Early treatment of anterior open bite

Authors

DOI:

https://doi.org/10.33448/rsd-v14i4.48623

Keywords:

Anterior open bite; Growth; Malocclusion.

Abstract

This study aimed to analyze, through a narrative review, the early treatment of anterior open bite, highlighting its main characteristics and the most commonly used interventions. Anterior open bite is characterized by a type of malocclusion that is highly prevalent in young patients where there is a negative vertical overlap between the anterior teeth. Selected studies that directly addressed anterior open bite were used for the development of this work. The results showed how this condition can be classified as dentoalveolar and skeletal, directly interfering with the growth and development of facial structures, thus impairing the basic functions of the stomatognathic system such as chewing, phonetics, swallowing, facial growth and aesthetics. Anterior open bite presented a multifactorial etiology including genetic and environmental causes; factors that generate the worsening of this condition over time, leading to great difficulty in the therapeutic approach. It was concluded that early treatment in cases of dentoalveolar anterior open bite is based on the interruption of deleterious habits, and in situations of skeletal origin, it is based on orthopedic growth control. Therefore, early intervention is extremely important to achieve adequate growth of the maxillomandibular joint, thus avoiding more complex interventions later on.

References

Almeida, R. R, Almeida. P. R. R., Almeida, M. R., Ferreira, F. P. C., Pizan, A., & Insabralde, C. M. B. (2003). Vertical dysplasias: anterior open bite - treatment and stability Dental Press Journal of Orthodontics, 8(4), 91-119. https://pesquisa.bvsalud.org/portal/resource/pt/lil-387277

Almeida, R. R., Garib, D. G., Henriques, J. F. C., Almeida, M. R., & Almeida, R. R. (1999). Ortodontia Preventiva e Interceptora: Mito ou Realidade?. Dental Press Journal of Orthodontics 4(6), 87-108. https://www.researchgate.net/publication/295853967_Ortodontia_Preventiva_e_Interceptora_Mito_ou_Realidade

Antoun, T. R. A., Santos, D. C. L., Flaiban, E., Negrete, D., Bortolin, R., & Santos, R. L. (2018). Mordida aberta anterior-uma revisão da literatura. Rev. Odontol. Univ. Cid, 30(2),190-199. http://publicacoes.unicid.edu.br/index.php/revistadaodontologia/article/view/682/629

Artese, A., Drummond, S., Nascimento, J. M., & Artese, F. (2011). Criteria for diagnosing and treating anterior open bite with stability

. Dental Press Journal of Orthodontics, 16(3), 136-16. https://doi.org/10.1590/S2176-94512011000300016

Batista, L. T. (2023). Mordida Aberta Anterior (MAA): revisão de literatura. (Monografia). Faculdade Sete Lagoas, Lavras. https://faculdadefacsete.edu.br/monografia/files/original/8dd104aec92811e896bcb35ef3a1289a.pdf

Cenzato, N.; Lannotti, L.; & Maspero, C. (2021). Open bite and atypical swallowing: orthodontic treatment, speech therapy or both? A literature review. European Journal of Paediatric Dentistry, 22(4), 286-290. https://doi.org/10.23804/ejpd.2021.22.04.5

Casarin, S. T. et al. (2020). Tipos de revisão de literatura: considerações das editoras do Journal of Nursing and Health. Journal of Nursing and Health. 10(5). https://periodicos.ufpel.edu.br/index.php/enfermagem/article/view/19924

Chaves, N. R. B. (2018). Mordida aberta: etiologia e fatores associados. (Monografia). Faculdade Sete Lagoas, São Luís. https://faculdadefacsete.edu.br/monografia/items/show/6203

Laudadio, C., Inchingolo, A. D., Malcangi, G., Limongelli, L., Marinelli, G., Coloccia, G., Montenegro, V., Patano, A., Inchibgolo, F., Bordea, I. R., Scarano, A., Lucchina, A. G., Lorusso, F., Inchingolo, A.M., Dipalma, G., Venere, D. D., & Laforgia, A. (2021). Management of anterior open-bite in the deciduous, mixed and permanent dentition stage: a descriptive review. Journal of Biological Regulators & Homeostatic Agents, 35(2), 271-281.

https://doi.org/10.23812/21-2supp1-27

Leal, F. F. L., Barbosa, O. L. C., Christovam, I. F. O., & Barbosa, C. C. N. (2021). Interceptative treatment of previous open bite to improve quality of life: literature REVIEW. Brazilian Journal of Surgery and Clinical Research –BJSCR, 36(3), 29-32.

https://scholar.google.com.br/scholar?hl=pt-br&as_sdt=0%2c5&q=tratamento+interceptativo+da+mordida+aberta+anterior+para+melhora+da+ qualidade+de+vida%3a+revis%c3%83o+de+literatura&btng=

Leite, J. L.. Matiussi, L. B., Salem, A. C., Provenzano, M. G. A., & Ramos, A, L. (2016). Effects of palatal crib and bonded spurs in early treatment of anterior open bite: A prospective randomized clinical study. Angle Orthod, 86(5), 734–739. https://doi.org/ 10.2319/031815-170.1

Maia, S. A., Almeida, M.E. C., Costa, A. M. M., Raveli, D. B., & Dib, L. S, (2008). Diferentes abordagens no tratamento da mordida aberta anterior. ConScientiae Saúde, 7(1), 77-82. https://doi.org/10.5585/conssaude.v7i1.720

