Early treatment of anterior open bite with functional orthopedic appliances. A case report
Funcional orthopedics Simoes Network 2 anterior open bite
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Anterior open bites are characterized by altered occlusal relationships. They cause discrepancies at the jaws that trigger a parafunctional muscular imbalance throughout the stomatognathic system.When this alteration is intervened early, again of normal functions can be achieved but also intervention causes facial changes that improve the aesthetics of the patient. It is important to take into consideration the complexity and the multifactorial etiology of anterior open bites to achieve their correction and long-term clinical stability. Different therapeutic approaches have been described for the treatment of anterior open bites including: orthodontics, functional orthopedics and even surgical interventions. Here We present a clinical case of a seven-year-old male patient who consulted for orthopedic treatment of an anterior open bite. Clinical findings determined a Class II cephalometric malocclusion with anterior skeletal open bite, oral respiratory pattern and atypical swallowing. Orthopedic treatment was done using Simoes Network 2 (SN2) functional appliances. At the first year of follow-up facial and intraoral clinical changes were noted. During the second year of follow-up radiographic changes showed improvement in craniofacial and functional relationships.
Valencia, A. M., Hurtado, A. M., & Hernández, J. A. (2017). Early treatment of anterior open bite with functional orthopedic appliances. A case report. Revista Estomatología, 22(2), 20–26. https://doi.org/10.25100/re.v22i2.5778
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2. Fernando P, Almeida MR, Rodrigues de Almeida R, Rodrigues de Almeida P, Torres F. 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; 129:418-23.
3. Beane RA, Reimann G, Phillips C, Tulloch C. A cephalometric comparison of black open-bite subjects and black normals. Angle Orthod 2003; 73:294-300.
4. Yousefzadeh et al. Cephalometric and electromyographic study of patients of East African ethnicity with and without anterior open bite. Am J Orthod Dentofacial Orthop 2010;137:236-46.
5. Thilander B, Peña L, et al. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogotá, Colombia. An epidemiological study related to different stages of dental development. European J of Orthod 2001; 23:153-67
6. Lenzi JM, Dutra ALT, Pereira CM, Toledo OA. Etiology and treatment of anterior open bite. J Health Sci Inst 2011; 29(2):92- 5.
7. English JD. Olfert K. Masticatory Muscle Exercise as an Adjunctive Treatment for Open Bite Malocclusions.
Semin Orthod 2005; 11:164-9.
8. Ghafari JG, Macari AT. Component Analysis of Predominantly Vertical Occlusal Problems. SeminOrthod 2013; 19:227-38.
9. Cozza P, Baccetti T, Franchi L, Mucedero M and Polimenie A. Sucking habits and facial hyperdivergency as risk factors for anterior open bite in the mixed dentition. Am J Orthod Dentofacial Orthop 2005;128:517-9.
10. Artese A, Drummond S, Nascimento JM, Artese F. Criteria for diagnosing and treating anterior open bite with stability. Dental Press J Orthod 2011;16(3):136-61.
11. English JD, Olfert K. Masticatory Muscle Exercise as an Adjunctive Treatment for Open Bite Malocclusions. Semin Orthod 2005; 11:164-9.
12. Chui Shan T. Wing Kin R. Urban H. Orthodontic treatment of anterior open bite. International Journal of Paediatric Dentistry 2008; 18:78-83.
13. Finkelstein T, Shapira Y, Shpack N. J Clin Orthod. Nonsurgical treatment of severe open bite associated with amelogenesis imperfecta. J Clin Orthod 2012; 46(7):427- 33.
14. Lopez R, Borgues A, Lopez P. Anterior Open Bite and Speech Disorders in Children with Down Syndrome. Angle Orthodontist 2008; 78(2).
15. Rodríguez de Almeida R. Castanha J. Weber JS. Open Anterior Bite- Etiology and Treatment.. Revista Odontológica Dominicana 1998; 4(2):114-24.
16. Lenzi JM, Dutra ALT, Pereira CM, Toledo OA. Etiology and treatment of anterior open bite. J Health Sci Inst 2011; 29(2):92-5
17. Lopez-Gavito G, Wallen TR, Little RM, Joondeph DR. Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients. American Journal of Orthodontics 1985;8
7(3):175-86.
