ArticleClinical oral investigations2024
Noninvasive conservative management of anterior open bite treated with TADs versus clear aligner therapy.
Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.
- Clear aligner therapy for adult anterior open bite: a systematic review, descriptive evidence map, and certainty appraisal of reported dentoskeletal changes.BMC oral health · 2026Pooled it
- [Advancements in biomechanics and orthodontic strategies for clear aligner therapy].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026Pooled it
- Effectiveness of aligners to correct vertical malocclusions in adult patients : Systematic review.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026Review
- Clinical Performance of Infrazygomatic Crest Miniscrews Placed Without Surgical Guides: A Retrospective Study with 30-Month Follow-Up.Bioengineering (Basel, Switzerland) · 2026Article
- Combined use of clear aligners and mini-screws for intrusion of the maxillary first and second molars before prosthetic restoration: a finite element analysis.BMC oral health · 2026Article
- The true dentoskeletal changes following miniscrew-assisted molar intrusion in anterior open bite: a superimposition study on mandibular autorotation.BMC oral health · 2026Article
- [Research advances in clear aligner].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026Review
- Incisor extrusion with or without molar intrusion for the correction of anterior open bite with clear aligners and comparison of outcomes with fixed appliances incorporating temporary anchorage devices: A systematic review and meta-analysis.Korean journal of orthodontics · 2026Article
- Scoping Review-The Effectiveness of Clear Aligners in the Management of Anterior Open Bite in Adult Patients.Medicina (Kaunas, Lithuania) · 2025Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAnterior open bite can be treated non-surgically via molar intrusion using temporary skeletal devices (TAD). Clear aligner therapy (CAT) is recognized as a viable therapeutic modality for non-extraction treatment of adults with mild open bite. This study aimed to compare the treatment effect and mechanisms of open bite closure between patients treated with braces and TADs double arch intrusion and those treated with CAT. Treatment success at T3 was based on 1- positive overbite on ceph; 2- Change in the vertical dimension 3- post treatment POSI score equal to zero. MATERIAL AND
methodsThe TAD group includes 18 consecutively treated patients from the main author. The CAT group consisted of 16 selected patients from three different orthodontists. The observation time points were as follows: pretreatment (T1), end of molar intrusion and positive overbite achieved (T2), end of treatment (T3), at least 6-month follow-up (T4). Treatment changes were assessed by cephalometric analysis and frontal intraoral photo.
resultsAt the end of treatment, 100% of the patient of the TAD group and 78,6% of the CAT group had a posi score of 0. The TAD group showed a significant reduction in vertical measurements (SN-MPA: -1,55° ± 0.41, LAFH: -3,05 ± 0.51 mm, U6-PP: -1.48 ± 0.30 mm), but the CAT group did not have significant changes for these variables. Both groups had significant increases in overbite from T1 to T3 (TAD: 4,32 ± 0,5 mm; CAT: 2,33 ± 0.56 mm), and overbite remained stable at T4. The CAT group did not have a significant upper molar intrusion, but a significant extrusion of 1.22 ± 0.42 mm of the lower incisor occurred.
conclusionThe TAD group achieved bite closure by upper molar intrusion, lower molar and incisors vertical control, and mandibular plane counterclockwise rotation, resulting in an improved AP and vertical relationship. The CAT group achieved bite closure through the lower incisor extrusion without significant change in the vertical dimension. CLINICAL RELEVANCE: This study provides relevant information about the skeletal and dental changes of open bite treatment with TADs double arch intrusion. The comparison with a control group treated with CAT confirms known information.
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