioning

confidence: 99%

Orthodontic management of traumatized teeth: A national survey of UK orthodontists

Sandler¹,

Barry

Littlewood

et al. 2019

Dental Traumatology

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Background/Aim There is a lack of research into orthodontic movement and management strategies of traumatized teeth. The aim of this survey was to assess the knowledge of UK‐based orthodontists in the orthodontic management of traumatized teeth. Materials/Methods A 24‐item questionnaire survey was electronically distributed to all members of the British Orthodontic Society. Results A total of 213 respondents completed the survey with the majority of these being UK registered specialists in orthodontics. Three responses were excluded as one was not based within the UK and two were orthodontic trainees with <1 year of experience, leaving a total of 210 respondents. The majority had orthodontically treated up to three patients with a history of dental trauma in the preceding 3 months. Obtaining a trauma history was done by the majority of respondents. A wide variation in times waited by respondents before orthodontically treating teeth with different types of traumatic injuries was observed. Similarly, the preferred orthodontic management strategies of traumatized teeth differed substantially among respondents. Almost all respondents were interested in further training in the management of dental trauma. Conclusions The study showed a wide variation in the orthodontic management of traumatized teeth among UK‐based orthodontists. Further training and national guideline establishment are indicated for orthodontic management of traumatized teeth in the UK.

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“…Effective correction of Class II malocclusion relies on differential condylar growth that occurs during puberty, and therefore, it is recommended that orthopaedic treatment with mandibular advancement devices be used during this stage of maturation to obtain optimal skeletal effects . However, special circumstances such as the increased risk of dental trauma and psychosocial impairment due to prominent maxillary incisors might warrant early pre‐pubertal correction of Class II malocclusion.…”

Section: Introductionmentioning

confidence: 99%

Condyle‐glenoid fossa relationship after Herbst appliance treatment during two stages of craniofacial skeletal maturation: A retrospective study

Vilefort

Farah

Gontijo

et al. 2019

Orthod Craniofacial Res

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Objectives To perform a three‐dimensional evaluation of the position of the condyles in patients treated with Herbst appliance (HA) in two stages of cervical vertebral maturation. Setting and sample population Retrospective case‐control study. Pubertal Herbst group (PHG; n = 24, mean age 14.5 years, CS 3 and CS 4) and pre‐pubertal Herbst group (PPHG; n = 17, mean age 9.9 years, CS 1 and CS 2) were contrasted with comparison groups of non‐orthopaedically treated Class II patients in pubertal (PCG; n = 17, mean age 13.9 years) and pre‐pubertal maturational stages (PPCG; n = 18, mean age 10.6 years). Materials and Methods Cone‐beam computer tomography scans were taken before treatment (T0) and at T1 after 8 to 12 months. Point‐to‐point measurements of the displacement of the condyles between T0 and T1, relative to the glenoid fossae, were performed in the X, Y, Z and 3D perspectives. Qualitative assessments using semi‐transparent overlays and colour mapping also were produced. Results The displacement of the condyles within the glenoid fossae in the treated groups was small (<0.75 mm; P > .05). Relative to the glenoid fossa, condylar position at T1 was similar to T0 in pre‐pubertal and pubertal groups (P > .05). Similar condylar rotations from T0 to T1 were observed in Herbst and comparison groups, and no significant difference was found between pre‐pubertal and pubertal patients. Conclusions Regardless the stage of skeletal maturation, HA treatment did not change the condyle‐glenoid fossa relationship.

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Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents

Abstract: Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents.

Cited by 118 publications

References 167 publications

The association of overjet size and traumatic dental injuries—A systematic review and meta‐analysis

The association of overjet size and traumatic dental injuries—A systematic review and meta‐analysis

Orthodontic management of traumatized teeth: A national survey of UK orthodontists

Condyle‐glenoid fossa relationship after Herbst appliance treatment during two stages of craniofacial skeletal maturation: A retrospective study

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