Orthodontic and orthopaedic treatment for anterior open bite in children

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dc.contributor.authorLentini-Oliveira, Debora Aparecida [UNIFESP]
dc.contributor.authorCarvalho, Fernando Rodrigues de [UNIFESP]
dc.contributor.authorRodrigues, Clarissa Garcia
dc.contributor.authorYe, Qingsong
dc.contributor.authorPrado, Lucila B. F. [UNIFESP]
dc.contributor.authorPrado, Gilmar Fernandes do [UNIFESP]
dc.contributor.authorHu, Rongdang
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionFundacao Univ Cardiol IC FUC
dc.contributor.institutionJames Cook Univ
dc.contributor.institutionWenzhou Med Univ
dc.date.accessioned2016-01-24T14:34:53Z
dc.date.available2016-01-24T14:34:53Z
dc.date.issued2014-01-01
dc.description.abstractBackgroundAnterior open bite occurs when there is a lack of vertical overlap of the upper and lower incisors. the aetiology is multifactorial including: oral habits, unfavourable growth patterns, enlarged lymphatic tissue with mouth breathing. Several treatments have been proposed to correct this malocclusion, but interventions are not supported by strong scientific evidence.ObjectivesThe aim of this systematic review was to evaluate orthodontic and orthopaedic treatments to correct anterior open bite in children.Search methodsThe following databases were searched: the Cochrane Oral Health Group's Trials Register (to 14 February 2014); the Cochrane Central Register of Controlled Trials (CENTRAL)(The Cochrane Library 2014, Issue 1); MEDLINE via OVID (1946 to 14 February 2014); EMBASE via OVID (1980 to 14 February 2014); LILACS via BIREME Virtual Health Library (1982 to 14 February 2014); BBO via BIREME Virtual Health Library (1980 to 14 February 2014); and SciELO (1997 to 14 February 2014). We searched for ongoing trials via ClinicalTrials.gov (to 14 February 2014). Chinese journals were handsearched and the bibliographies of papers were retrieved.Selection criteriaAll randomised or quasi-randomised controlled trials of orthodontic or orthopaedic treatments or both to correct anterior open bite in children.Data collection and analysisTwo review authors independently assessed the eligibility of all reports identified.Risk ratios (RRs) and corresponding 95% confidence intervals (CIs) were calculated for dichotomous data. the continuous data were expressed as described by the author.Main resultsThree randomised controlled trials were included comparing: effects of Frankel's function regulator-4 (FR-4) with lip-seal training versus no treatment; repelling-magnet splints versus bite-blocks; and palatal crib associated with high-pull chincup versus no treatment.The study comparing repelling-magnet splints versus bite-blocks could not be analysed because the authors interrupted the treatment earlier than planned due to side effects in four of ten patients.FR-4 associated with lip-seal training (RR = 0.02 (95% CI 0.00 to 0.38)) and removable palatal crib associated with high-pull chincup (RR = 0.23 (95% CI 0.11 to 0.48)) were able to correct anterior open bite.No study described: randomisation process, sample size calculation, there was not blinding in the cephalometric analysis and the two studies evaluated two interventions at the same time. These results should be therefore viewed with caution.Authors' conclusionsThere is weak evidence that the interventions FR-4 with lip-seal training and palatal crib associated with high-pull chincup are able to correct anterior open bite. Given that the trials included have potential bias, these results must be viewed with caution. Recommendations for clinical practice cannot be made based only on the results of these trials. More randomised controlled trials are needed to elucidate the interventions for treating anterior open bite.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Neurol, Neurosono Sleep Ctr, BR-01547000 São Paulo, Brazil
dc.description.affiliationFundacao Univ Cardiol IC FUC, Inst Cardiol RS, Porto Alegre, RS, Brazil
dc.description.affiliationJames Cook Univ, Sch Med & Dent, Dept Orthodont, Cairns, Australia
dc.description.affiliationUniversidade Federal de São Paulo, Dept Neurol, BR-01547000 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, Dept Neurol, BR-01547000 São Paulo, Brazil
dc.description.affiliationWenzhou Med Univ, Coll Stomatol, Orthodont Dept, Wenzhou, Peoples R China
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Neurol, Neurosono Sleep Ctr, BR-01547000 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Neurol, BR-01547000 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, Dept Neurol, BR-01547000 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipBrazilian Cochrane Centre, Brazil
dc.description.sponsorshipCochrane Oral Health Group Global Alliance, UK
dc.description.sponsorshipBritish Association of Oral Surgeons, UK
dc.description.sponsorshipBritish Orthodontic Society, UK
dc.description.sponsorshipBritish Society of Paediatric Dentistry, UK
dc.description.sponsorshipBritish Society of Periodontology, UK
dc.description.sponsorshipCanadian Dental Hygienists Association, Canada
dc.description.sponsorshipMayo Clinic, USA
dc.description.sponsorshipNational Center for Dental Hygiene Research Practice, USA
dc.description.sponsorshipNew York University College of Dentistry, USA
dc.description.sponsorshipRoyal College of Surgeons of Edinburgh, UK
dc.description.sponsorshipNational Institute for Health Research (NIHR), UK
dc.format.extent27
dc.identifierhttp://dx.doi.org/10.1002/14651858.CD005515.pub3
dc.identifier.citationCochrane Database of Systematic Reviews. Hoboken: Wiley-Blackwell, n. 9, 27 p., 2014.
dc.identifier.doi10.1002/14651858.CD005515.pub3
dc.identifier.issn1469-493X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/37098
dc.identifier.wosWOS:000347645800024
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofCochrane Database of Systematic Reviews
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectMalocclusion [therapy]en
dc.subjectOpen Bite [therapy]en
dc.subjectOrthodontic Appliances, Functionalen
dc.subjectOrthodontic Appliances, Removableen
dc.subjectOrthodontics, Corrective [methods]en
dc.subjectOrthopedic Procedures [methods]en
dc.subjectRandomized Controlled Trials as Topicen
dc.subjectAdolescenten
dc.subjectChilden
dc.subjectHumansen
dc.titleOrthodontic and orthopaedic treatment for anterior open bite in childrenen
dc.typeinfo:eu-repo/semantics/article
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