Oral Health and Dental Management

Long-term stability of anterior open-bite correction in mixed dentition with an innovative therapeutic protocol

24^th International Conference and Exhibition on Dentistry & Oral Health

April 17-19, 2017 Dubai, UAE

Daniel Celli and Enrico Gasperoni

Catholic University of the Sacred Heart, Italy

Posters & Accepted Abstracts: Oral Health Dent Manag

Abstract:

Statement of the Problem: An anterior open bite is a definite lack of contact, in the vertical direction, between the incisal edges of the maxillary and mandibular anterior teeth. Good results in terms of function, aesthetics and stability are usually difficult to be obtained when treating open bite malocclusions. The purpose of this study is to describe an original protocol developed in order to treat this kind of malocclusions successfully. Materials & Methods: The new non-extractive protocol involves the smart use of several therapeutic means such as rapid maxillary expander, mandibular lingual arch and/or lip bumper, occlusal grinding of deciduous first and second molars, lingual grid, myofunctional exercises and fixed straight wire appliances. Results: Cases treated using this protocol is described and their long term stability is assessed. Conclusions: The proposed therapeutic protocol seems to give good results in terms of oral health, malocclusion correction, disappearance of relationship problems and stability seven years after the completion of treatment. Selective grinding of deciduous teeth permits to obtain fast therapeutic results with minimally invasive and transitional effects for dental tissues. Its effect, coupled with rapid expansion of the palate, mandibular lingual arch, lingual grid and myofunctional exercises, allows bite closure, which is followed and completed by fixed straight wire appliances. Any functional deficiencies or bad oral habits must be detected and corrected after the end of treatment to ensure long-term stability.

Biography :

Email: info@danielcelli.com