Introduction: Anterior open bite results from the combined influences of skeletal, dental, functional, and habitual factors. The long-term stability of anterior open bite corrected with absolute anchorage has not been thoroughly investigated. The purpose of this study was to examine the long-term stability of anterior open-bite correction with intrusion of the maxillary posterior teeth.
Methods: Nine adults with anterior open bite were treated by intrusion of the maxillary posterior teeth. Lateral cephalographs were taken immediately before and after treatment, 1 year posttreatment, and 3 years posttreatment to evaluate the postintrusion stability of the maxillary posterior teeth.
Results: On average, the maxillary first molars were intruded by 2.39 mm (P<0.01) during treatment and erupted by 0.45 mm (P<0.05) at the 3-year follow-up, for a relapse rate of 22.88%. Eighty percent of the total relapse of the intruded maxillary first molars occurred during the first year of retention. Incisal overbite increased by a mean of 5.56 mm (P<0.001) during treatment and decreased by a mean of 1.20 mm (P<0.05) by the end of the 3-year follow-up period, for a relapse rate of 17.00%. Incisal overbite significantly relapsed during the first year of retention (P<0.05) but did not exhibit significant recurrence between the 1-year and 3-year follow-ups.
Conclusions: Most relapse occurred during the first year of retention. Thus, it is reasonable to conclude that the application of an appropriate retention method during this period clearly enhances the long-term stability of the treatment.
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http://dx.doi.org/10.1016/j.ajodo.2010.04.023 | DOI Listing |
Odontology
January 2025
Division of Oral Radiology, Faculdade São Leopoldo Mandic, Rua Dr. José Rocha Junqueira 13 Campinas, São Paulo, 13045-755, Brazil.
This study evaluated the association between dental infection and maxillary sinus pathology, and the influence of age, sex, type of tooth, root proximity to the sinus floor, the condition of the primary maxillary ostium, and the presence of an accessory maxillary ostium in this process. Computed Tomography scans were selected, and upper posterior teeth were evaluated for the presence of apical periodontitis (AP), bone loss with furcation involvement, and endoperiodontal lesion (EPL), subsequently, sinuses were evaluated for mucosal thickening (MT) and opacification of the maxillary sinus (OMS). Logistic regression models were constructed, and Chi-squared and Fisher's tests were applied.
View Article and Find Full Text PDFBMJ Open
January 2025
Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
Introduction: Soft-tissue defect is commonly seen in immediate maxillary posterior implantation because of tooth extraction wound and tension from bone graft. Bone graft materials exposure has a significant detrimental influence on bone augmentation. However, previous studies lack sufficient evidence to guide wound closure after immediate posterior implantation.
View Article and Find Full Text PDFTurk J Orthod
December 2024
Karadeniz Technical University Faculty of Dentistry, Department of Orthodontics, Trabzon, Turkey.
Objective: This study aimed to evaluate the skeletal, dental, and soft tissue effects of the nickel titanium memory Leaf Expander in a growing sample of patients with unilateral posterior crossbite compared with a control group using digital models and lateral cephalometric radiographs.
Methods: The research included a total of 24 patients, 12 of whom were treated and 12 untreated. The Leaf Expander group consisted of 4 males and 8 females (mean age= 8.
BMC Oral Health
December 2024
Department of Stomatology, General Hospital of Northern Theater Command, Shenyang City, 110016, Liaoning, People's Republic of China.
Objective: Based on the critical role of implant length and placement timing in treatment success, this study aimed to compare clinical outcomes (implant failure, marginal bone loss, biological and mechanical complications) between short implants (4-8 mm) versus long implants (≥ 8 mm) with sinus floor elevation, and between delayed versus immediate placement of long implants in the posterior maxilla.
Methods: This network meta-analysis was prospectively registered in the PROSPERO database (CRD42023495027). Adhering to PRISMA-NMA guidelines, we systematically reviewed eligible studies from January 2014 to November 2024 was conducted across major databases, such as the Cochrane Library, PubMed, Embase, Scopus and Web of Science.
Am J Orthod Dentofacial Orthop
December 2024
Discipline of Orthodontics, School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Department of Orthodontics, Sydney Dental Hospital, Sydney Local Health District, Sydney, Australia; Division of Orthodontics, University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland. Electronic address:
Introduction: The dentoskeletal effects of clear aligner treatment (CAT) with Invisalign vs temporary skeletal anchorage device-anchored Sydney intrusion spring (SIS) were compared in consecutively treated growing patients with anterior open bite using cone-beam computed tomography scans.
Methods: Fifteen adolescents treated exclusively with Invisalign, and 14 with SIS (first-phase treatment) were assessed retrospectively. Rigid-wise, voxel-based registration of pretreatment and posttreatment cone-beam computed tomography scans were performed using the anterior cranial base, maxillary plane, and mandibular body as reference regions.
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