Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Combined orthopedic-orthodontic treatments of adolescent skeletal open-bite with severe molar-incisor hypomineralization: a case report and literature review
1State Key Laboratory of Oral Diseases, Department of Pediatric Dentistry, Orthodontics Faculty, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, 610041 Chengdu, Sichuan, China
DOI: 10.22514/jocpd.2022.017 Vol.47,Issue 1,January 2023 pp.91-99
Submitted: 14 September 2022 Accepted: 24 October 2022
Published: 03 January 2023
*Corresponding Author(s): Weihua Guo E-mail: guoweihua943019@163.com
The treatment of adolescent skeletal open-bite malocclusion with severe molar-incisor hypomineralization (MIH) remains challenging. Though conducive to open-bite treatment and endodontic management, early molar extraction may trigger a series of negative impacts on occlusion and stomatognathic development. In addition, molars’ crown restoration was shown to worsen open-bite malocclusion considering the intrinsic vertical increment of hyperdivergent growth. This case report describes the successful multidisciplinary therapy combined with orthopedic and orthodontic treatment of a 10.2-year-old girl with mixed dentition, a protruding profile and skeletal open-bite malocclusion with severe MIH and crowding. During the mixed and early permanent dentition, function regulator-4 (FR-4), resin-bonding transpalatal arch (TPA) and modified spring-loaded bite blocks were implemented to correct abnormal swallowing and control the facial vertical growth. Radiographic results, including the counterclockwise rotation of the occlusion plane, decreasing mandibular angle and increasing posterior-anterior face height ratio accompanied by obvious mandibular vertical growth, indicated that the performed orthopedic treatments efficiently controlled hyperdivergent open-bite growth during puberty. After the maxillary and mandibular second molars were occluded, all first permanent molars were extracted, and fixed appliances combined with implant anchorage were used to correct malocclusion and convex profile. Ultimately, a stable Class I functional occlusion and satisfying facial improvement were achieved and maintained following a 2-year follow-up.
Skeletal open bite; Early treatment; Orthodontic mini-implant; Molar-incisor hypomineralization; First permanent molars extraction
Jie Chen,Yuchan Xu,Weihua Guo. Combined orthopedic-orthodontic treatments of adolescent skeletal open-bite with severe molar-incisor hypomineralization: a case report and literature review. Journal of Clinical Pediatric Dentistry. 2023. 47(1);91-99.
[1] Schneider PM, Silva M. Endemic molar incisor hypomineralization: a pandemic problem that requires monitoring by the entire health care community. Current Osteoporosis Reports. 2018; 16: 283–288.
[2] Hatami A, Dreyer C. The extraction of first, second or third permanent molar teeth and its effect on the dentofacial complex. Australian Dental Journal. 2019; 64: 302–311.
[3] Cobourne MT, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. British Dental Journal. 2014; 217: 643–648.
[4] Klocke A, Nanda RS, Kahl-Nieke B. Anterior open bite in the deciduous dentition: longitudinal follow-up and craniofacial growth considerations. American Journal of Orthodontics and Dentofacial Orthopedics. 2002; 122: 353–358.
[5] Marcilio Santos E, Kalil Bussadori S, Ratto Tempestini Horliana AC, Moraes Moriyama C, Jansiski Motta L, Pecoraro C, et al. Functional orthopedic treatment for anterior open bite in children. A systematic review of randomized clinical trials. To be published in Journal of Orofacial Orthopedics. 2022. [Preprint].
[6] Dashash M, Yeung CA, Jamous I, Blinkhorn A. Interventions for the restorative care of amelogenesis imperfecta in children and adolescents. The Cochrane Database of Systematic Reviews. 2013; 2013: CD007157.
[7] Lentini-Oliveira DA, Carvalho FR, Rodrigues CG, Ye Q, Prado LB, Prado GF, et al. Orthodontic and orthopaedic treatment for anterior open bite in children. The Cochrane Database of Systematic Reviews. 2014; CD005515.
[8] de Freitas MR, Beltrão RTS, Janson G, Henriques JFC, Cançado RH. Long-term stability of anterior open bite extraction treatment in the permanent dentition. American Journal of Orthodontics and Dentofacial Orthopedics. 2004; 125: 78–87.
[9] Sankey WL, Buschang PH, English J, Owen AH. Early treatment of vertical skeletal dysplasia: the hyperdivergent phenotype. American Journal of Orthodontics and Dentofacial Orthopedics. 2000; 118: 317–327.
[10] English JD. Early treatment of skeletal open bite malocclusions. American Journal of Orthodontics and Dentofacial Orthopedics. 2002; 121: 563–565.
[11] Erbay E, Ugur T, Ülgen M. The effects of frankel’s function regulator (FR-4) therapy on the treatment of angle class I skeletal anterior open bite malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics. 1995; 108: 9–21.
[12] Koletsi D, Makou M, Pandis N. Effect of orthodontic management and orofacial muscle training protocols on the correction of myofunctional and myoskeletal problems in developing dentition. A systematic review and meta-analysis. Orthodontics & Craniofacial Research. 2018; 21: 202–215.
[13] Stefanovic NL, Uhac M, Brumini M, Zigante M, Perkovic V, Spalj S. Predictors of patient compliance during class II division 1 malocclusion functional orthodontic treatment. The Angle Orthodontist. 2021; 91: 502–508.
[14] Al-Moghrabi D, Salazar FC, Pandis N, Fleming PS. Compliance with removable orthodontic appliances and adjuncts: a systematic review and meta-analysis. American Journal of Orthodontics and Dentofacial Orthopedics. 2017; 152: 17–32.
[15] Attanasio JS. Relationships between oral sensory feedback skills and adaptation to delayed auditory feedback. Journal of Communication Disorders. 1987; 20: 391–402.
[16] Doshi UH, Bhad WA. Spring-loaded bite-blocks for early correction of skeletal open bite associated with thumb sucking. American Journal of Orthodontics and Dentofacial Orthopedics. 2011; 140: 115–120.
[17] Pisani L, Bonaccorso L, Fastuca R, Spena R, Lombardo L, Caprioglio A. Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition. Progress in Orthodontics. 2016; 17: 28.
[18] Janson G, Valarelli FP, Beltrão RTS, de Freitas MR, Henriques JFC. Stability of anterior open-bite extraction and nonextraction treatment in the permanent dentition. American Journal of Orthodontics and Dentofacial Orthopedics. 2006; 129: 768–774.
[19] Ozdemir F, Tozlu M, Germec Cakan D. Quantitative evaluation of alveolar cortical bone density in adults with different vertical facial types using cone-beam computed tomography. The Korean Journal of Orthodontics. 2014; 44: 36.
[20] Li Y, Tang N, Xu Z, Feng X, Yang L, Zhao Z. Bidimensional techniques for stronger anterior torque control in extraction cases: a combined clinical and typodont study. The Angle Orthodontist. 2012; 82: 715–722.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.
Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.
JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.
Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.
BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Scopus: CiteScore 1.8 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Top