Combined therapy in the treatment of hyperdivergence in growing patients: Case series
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Background: Dento-skeletal disorders are a group of conditions that directly affect the maxillomandibular complex and the relationship between the dental arches. Among these alterations, long face syndrome or facial hyperdivergence syndrome is a dentofacial disorder of great clinical interest. Its etiology is multifactorial and involves the interaction of genetic and environmental factors during the growth period.
Objective: To review a series of clinical cases on the effectiveness of the Simoes Network 3 (SN3) functional appliance, combined with lingual educators, in the management of anterior open bite in pediatric patients with a hyperdivergent growth pattern. Two clinical cases treated with this appliance are also presented.
Conclusion: Anterior open bite (AOB) is a malocclusion associated with hyperdivergence syndrome related to a hyperdivergent growth pattern and deleterious oral habits. Functional orthodontics (FO) offers effective therapeutic options during the growth stage, aimed at modifying altered muscle functions and skeletal patterns.
- SN3
- anterior open bite
- hyperdivergent pattern
- long face syndrome
- lingual braces
Ochoa González EM, Vallejo Izquierdo LA, Collantes Acuña JE, Rockenbach Binz Ordoñez MC. Correlación del síndrome de hiperdivergencia facial y desórdenes dentoesqueletales: un conocimiento que el odontólogo debe tener. Revisión bibliográfica. Cienc Lat Rev Cient Multidiscip. 2023 Oct 6;7(5):1319-39. Doi: https://doi.org/10.37811/cl_rcm.v7i5.7806
Hartsfield JK. Development of the vertical dimension: nature and nurture. Semin Orthod. 2002 Sep;8(3):113-9. Doi: https://doi.org/10.1053/sodo.2002.125430
Bansal A. Long face syndrome: a literature review. J Dent Health Oral Disord Ther. 2015 Sep 2;2(6). Doi: https://doi.org/10.15406/jdhodt.2015.02.00071
Schendel SA, Eisenfeld J, Bell WH, Epker BN, Mishelevich DJ. The long face syndrome: vertical maxillary excess. Am J Orthod. 1976 Oct;70(4):398-408. Doi: https://doi.org/10.1016/0002-9416(76)90112-3
Cangialosi TJ. Skeletal morphologic features of anterior open bite. Am J Orthod. 1984 Jan;85(1):28-36. Doi: https://doi.org/10.1016/0002-9416(84)90120-9
Silva Filho OG, Cardoso GCPB, Cardoso M, Capelozza Filho L. Estudo das características cefalométricas em adolescentes brasileiros portadores de padrão face longa. Dental Press J Orthod. 2010 Aug;15(4):35.e1-12. Doi: https://doi.org/10.1590/S2176-94512010000400005
Nahoum HI. Vertical proportions and the palatal plane in anterior open-bite. Am J Orthod. 1971 Mar;59(3):273-82. Doi: https://doi.org/10.1016/0002-9416(71)90100-X
Defraia E, Marinelli A, Baroni G, Franchi L, Baccetti T. Early orthodontic treatment of skeletal open-bite malocclusion with the open-bite bionator: a cephalometric study. Am J Orthod Dentofacial Orthop. 2007 Nov;132(5):595-8. Doi: https://doi.org/10.1016/j.ajodo.2005.12.035
Artese A, Drummond S, Nascimento JM, Artese F. Critérios para o diagnóstico e tratamento estável da mordida aberta anterior. Dental Press J Orthod. 2011 Jun;16(3):136-61. Doi: https://doi.org/10.1590/S2176-94512011000300016
Cozza P, Baccetti T, Franchi L, Mucedero M, Polimeni A. Sucking habits and facial hyperdivergency as risk factors for anterior open bite in the mixed dentition. Am J Orthod Dentofacial Orthop. 2005 Oct;128(4):517-9. Doi: https://doi.org/10.1016/j.ajodo.2005.04.032