Matos, B. S., Carvalho, E. M. L., Gonçalves, G. S., & Silva, L, L, H., (2019). Etiologia, diagnóstico e tratamento da mordida aberta anterior na dentadura mista. Revista Rede de Cuidados em Saúde, 13(1) 21-3. https://fi-admin.bvsalud.org/document/view/87a83

Mattos, P. C. (2015). Tipos de revisão de literatura. Unesp, 1-9. https://www.fca.unesp.br/Home/Biblioteca/tipos-de-evisao-de-literatura.pdf

Matsumoto, M. A. N.. Romano, F. L., Ferreira, J. T. L., & Valério, R. A. (2012). Open Bite: Diagnosis, Treatment and Stability. Braz Dent J, 3(6), 768-778. https://doi.org/10.1590/S0103-64402012000600024

Medeiros, A. P. M. (2015). Protocolo de Terapia Miofuncional Orofacial para crianças com Mordida Aberta Anterior. (Tese de dotourado) Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto.

https://scholar.google.com.br/scholar?hl=pt-BR&as_sdt=0%2C5&q=Protocolo+de+Terapia+Miofuncional+Orofacial+para+crian%C3%A7as+com+ Mordida+Aberta+Anterior&btnG=

Michl, P., Broniš, T., Sedlatá, E, J., Heinz, P., Pink, R., Šebek, J., Mottl, R., Dvořák, Z., & Tvrdý, P. (2021) Anterior open bite - diagnostics and therapy. Acta Chirurgiae Plasticae, 63(4), 181-184. https://doi.org/10.48095/ccachp2021181

Montanare, M. (2013). Mordida aberta anterior. (Trabalho de Conclusão de Curso). Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Araçatuba. https://repositorio.unesp.br/items/5d31290b-090b-42c0-8ce6-2e1887944894/full

Oliveira, A. P. B. (2015). Tratamento da mordida aberta anterior na fase de dentadura mista. (Trabalho de Conclusão de Curso) Curso de Odontologia, Universidade Estadual de Londrina, Londrina. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjQq_yo 8bmMAxVqp5UCHVoJEwsQFnoECBkQAQ&url=http%3A%2F%2Fwww.uel.br%2Fgraduacao%2Fodontologia%2Fportal%2Fpages%2Farquivos%2FTCC2015%2FANA%2520PAULA%2520BUENO%2520DE%2520OLIVEIRA.pdf&usg=AOvVaw0riX2j2zWMgcY5qqCC-wuy&opi=89978449

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Editora UAB/NTE/UFSM

Pisani, L., Bonoccorso, L., Fastuca, R., Spena, R., Lombardo, L., & Caprioglio, A. (2016). Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition. Progress in Orthodontics, 17(1), 28. https://doi.org/10.1186/s40510-016-0142-0

Reicheart, I.; Figel, P.; & Winchester, L. (2014). Orthodontic treatment of anterior open bite: a review article—is surgery always necessary?. Oral Maxillofac Surg,ery, 18(3), 271-277. https://doi.org/10.1007/s10006-013-0430-5

Rijpstra, C. & Lisson J, A. (2016). Etiology of anterior open bite: a review. J Orofac OrthopV , 77(4), 281–286. https://doi.org/10.1007/s00056-016-0029-1

Rossato, P. H., Bayer, L. B., Almeida, R, R., Conti, A. C. C. F., Fernandes, T. M. F., & Oltramari, P. V. P. (2021). Clinical complications during early treatment of anterior open bite. Original Research Orthodontics. 081(35). https://doi.org/10.1590/1807-3107bor-2021.vol35.0081

Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paul. Enferm. 20(2). https://doi.org/10.1590/S0103-21002007000200001

Siqueira, V. C. V.; Magnani, M. B. B. A.; & Neto, J. S. P. (2012). Considerations of the anterior open bite orthodontic treatment - case report. Orthodontic Science and Practice, 5(17), 102-109.

https://scholar.google.com.br/scholar?hl=pt-BR&as_sdt=0%2C5&q=Considera%C3%A7%C3%B5es+sobre+o+tratamento+ortod%C3%B4ntico+da+ mordida+aberta+anterior+-+relato+de+caso&btnG=

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of business research, 104, 333-339.

Stuani, M. B. S.; Stuani, A. S.;& Stuani, A. S. (2005). Modified Thurow appliance: A clinical alternative for correcting skeletal open bite. American Journal of Orthodontics and Dentofacial Orthopedics, 128(1), 118-125. https://doi.org/10.1016/j.ajodo.2005.02.014

Tavares, C. A. E. & Allgayer, S. (2019). Open bite in adult patients. Dental Press Journal of Orthodontics, 24(5), p. 69-78.

https://doi.org/10.1590/2177-6709.24.5.069-078.bbo

Published

10/04/2025

How to Cite

PASTOR, A. A. O.; SOBREIRA, C. R. Early treatment of anterior open bite. Research, Society and Development, [S. l.], v. 14, n. 4, p. e2714448623, 2025. DOI: 10.33448/rsd-v14i4.48623. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/48623. Acesso em: 29 may. 2025.

Issue

Section

Review Article