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Etiology of anterior open bite: a review

Ätiologie des frontalen offenen Bisses: Ein Review

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Abstract

Objectives

Presentation of different causes described in the literature for development of anterior apertognathia.

Methods

A review about data referring to patients limited in their anterior tooth function through the positioning of their teeth has been performed. Electronic data bases, two libraries have been searched for information. Of the identified titles 357 articles and chapters were selected. 43 of these were considered.

Results

Aetiology classifications are inconstant and author dependent, but mostly differentiated into genetic and environmental causes. Specifically named are: habit, tongue, airway obstruction, neuromuscular deficiency, trauma, rheumatoid disease, posture and posterior discrepancy.

Conclusions

Many different factors can be relevant for the development of apertognathia and have to be considered. Further research could help differentiating which of the partially contradictory statements are true.

Zusammenfassung

Ziel

Die Darstellung der verschiedenen in der Literatur beschriebenen Ursachen für das Entstehen von anterioren Apertognathien.

Methode

Es erfolgte eine systematische Suche von Veröffentlichungen zu Patienten, die durch ihre Zahnstellung in der Funktion der Schneidezähne eingeschränkt sind. Elektronischer Datenbanken und zwei Bibliotheken wurden zur Datensammlung herangezogen. Von den gefundenen Titeln wurden 357 genauer bearbeitet und 43 letztendlich verwendet.

Ergebnisse

Die Einteilung der Ursachen kann je nach Autor unterschiedlich sein, lässt sich aber generalisiert in genetisch und umweltbedingt einteilen. Genannt werden dabei: Habits, die Zunge im Speziellen, neuromuskuläre Defizite, Atemwegsobstruktionen, Haltung, posteriorer Platzmangel, Trauma und rheumatoide Erkrankungen.

Schlussfolgerung

Viele verschiedene Faktoren können bei der Entwicklung dieser Dysgnathie relevant sein und müssen bei der Diagnose in Betracht gezogen werden. Weitere Forschung in diesem Bereich könnte zeigen, welche der zum Teil widersprüchlichen Aussagen zutreffend sind.

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References

  1. Alexander RG (2011) Factors related to relapse. The Alexander Discipline: long-term stability. Band 2. Chicago Berlin Tokyo London Paris Milan Barcelona Istanbul Sao Paulo New Delhi Moscow Prag Warsaw:Quintessence Pub., pp 165–186

  2. Arnett GW, Milam SB, Gottesman L (1996) Progressive mandibular retrusion-idiopathic condylar resorption. Part I. Am J Orthod Dentofac Orthop 110:8–15

    Article  Google Scholar 

  3. Arriola-Guillén LE, Flores-Mir C (2014) Molar heights and incisor inclinations in adults with Class II and Class III skeletal open-bite malocclusions. Am J Orthod Dentofac Orthop 145:325–332

    Article  Google Scholar 

  4. Baek M-S, Choi Y-J, Yu H-S et al (2010) Long-term stability of anterior open-bite treatment by intrusion of maxillary posterior teeth. Am J Orthod Dentofac Orthop 138(396):e1–e9

    Google Scholar 

  5. Beane RAJ (1999) Nonsurgical management of the anterior open bite: a review of the options. Semin Orthod 5:275–283

    Article  PubMed  Google Scholar 

  6. Björk A (1969) Prediction of mandibular growth rotation. Am J Orthod 55:585–599

    Article  PubMed  Google Scholar 

  7. de Castro Cabrera M, Cabrera CAG, de Freitas KMS et al (2010) Lateral open bite: treatment and stability. Am J Orthod Dentofac Orthop 137:701–711

    Article  Google Scholar 

  8. Castroflorio T, Titolo C, Deregibus A et al (2007) The orthodontic treatment of TMD patients: EMG effects of a functional appliance. Cranio 25:206–212

    Article  PubMed  Google Scholar 

  9. Cozza P, Mucedero M, Baccetti T et al (2005) Early orthodontic treatment of skeletal open-bite malocclusion: a systematic review. Angle Orthod 75:707–713

    PubMed  Google Scholar 

  10. von Cramon-Taubadel N (2011) Global human mandibular variation reflects differences in agricultural and hunter-gatherer subsistence strategies. Proc Natl Acad Sci USA 108:19546–19551

    Article  Google Scholar 

  11. Farronato G, Giannini L, Galbiati G et al (2013) Orthodontic-surgical treatment: neuromuscular evaluation in open and deep skeletal bite patients. Prog Orthod 14:41–47

    Article  PubMed  PubMed Central  Google Scholar 

  12. Fröhlich K, Thüer U, Ingervall B (1991) Pressure from the tongue on the teeth in young adults. Angle Orthod 61:17–24

    PubMed  Google Scholar 

  13. Goldberg AI, Behrents RG, Oliver DR et al (2013) Facial divergence and mandibular crowding in treated subjects. Angle Orthod 83:381–388

    Article  PubMed  Google Scholar 

  14. Joondeph DR (2012) Stability, retention, and relapse. In: Graber LW, Vanarsdall RL, Vig KWL (eds) Orthodontics. Current principles and techniques. Elsevier Mosby, Philadelphia, pp 991–1017

    Google Scholar 

  15. Klocke A, Nanda RS, Kahl-Nieke B (2002) Anterior open bite in the deciduous dentition: longitudinal follow-up and craniofacial growth considerations. Am J Orthod Dentofac Orthop 122:353–358

    Article  Google Scholar 

  16. Kuroda S, Tanimoto K, Izawa T et al (2009) Biomechanical and biochemical characteristics of the mandibular condylar cartilage. Osteoarthr Cartil 17:1408–1415

