Patient Satisfaction with Anterior Bite Turbos: A Prospective Clinical Trial

Background: Bonded composite bite turbos are an efficient tool in the treatment of deep bite malocclusion. Patient satisfaction with orthodontic appliances has been correlated with treatment success. The aim of this study is to evaluate the level of patient satisfaction associated with bonded composite anterior bite turbos in deep bite treatment. Materials and Methods: This study was a one-arm prospective clinical study. Sixty patients, younger than 25 years old with permanent dentition and increased anterior overbite were treated with composite bite turbos bonded to the maxillary central incisors. A questionnaire form using the Likert scale with five responses (Very Unpleasant, Unpleasant, Acceptable, Pleasant, and Very Pleasant) was used by patients to document their satisfaction and feedback regarding the bite turbos after 1 week and 1 month. Statistical analyses with the chi-squared test was used to analyze the data for statistical significance. Results: Spearman's correlation coefficient was used to determine the correlation between age and satisfaction score, while the Mann-Whitney U test was used to compare the satisfaction scores between males and females. There was a statistically significant difference between all patient responses after 1 week and 1 month. A significant decline occurred in the unpleasant response from 10% after 1 week to 0% after 1 month; acceptable response from 36.7% after 1 week to 3.3% after 1 month. There was a statistically significant increase in the pleasant and very pleasant responses. Minor speech and eating difficulties were reported during the first week by 46.7% of patients. Conclusions: Anterior bite turbos made from Triad Gel and bonded to palatal surfaces of both maxillary central incisors using a Mini-Mold tip with 5 mm depth tip will most likely lead to an acceptance rate of 90% after 1 week and 100% acceptance rate after 1 month, without any problems in 53.3% of the patients. Short follow-up periods and lack of control group are the main limitations in this study. Trial registration: Registered at ClinicalTrials.gov (NCT07143916).