International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 14 , ISSUE 1 ( January-February, 2021 ) > List of Articles

CASE REPORT

Relapse of Anterior Open Bite: A Case Report

Aline F Justulin, Paulo H Rossato, Ana CCF Conti, Marcio R Almeida, Paula Vanessa Pedron Oltramari, Thais MF Fernandes

Citation Information : Justulin AF, Rossato PH, Conti AC, Almeida MR, Oltramari PV, Fernandes TM. Relapse of Anterior Open Bite: A Case Report. Int J Clin Pediatr Dent 2021; 14 (1):140-144.

DOI: 10.5005/jp-journals-10005-1893

License: CC BY-NC 4.0

Published Online: 14-07-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

The aim and objective of this study is to report the recurrence of the treatment of the anterior open bite after 5 years of treatment. A female patient aged 8 years 6 months old had a negative vertical crossing of −4.7 mm. Early treatment with a fixed palatal grid was performed for 1 year. At the end of the treatment, the vertical overpass was 1.1 mm and after 2 years of control, the vertical overpass remained positive with 1.7 mm showing the stability of the treatment. After 5 years, and due to the sucking and lingual interposition habit, there was a recurrence of the open bite. Interdisciplinary follow-up is extremely important to eliminate the factors responsible for the origin of deleterious habits, thus solving the changes resulting from these habits and providing long-term stability.