    Article  PubMed  Google Scholar 

  17. Lentini-Oliveira DA, Carvalho FR, Ye Q et al (2007) Orthodontic and orthopaedic treatment for anterior open bite in children. Cochrane Libr 2:1–24

    Google Scholar 

  18. Lin LH, Huang GW, Chen CS (2013) Etiology and treatment modalities of anterior open bite malocclusion. J Exp Clin Med 5:1–4

    Article  Google Scholar 

  19. Matsumoto MAN, Romano FL, Ferreira JTL et al (2012) Open bite: diagnosis, treatment and stability. Braz Dent J 23:768–778

    Article  PubMed  Google Scholar 

  20. Merrifield LL (1978) Differential diagnosis with total space analysis. J CH Tweed Found 6:10–15

    Google Scholar 

  21. Miethke RR (2000) Schädelentwicklung. In: Diedrich P (ed) Kieferorthopädie. Orofaziale Entwicklung und Diagnostik. Elsevier Urban & Fischer, München, pp 17–45

    Google Scholar 

  22. Ng CST, Wong WKR, Hagg U (2008) Orthodontic treatment of anterior open bite. Int J Paediatr Dent 18:78–83

    PubMed  Google Scholar 

  23. Ngan P, Fields HW (1997) Open bite: a review of etiology and management. Pediatr Dent 19:91–98

    PubMed  Google Scholar 

  24. Normando D, Almeida MAO, Quintão CCA (2013) Dental crowding: the role of genetics and tooth wear. Angle Orthod 83:10–15

    Article  PubMed  Google Scholar 

  25. Piancino MG, Isola G, Merlo A et al (2012) Chewing pattern and muscular activation in open bite patients. J Electromyogr Kinesiol 22:273–279

    Article  PubMed  Google Scholar 

  26. Proffit WR, Fields HW, Sarver DMS (2007) Contemporary orthodontics, 4th edn. Mosby Elsevier, St. Louis, p 751

    Google Scholar 

  27. Ribeiro GLU, Regis S, de Morais Alves da Cunha T et al (2010) Multiloop edgewise archwire in the treatment of a patient with an anterior open bite and a long face. Am J Orthod Dentofac Orthop 138:89–95

    Article  Google Scholar 

  28. Sasaguri K, Ishizaki-Takeuchi R, Kuramae S et al (2009) The temporomandibular joint in a rheumatoid arthritis patient after orthodontic treatment. Angle Orthod 79:804–811

    Article  PubMed  Google Scholar 

  29. Sato S, Kaneko M, Sasaguri K (2005) Different treatment mechanics for orthodontic correction of class II and class III open bite malocclusions. Informationen aus Orthod Kieferorthopädie 37:100–111

    Article  Google Scholar 

  30. Sato S (2002) The dynamic functional anatomy of the craniofacial complex and its relation to the articulations of dentition. In: Slavicek R (ed) The masticatory organ-functions and dysfunctions. GAMMA Medizinisch-wissenschaftliche Fortbildungs-AG, Klosterneuburg, pp 484–515

    Google Scholar 

  31. Sato S, Akimoto S, Shinji H (2005) Development and orthodontic treatment of class III malocclusion. Informationen aus Orthod Kieferorthopädie 37:87–99

    Article  Google Scholar 

  32. Sato S, Onodera K, Takashina H et al (2003) A consideration of posterior discrepancy in cases of crowding malocclusion: implications for orthodontic treatment. Bull Kanagawa Dent Coll 31:131–141

    Google Scholar 

  33. Sidebottom AJ, Salha R (2013) Management of the temporomandibular joint in rheumatoid disorders. Br J Oral Maxillofac Surg 51:191–198

    Article  PubMed  Google Scholar 

  34. Smithpeter J, Covell DJ (2010) Relapse of anterior open bites treated with orthodontic appliances with and without orofacial myofunctional therapy. Am J Orthod Dentofac Orthop 137:605–614

    Article  Google Scholar 

  35. Subtelny JD, Sakuda M (1964) Open-bite: diagnosis and treatment. Am J Orthod Dentofac Orthop 50:337–358

    Article  Google Scholar 

  36. Tanaka E, Detamore MS, Mercuri LG (2008) Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res 87:296–307

    Article  PubMed  Google Scholar 

  37. Tanaka EM, Sato S (2008) Longitudinal alteration of the occlusal plane and development of different dentoskeletal frames during growth. Am J Orthod Dentofac Orthop 134:602.e1–602.e11

  38. Uribe FA, Nanda R (2010) Efficient mechanics and appliances to correct vertical excess and open bite. In: Nanda R, Kapila S (eds) Current therapy in orthodontics. St. Louis, Elsevier Mosby, pp 171–185

    Chapter  Google Scholar 

  39. Uribe FA, Nanda R (2005) Managment of open bite malocclusion. In: Nanda R (ed) Biomechanics and esthetic strategies in clinical orthodontics. St. Louis, Elsevier Saunders, pp 156–176

    Chapter  Google Scholar 

  40. Wanjau J, Sethusa MPS (2010) Etiology and pathogenesis of anterior open bite: a review. East Afr Med J 87:452–455

    PubMed  Google Scholar 

  41. Werres A (2007) Craniomandibular dysgnathia: orthodontic classification, assessment and management. In: von Piekartz HJM (ed) Craniofacial pain. Elsevier Butterworth Heinemann, Philadelphia, pp 285–294

    Chapter  Google Scholar 

  42. Worms FW, Meskin LH, Isaacson RJ (1971) Open-bite. Am J Orthod 59:589–595

    Article  PubMed  Google Scholar 

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Correspondence to Christina Rijpstra.

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Christina Rijpstra and Jörg Alexander Lisson state that there are no conflicts of interest.

The accompanying manuscript does not include studies on humans or animals.

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Prof. Dr. Jörg Alexander Lisson.

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

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