Lopez-Gavito G, Wallen TR, Little RM, Joondeph DR. Anterior open-bite malocclusion: a longitudinal 10-year postretention evaluation of orthodontically treated patients. Am J Orthod. 1985 Mar;87(3):175-86. Doi: https://doi.org/10.1016/0002-9416(85)90038-7
McGrath C, Pang HN, Lo ECM, King NM, Hägg U, Samman N. Translation and evaluation of a Chinese version of the Child Oral Health-Related Quality of Life measure. Int J Paediatr Dent. 2008 Jul;18(4):267-74. Doi: https://doi.org/10.1111/j.1365-263X.2007.00877.x
Ghafari JG, Macari AT. Component analysis of predominantly vertical occlusal problems. Semin Orthod. 2013 Dec;19(4):227-38. Doi: https://doi.org/10.1053/j.sodo.2013.07.006
van Spronsen PH. Long-face craniofacial morphology: cause or effect of weak masticatory musculature? Semin Orthod. 2010 Jun;16(2):99-117. Doi: https://doi.org/10.1053/j.sodo.2010.02.001
Piancino MG, Isola G, Merlo A, Dalessandri D, Debernardi C, Bracco P. Chewing pattern and muscular activation in open bite patients. J Electromyogr Kinesiol. 2012 Apr;22(2):273-9. Doi: https://doi.org/10.1016/j.jelekin.2011.12.003
Ari-Demirkaya A, Biren S, Özkan H, Küçükkeleş N. Comparison of deep bite and open bite cases: normative data for condylar positions, paths and radiographic appearances. J Oral Rehabil. 2004 Mar;31(3):213-24. Doi: https://doi.org/10.1046/j.0305-182X.2003.01236.x
Chang YI, Moon SC. Cephalometric evaluation of the anterior open bite treatment. Am J Orthod Dentofacial Orthop. 1999 Jan;115(1):29-38. Doi: https://doi.org/10.1016/S0889-5406(99)70313-6
Hurtado Santanilla ME, Ariza Méndez JA, Flórez Carvajal AP. Tratamiento de mordida cruzada anterior con aparato de tracción extraoral: máscara Delaire en paciente con estrabismo. Reporte de caso. Rev Estomatol. 2020 Dec;28(1):18-24. Doi: https://doi.org/10.25100/re.v28i1.8704
Simões WA. Ortopedia funcional de los maxilares. 3rd ed. São Paulo: Artes Médicas Latinoamérica; 2004.
Navarrete ISH, Jiménez AT. Functional maxillary orthopedics in early treatment of class II malocclusions due to mandibular retrusion: case report. Rev Mex Ortod. 2017 Jul;5(3):e165-9. Doi: https://doi.org/10.1016/j.rmo.2017.12.015
Almeida Cardoso DH, Valério P. Simões Network 2 (SN2): a special model for special needing. J Funct Orthop Craniofacial Growth. 2022 Nov;2(2):37-40. Doi: https://doi.org/10.21595/jfocg.2022.22772
Navarrete ISH, Jiménez AT. Ortopedia funcional de los maxilares en el tratamiento temprano de maloclusiones clase II por retrusión mandibular: reporte de caso clínico. Rev Mex Ortod. 2017 Jul;5(3):170-5. Doi: https://doi.org/10.1016/j.rmo.2017.12.006
Mafla Rosero PL, Zapata Hidalgo CD. Reeducadores linguales mediante técnica de resina inyectada (RELI). Anat Digit. 2023 Nov;6(4.1):105-21. Doi: https://doi.org/10.33262/anatomiadigital.v6i4.1.2786
Riveros Alejo CM. Handling of an open bite with dysfunctional deglutition by means of functional orthopaedics with SN3: a case report. Repository.usta.edu.co
Valencia AM, Hurtado AM, Hernández JA. Early treatment of anterior open bite with functional orthopedic appliances: a case report. Rev Estomatol. 2017 Sep;22(2):20-6. Doi: https://doi.org/10.25100/re.v22i2.5778
Lieberman MA, Gazit E. Correction of a class I skeletal open-bite malocclusion. Angle Orthod. 1978 Jul;48(3):206-9.
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