回顾前牙开合的非外科处理.pdfVIP

Nonsurgical Management of the Anterior Open Bite: A Review of the Options Richard A. Beane,Jr The open bite malocclusion has been described as being of 2 types: dental and skeletal. Proper differentiation is essential in determining the appropri- ate corrective measures. Dental open bites are generally more responsive to treatment with orthodontics alone, whereas skeletal open bites often require a combination of orthodontics and orthognathic surgery. Patient selection and treatment principles for nonsurgical open bite treatment are discussed, and a review of various methods of treatment for the skeletal open bite is presented. Posttreatment stability and retention concerns are addressed. (Semin Orthod 1999;5:275-283.) Copyright © 1999 by W.B. Saun- ders Company he open bite malocclusion is a c o m m o n skeletal or dental. The dental open bite is associ- T clinical entity and has long been recognized ated with the following characteristics: normal as one of the more difficult problems to treat craniofacial pattern, proclined incisors, under- successfully. Although much attention has been erupted anterior teeth, normal or slightly exces- devoted to the open bite problem, there remains sive molar height, and thumb or fingersucking controversy as to the factors contributing to an habits. The open bite is generally found in the open bite and, consequently, there is often lack anterior region within the area of the cuspids of agreement