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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Erschienen in:

19.04.2022 | Review Article

Functional orthopedic treatment for anterior open bite in children. A systematic review of randomized clinical trials

verfasst von: Professor Elaine Marcílio Santos, PhD, Professor Sandra Kalil Bussadori, PhD, Professor Anna Carolina Ratto Tempestini Horliana, PhD, Professor Caroline Moraes Moriyama, PhD, Professor Lara Jansiski Motta, PhD, Carla Pecoraro, Professor Ana Luiza Cabrera Martimbianco, PhD

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Ausgabe 6/2023

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Abstract

Purpose

This systematic review aimed to assess the effects of orthopedic functional appliances for anterior open bite (AOB) in primary or mixed dentition children.

Methods

A search for randomized controlled trials (RCT) was conducted in November 2020 in electronic databases with no data or language restrictions. Primary outcomes were skeletal cephalometric variables and adverse events. We used the Cochrane risk-of-bias tool to assess methodological quality and the GRADE approach to assess the certainty of the evidence.

Results

We identified five RCTs (220 participants). Very low certainty evidence showed an improvement in overbite (mean difference [MD] 3.60; 95% confidence interval [CI] 2.63–4.57) and in the angulation of the upper incisors to the palatal plane (MD 3.70; 95% CI 0.85–6.55) with Frankel’s functional regulator, compared to no treatment. There was no difference in the measured cephalometric variables when comparing removable palatal crib to fixed palatal crib, bonded spurs, and chin cup. When comparing removable versus magnetic bite blocks, a beneficial effect was observed in overbite, overjet, skeletal anteroposterior angular measurements, and skeletal vertical linear measures in the magnetic group. No adverse events were reported.

Conclusion

There was insufficient evidence to infer the effects of these treatments for AOB, and high-quality RCTs are needed to increase the estimated effects.

PROSPERO register

CRD42020175634, prospectively registered (05 July 2020).

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Titel: Functional orthopedic treatment for anterior open bite in children. A systematic review of randomized clinical trials
verfasst von: Professor Elaine Marcílio Santos, PhD
Professor Sandra Kalil Bussadori, PhD
Professor Anna Carolina Ratto Tempestini Horliana, PhD
Professor Caroline Moraes Moriyama, PhD
Professor Lara Jansiski Motta, PhD
Carla Pecoraro
Professor Ana Luiza Cabrera Martimbianco, PhD
Publikationsdatum: 19.04.2022
Verlag: Springer Medizin
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe 6/2023
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-022-00388-5

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Functional orthopedic treatment for anterior open bite in children. A systematic review of randomized clinical trials