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Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment

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Anterior openbite malocclusion in adults.

David Gu, Brian Leroux, Sam Finkleman

The Angle Orthodontist

|September 29, 2021

Summary

Adult anterior open bite (AOB) orthodontic treatment shows high stability and patient satisfaction, irrespective of the chosen treatment or retainer method. Factors like extractions and initial lower incisor position influenced stability in fixed appliance cases.

Keywords:

Anterior openbite Retention Satisfaction Stability

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Area of Science:

Orthodontics
Dental Research
Patient Outcomes

Background:

Anterior open bite (AOB) presents a complex orthodontic challenge in adults.
Long-term stability and patient satisfaction are crucial metrics for evaluating AOB treatment efficacy.

Purpose of the Study:

To assess the post-treatment stability and patient satisfaction in adults with anterior open bite (AOB).
To identify patient and practitioner factors associated with treatment stability and satisfaction.

Main Methods:

112 adult AOB patients were evaluated at a mean of 1.21 years post-treatment.
Stability assessed via post-treatment intraoral photographs; satisfaction via questionnaires.
Treatments included aligners, fixed appliances, TADs, and orthognathic surgery; extractions and retention types/regimens were analyzed.

Main Results:

Overall treatment stability ranged from 65% to 89%.
No significant differences in stability or satisfaction were found across different treatment modalities or retention types/regimens.
Extractions and reduced initial lower incisor proclination correlated with better stability in fixed appliance treatments.

Conclusions:

Adult AOB orthodontic treatment demonstrates high stability and patient satisfaction.
Treatment and retainer choices did not significantly impact long-term stability or satisfaction levels.