18. Piancino MG, Isola G, Merlo A, Dalessandri D, Debernardi C, Bracco P. Chewing pattern and muscular activation in openbite patients. Journal of Electromyography and Kinesiology 2012; 22(2):273-9.
19. García P, Bushang P, Throckmorton GS, English JD. Maximum bite force, muscle efficiency and mechanical advantage in children with vertical growth patterns. European Journal of Orthodontics 2003; 25:265-72.
20. Van Spronsen PH. Long-Face Craniofacial Morphology: Cause or Effect of Weak Masticatory Musculature? Semin Orthod 2010; 16:99-117.
21. Chang Y. Moon SC. Cephalometric evaluation of the anterior open bite treatment. Am J Orthod Dentofacial Orthop 1999; 115:29-38.
22. Demirkaya A, Biren S, Özkan H, Küçükkeleş N. Comparison of deep bite and open bite cases: normative data for condilar positions, paths and radiographic appearances. J Oral Rehabil 2004; 31: 213- 24.
23. Lin LH, Huang GW, Chen CS. Etiology J-A. Tratamiento temprano de la mordida abierta anterior con aparatología ortopédica funcional. Reporte de caso. Rev. estomatol. 2014; 22(2):20-26. and Treatment Modalities of Anterior Open Bite Malocclusion. J Exp Clin Med 2013;5(1):1e4.
24. Simoes WA. Ortopedia Funcional de los Maxilares. 3o Edición volumen 1. Artes Médicas Latinoamérica: São Paulo; 2004.
25. Simoes WA. Ortopedia Funcional de los Maxilares. Tercera edición. Artes Médicas Latinoamérica: São Paulo; 2004.
26. Riveros CM. Manejo de una mordida abierta anterior con deglución disfuncional mediante ortopedia funcional de los maxilares con SN3: Reporte de un caso. Ustasalud Odontología 2006; 5:64-76.
27. Fregoso CA. Reporte de un aparato Network modificado . Revista Odontológica Mexicana 2009;13 (4):
244-9.
28. García R, Ramirez C, Delgado W. Sindorme de Hutchinson. Tratamiento de Ortopedia funcional de los maxilares a través de la rehabilitación neuro-oclusal. Reporte de caso. Ciencia Odontológica 2004; 1(1).
29. Mejía M, Galvis JF, Sierra MI. Alternativa de tratamiento de la mordida abierta anterior por medio del aparato ortopédico funcional simoes network. Revista CES Odontología 1995; 8(1).
30. Greenlee et al. Stability of treatment for anterior open-bite malocclusion: A metaanalysis. Am J Orthod Dentofacial Orthop 2011;139:154-69.
2. Fernando P, Almeida MR, Rodrigues de Almeida R, Rodrigues de Almeida P, Torres F. 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; 129:418-23.
3. Beane RA, Reimann G, Phillips C, Tulloch C. A cephalometric comparison of black open-bite subjects and black normals. Angle Orthod 2003; 73:294-300.
4. Yousefzadeh et al. Cephalometric and electromyographic study of patients of East African ethnicity with and without anterior open bite. Am J Orthod Dentofacial Orthop 2010;137:236-46.
5. Thilander B, Peña L, et al. Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogotá, Colombia. An epidemiological study related to different stages of dental development. European J of Orthod 2001; 23:153-67
6. Lenzi JM, Dutra ALT, Pereira CM, Toledo OA. Etiology and treatment of anterior open bite. J Health Sci Inst 2011; 29(2):92- 5.
7. English JD. Olfert K. Masticatory Muscle Exercise as an Adjunctive Treatment for Open Bite Malocclusions.
Semin Orthod 2005; 11:164-9.
8. Ghafari JG, Macari AT. Component Analysis of Predominantly Vertical Occlusal Problems. SeminOrthod 2013; 19:227-38.
9. Cozza P, Baccetti T, Franchi L, Mucedero M and Polimenie A. Sucking habits and facial hyperdivergency as risk factors for anterior open bite in the mixed dentition. Am J Orthod Dentofacial Orthop 2005;128:517-9.
