ArticleAmerican journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics2020
The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Treatment success.
Article in American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 30 citations in OpenAlex.
- Overview of the National Dental Practice-Based Research Network and Its Impact on Orthodontics.Seminars in orthodontics · 2026Article
- Influence of different malocclusion traits on overall orthodontic treatment duration.The Angle orthodontist · 2026Article
- Clear aligner therapy: a scoping review of treatment prediction, clinical effectiveness, and limitations.Frontiers in dental medicine · 2026Review
- Scoping Review-The Effectiveness of Clear Aligners in the Management of Anterior Open Bite in Adult Patients.Medicina (Kaunas, Lithuania) · 2025Article
- Treatment outcomes and short-term stability in adult anterior openbite patients treated with or without extractions: a National Dental Practice-Based Research Network study.The Angle orthodontist · 2025Article
- Treatment acceptance in adult patients with anterior open bite: A National Dental Practice-Based Research Network study.American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics · 2024Observational
- Review
- Stability of anterior open bite cases treated with upper and lower extrusion arches in adults: a follow-up study.The Angle orthodontist · 2023Article
- Treatment of anterior open bites using non-extraction clear aligner therapy in adult patients.Korean journal of orthodontics · 2022Article
- Anterior openbite malocclusion in adults.The Angle orthodontist · 2022Article
- Relevance of practice-based research to orthodontics.The Angle orthodontist · 2021Article
- The National Dental Practice-Based Research Network Adult Anterior Open Bite Study: Patient satisfaction with treatment.American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics · 2020Article
Corrections and comments
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Authors and funding
19 authors at 9 institutions in 2 countries.
Funding
Abstract
introductionAnterior open bite (AOB) continues to be a challenging malocclusion for orthodontists to treat and retain long-term. There is no consensus on which treatment modality is most successful. This study reports on the overall success rate of AOB orthodontic treatment in the adult population across the United States, as well as 4 major treatment modalities and other factors that may influence treatment success.
methodsPractitioners and their adult patients with AOB were recruited through the National Dental Practice-Based Research Network. Patient dentofacial and demographic characteristics, practitioner demographic and practice characteristics, and factors relating to orthodontic treatment were reported. Treatment success was determined from posttreatment (T2) lateral cephalometric films and intraoral frontal photographs. Treatment was categorized into 4 main groups: aligners, fixed appliances, temporary anchorage devices (TADs), and orthognathic surgery. Extractions were also evaluated. Bivariate and multivariable models were used to investigate the association between treatment success and treatment modality, pretreatment (T1) dentofacial characteristics, patient and practitioner demographics, and practice characteristics, adjusting for clustering of patients within practice.
resultsA total of 254 patients, enrolled by 84 practitioners, contributed to T2 data for this study. There were 29 patients in the aligner group, 152 in fixed appliances, 20 in TADs, and 53 in surgery. A total of 49 patients underwent extractions of teeth other than third molars. Ninety-three percent finished treatment with a positive overbite on the T2 lateral cephalogram, and 84% finished with a positive vertical overlap of all incisors. The small number of aligners and TAD patients limited the ability to compare success rates in these groups. Patients treated with orthognathic surgery had a higher rate of success compared with those treated with fixed appliances only. Treatment success was also associated with academic practice setting, T1 mandibular plane angle ≤30°, no to mild T1 crowding, and treatment duration <30 months.
conclusionsThe overall success of orthodontic treatment in adult patients with AOB who participated in this study was very high. Orthognathic surgery was the only treatment modality that exhibited a statistically higher odds of successful outcomes. Some T1 dentofacial characteristics and treatment factors were associated with the successful closure of AOB.
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