Permanent dentition Open bite malocclusion
1 permanent dentition
1.1 high-pull headgear
1.2 elastics
1.3 bite blocks
1.4 glossectomy
1.5 orthognathic surgery
permanent dentition
correction of open bite in permanent dentition may involve extrusion of anterior teeth or intrusion of posterior teeth. decision depends on incisor show on smiling patient. if patient has normal incisor show @ rest smile, molar intrusion may done in these type of faces. extrusion of anterior teeth in these patients lead excessive gummy smile in cases not desirable. if patient not have normal incisor show @ rest , smile, anterior extrusion may done in these patients.
high-pull headgear
this appliance can used patients growing , in permanent dentition. appliance has been advocated used controlling vertical dimension applying force intrude molars.
elastics
elastics have been used correct anterior dental open bite. these elastics can in configuration of triangular or anterior vertical elastics.
bite blocks
r. kuster , b. ingerval in 1992, used 2 types of bite blocks evaluate effect on skeletal open bite patients. 1 group of patients had spring-loaded bite block 1 year , other group had repelling magnets bite blocks 3 months. both type of bite blocks exerted intrusive force on both upper , lower posterior teeth. saw 3mm improvement in overbite magnet group , 1.3mm improvement in overbite spring-loaded group. concluded affect resulted due counter-clockwise rotation of mandible caused intrusion of posterior teeth , increased eruption of incisors.
glossectomy
there not systematic reviews or randomized clinical control trials related correction of open bite partial tongue glossectomy several case reports have been published indicating successful treatment of open bite surgical approach. macroglossia has been reported cause open bite , bimaxillary protrusion , known make orthodontic treatment unstable after completion.
orthognathic surgery
an orthognathic surgical approach can taken correct open bite once vertical growth has finished in male , female patients. @ time, le-fort osteotomy impact maxilla done. according proffit et al, surgical movement involves maxillary impaction stable surgical movement in hierarchy established. 2 jaw surgery can performed bilateral sagittal split osteotomy can done correct antero-posterior changes of mandible. however, 2 jaw surgery relapse leading bite opening may happen due condylar remodeling , resorption.
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