HTML PDF Share
  1. Almeida R, Almeida-Pedrin R, Almeida M, et al. Vertical dysplasias: anterior open bite treatment and stability. Revista Dental Press de Ortodontia e Ortopedia Facial 2003;8:91–119.
  2. Almeida RRD, Almeida Pedrin RR, Almeida MRD, et al. Etiologia das más oclusöes: causas hereditárias e congênitas, adquiridas gerais, locais e proximais (hábitos bucais). Rev Dent Press Ortodon Ortop Maxilar 2000;5(6):107–129.
  3. Subtelny JD, Sakuda M. Open-bite: diagnosis and treatment. American J Orthodont 1964;50(5):337–358. DOI: 10.1016/0002-9416(64)90175-7.
  4. Almeida R, Henriques J, Almeida M, et al. Early treatment of anterior open bite-prevention of orthognatic surgery. Biological mechanisms of tooth eruption, resorption and replacement by implants. Boston: Harvard Soc Advance Orthod 1998. 585–588.
  5. Silva Filho OG, Freitas SF, Cavassan AO. Prevalência de oclusão normal e má oclusão em escolares da cidade de Bauru (São Paulo). Parte II. Influência da estratificação sócio-econômica. Rev Odontol Univ São Paulo 1990;4(3):89–96.
  6. Ozawa TO, Capelozza Filho L, Silva Filho OGD. Controle vertical em ortodontia com o uso de “bite block”. Ortodontia 1998;31(2):81–90.
  7. Lopez-Gavito G, Wallen TR, Little RM, et al. Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients. Am J Orthod 1985;87(3):175–186. DOI: 10.1016/0002-9416(85)90038-7.
  8. Ferreira FPC, Almeida RR, Torres FC, et al. Evaluation of the stability of open bite treatment using a removable appliance with palatal crib combined with high-pull chincup. Dent Press J Orthod 2012;17(6): 52–60. DOI: 10.1590/S2176-94512012000600014.
  9. Huang GJ, Justus R, Kennedy DB, et al. Stability of anterior openbite treated with crib therapy. Angle Orthod 1990;60(1):17–24. DOI: 10.1043/0003-3219(1990)0602.0.CO;2; discussion 25-6.
  10. Dias FA, Assis Urnau FD, Pedron Oltramari PV, et al. Stability of early treatment of anterior open bite: clinical performance of bonded lingual spurs. J Orthod 2019;46(1):68–73. DOI: 10.1177/1465312519827601.
  11. Henriques JFC, Janson GDRP, Almeida RRD, et al. Mordida aberta anterior: a importância da abordagem multidisciplinar e considerações sobre etiologia, diagnóstico e tratamento. Apresentação de um caso clínico. Revista Dental Press de Ortodontia e Ortopedia Facial 2000;5(3):29–36.
  12. Canuto LF, Janson G, de Lima NS, et al. Anterior open-bite treatment with bonded vs conventional lingual spurs: a comparative study. Am J Orthod Dentofacial Orthop 2016;149(6):847–855. DOI: 10.1016/j.ajodo.2015.11.026.
  13. Rossato PH, Fernandes TMF, Urnau FDA, et al. Dentoalveolar effects produced by different appliances on early treatment of anterior open bite: a randomized clinical trial. Angle Orthod 2018;88(6):684–691. DOI: 10.2319/101317-691.1.
  14. Torres FC, Almeida RR, Almeida-Pedrin RR, et al. Dentoalveolar comparative study between removable and fixed cribs, associated to chincup, in anterior open bite treatment. J Appl Oral Sci 2012;20(5):531–537. DOI: 10.1590/s1678-77572012000500007.
  15. Cassis MA, de Almeida RR, Janson G, et al. Treatment effects of bonded spurs associated with high-pull chincup therapy in the treatment of patients with anterior open bite. Am J Orthod Dentofacial Orthop 2012;142(4):487–493. DOI: 10.1016/j.ajodo.2012.04.022.
  16. Iscan HN, Dincer M, Gultan A, et al. Effects of vertical chincap therapy on the mandibular morphology in open-bite patients. Am J Orthod Dentofacial Orthop 2002;122(5):506–511. DOI: 10.1067/mod.2002.128643.
  17. Leite JS, Matiussi LB, Salem AC, et al. Effects of palatal crib and bonded spurs in early treatment of anterior open bite: a prospective randomized clinical study. Angle Orthod 2016;86(5):734–739. DOI: 10.2319/031815-170.1.
  18. Parker JH. The interception of the open bite in the early growth period. Angle Orthod 1971;41(1):24–44. DOI: 10.1043/0003-3219(1971)0412.0.CO;2.
  19. Greenlee GM, Huang GJ, Chen SSH, et al. Stability of treatment for anterior open-bite malocclusion: a meta-analysis. Am J Orthod Dentofacial Orthop 2011;139(2):154–169. DOI: 10.1016/j.ajodo.2010.10.019.
  20. Slaviero T, Fernandes TMF, Oltramari-Navarro PVP, et al. Dimensional changes of dental arches produced by fixed and removable palatal cribs: a prospective, randomized, controlled study. Angle Orthod 2017;87(2):215–222. DOI: 10.2319/060116-438.1.
  21. Watson WG. Open-bite-a multifactorial event. Am J Orthod 1981;80(4):443–446. DOI: 10.1016/0002-9416(81)90179-2.
  22. Feres MF, Abreu LG, Insabralde NM, et al. Effectiveness of open bite correction when managing deleterious oral habits in growing children and adolescents: a systematic review and meta-analysis. Eur J Orthod 2017;39(1):31–42. DOI: 10.1093/ejo/cjw005.
  23. Pedrin F, Almeida MR, Almeida RR, et al. A prospective study of the treatment effects of a removable appliance with palatal crib combined with high-pull chincup therapy in anterior open-bite patients. Am J Orthod Dentofacial Orthop 2006;129(3):418–423. DOI: 10.1016/j.ajodo.2005.04.035.
  24. Torres F, Almeida RR, de Almeida MR, et al. Anterior open bite treated with a palatal crib and high-pull chin cup therapy. A prospective randomized study. Eur J Orthod 2006;28(6):610–617. DOI: 10.1093/ejo/cjl053.
  25. Silva Filho O, Chaves A, Almeida R. Efeitos terapêuticos suscitados pelo uso da grade palatina: um estudo cefalométrico. Rev Soc Paranaense Ortod 1995;1(1):9–15.
  26. Moyers R, Enlow D. Crescimento do esqueleto craniofacial Moyers RE. Ortodontia. 4a ed., Rio de Janeiro: Guanabara Koogan; 1991. pp. 33–58.
  27. Johnson E, Larson B. Thumb-sucking: literature review. ASDC J Dentis Child 1993;60(4):385–391.
  28. Bayardo RE, Mejia J, Orozco S, et al. Etiology of oral habits. ASDC J Dentis Child 1996;63(5):350–353.
  29. Vanderas AP, Voila P, Papagiannoulis L. Urinary catecholamines as a measure of emotional stress in children with a digit-sucking habit: a preliminary study. ASDC J Dentis Child 2001;68(3):179–182, 50, 52.
  30. Leme M, Barbosa T, Castelo P, et al. Associations between psychological factors and the presence of deleterious oral habits in children and adolescents. J Clin Pediat Dentis 2014;38(4):313–317. DOI: 10.17796/jcpd.38.4.c48238322205466w.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.