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[Anterior open bite]
T J Hoppenreijs1, F P van der Linden
1Afdeling Mond- en Kaakchirurgie, Academisch Ziekenhuis te Nijmegen.
Nederlands Tijdschrift Voor Tandheelkunde
|November 1, 1992
Summary
Many Dutch adults have an open bite, where lower teeth don't touch upper teeth, often due to tongue thrusting. Surgical and orthodontic treatments can correct severe cases, but tongue-thrust-related open bites may recur.
Area of Science:
- Dentistry and Oral Surgery
- Orthodontics
- Maxillofacial Surgery
Context:
- Prevalence of open bite malocclusion in the Dutch population, affecting nearly 50%.
- Association of open bite with tongue interposition and functional disturbances like digit sucking.
- Challenges in achieving complete incisor contact, particularly with tongue thrusting.
Purpose:
- To discuss the treatment of severe open bites with significant facial deformity.
- To highlight the essential collaboration between orthodontists and oral surgeons.
- To address the long-term stability of open bite correction, especially when related to tongue habits.
Summary:
- Severe open bites with facial deformities are treatable with combined orthodontic-surgical approaches post-growth.
- Surgical correction of facial deformity offers permanent results.
- Open bites caused by tongue interposition may not achieve complete contact and can relapse over time.
Impact:
- Establishes the effectiveness of multidisciplinary treatment for severe open bite cases.
- Underscores the limitations of current treatments for tongue-thrust-related open bites.
- Informs patients and clinicians about the potential for relapse in certain types of open bite malocclusion.