10. Artese A, Drummond S, Nascimento JM, Artese F. Criteria for diagnosing and treating anterior open bite with stability. Dental Press J Orthod 2011;16(3):136-61.
11. English JD, Olfert K. Masticatory Muscle Exercise as an Adjunctive Treatment for Open Bite Malocclusions. Semin Orthod 2005; 11:164-9.
12. Chui Shan T. Wing Kin R. Urban H. Orthodontic treatment of anterior open bite. International Journal of Paediatric Dentistry 2008; 18:78-83.
13. Finkelstein T, Shapira Y, Shpack N. J Clin Orthod. Nonsurgical treatment of severe open bite associated with amelogenesis imperfecta. J Clin Orthod 2012; 46(7):427- 33.
14. Lopez R, Borgues A, Lopez P. Anterior Open Bite and Speech Disorders in Children with Down Syndrome. Angle Orthodontist 2008; 78(2).
15. Rodríguez de Almeida R. Castanha J. Weber JS. Open Anterior Bite- Etiology and Treatment.. Revista Odontológica Dominicana 1998; 4(2):114-24.
16. Lenzi JM, Dutra ALT, Pereira CM, Toledo OA. Etiology and treatment of anterior open bite. J Health Sci Inst 2011; 29(2):92-5
17. Lopez-Gavito G, Wallen TR, Little RM, Joondeph DR. Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients. American Journal of Orthodontics 1985;8
7(3):175-86.
18. Piancino MG, Isola G, Merlo A, Dalessandri D, Debernardi C, Bracco P. Chewing pattern and muscular activation in openbite patients. Journal of Electromyography and Kinesiology 2012; 22(2):273-9.
19. García P, Bushang P, Throckmorton GS, English JD. Maximum bite force, muscle efficiency and mechanical advantage in children with vertical growth patterns. European Journal of Orthodontics 2003; 25:265-72.
20. Van Spronsen PH. Long-Face Craniofacial Morphology: Cause or Effect of Weak Masticatory Musculature? Semin Orthod 2010; 16:99-117.
21. Chang Y. Moon SC. Cephalometric evaluation of the anterior open bite treatment. Am J Orthod Dentofacial Orthop 1999; 115:29-38.
22. Demirkaya A, Biren S, Özkan H, Küçükkeleş N. Comparison of deep bite and open bite cases: normative data for condilar positions, paths and radiographic appearances. J Oral Rehabil 2004; 31: 213- 24.
23. Lin LH, Huang GW, Chen CS. Etiology J-A. Tratamiento temprano de la mordida abierta anterior con aparatología ortopédica funcional. Reporte de caso. Rev. estomatol. 2014; 22(2):20-26. and Treatment Modalities of Anterior Open Bite Malocclusion. J Exp Clin Med 2013;5(1):1e4.
24. Simoes WA. Ortopedia Funcional de los Maxilares. 3o Edición volumen 1. Artes Médicas Latinoamérica: São Paulo; 2004.
25. Simoes WA. Ortopedia Funcional de los Maxilares. Tercera edición. Artes Médicas Latinoamérica: São Paulo; 2004.
26. Riveros CM. Manejo de una mordida abierta anterior con deglución disfuncional mediante ortopedia funcional de los maxilares con SN3: Reporte de un caso. Ustasalud Odontología 2006; 5:64-76.
27. Fregoso CA. Reporte de un aparato Network modificado . Revista Odontológica Mexicana 2009;13 (4):
244-9.
28. García R, Ramirez C, Delgado W. Sindorme de Hutchinson. Tratamiento de Ortopedia funcional de los maxilares a través de la rehabilitación neuro-oclusal. Reporte de caso. Ciencia Odontológica 2004; 1(1).
29. Mejía M, Galvis JF, Sierra MI. Alternativa de tratamiento de la mordida abierta anterior por medio del aparato ortopédico funcional simoes network. Revista CES Odontología 1995; 8(1).
30. Greenlee et al. Stability of treatment for anterior open-bite malocclusion: A metaanalysis. Am J Orthod Dentofacial Orthop 2011;139:154-69.
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