頁籤選單縮合
題 名 | Strategic Treatment Planning for Anterior Open Bite: A Comprehensive Approach |
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作 者 | Hsu, Jo-yun; Cheng, Johnson Hsin-chung; Feng, Sheng-wei; Lai, Pin-chuang; Yoshida, Noriaki; Chiang, Pao-chang; | 書刊名 | Journal of Dental Sciences |
卷 期 | 19:3 2024.07[民113.07] |
頁 次 | 頁1328-1337 |
分類號 | 416.97 |
關鍵詞 | Anterior open bite; AOB; Extractions; Habit correction; Mini-screws; Oral myofunctional therapy; OMT; Stability; |
語 文 | 英文(English) |
DOI | 10.1016/j.jds.2024.04.001 |
英文摘要 | Anterior open bite (AOB), characterized by the lack of vertical overlap between upper and lower anterior teeth, poses a considerable challenge in orthodontics. The condition depends on many factors that combine to render it difficult to achieve post treatment stability. AOB is commonly classified as dental, skeletal, or functional on the basis of the clinical presentation and causative factors. Traditionally, skeletal AOB necessitates surgical intervention, whereas nonsurgical approaches such as extrusion arches and the Multiloop Edgewise Archwire Technique (MEAW) can be employed in more straightforward cases. Functional appliances are reserved for situations in which a patient's growth potential offers the possibility of effectively addressing AOB. This review presents a strategic treatment approach for addressing AOB, taking into account the classification and severity of the condition. The proposed SHE framework describes the use of mini-screws (S) for anchorage and vertical control, encouragement to correct habits (H), and the utilization of extractions and elastics (E). By incorporating extra-radicular mini-screws, AOB closure is achieved through anterior retraction in extraction cases or whole arch distalization of dentition with elastics in non-extraction cases. This framework emphasizes habit correction through a regimen of oral myofunctional therapy (OMT) and habit-correcting appliances to enhance posttreatment stability. This review suggests that nonsurgical correction is viable in the majority of cases, whereas surgical intervention should be reserved for severe cases of skeletal vertical overgrowth or horizontal discrepancies. |
本系統中英文摘要資訊取自各篇刊載內容。