A importncia da correo precoce do deep-bite mordida profunda-ocluso coberta.

LYA Botler 11de julho 2010-07-11 A mordida profunda ou ocluso coberta tambm denominada deep- bite e uma anomalia esqueltica caracterizada pela completa cobertura do arco superior em relao arcada inferior acompanhado de padro muscular forte com caractersticas crnio faciais especficas. O tratamento deve ser encarado precocemente dado as suas repercusses funcionais no processo de crescimento e desenvolvimento crnio facial. Enfatizaremos neste trabalho as conseqncias do no tratamento precoce como travamento mandibular , problemas de ATM ,dor facial ,e apeia dos sono por falta de mordida construtiva finalidade primordial da ortopedia facial para o equilbrio do sistema crnio- mandibular .Abordaremos as modalidades de tratamento e tcnicas adotadas.Dados bibliogrficos e casustica sero anexados para melhor compreenso da matria . Justificativa GrandoG2008 publicou estudo sobre a alta prevalncia de maloclusoes na populao brasileira faixa etria entre 8 e 12 . Enfatizou que a comunidade dentaria tem que implementar polticas de sade e tratar maloclusoes precocemente. Sonnesen L,2008 relata
alto risco de problema s de AtM em crianas com maloclusoes severas entre elas a deep bite. Darendeliler N2004.constatou relao significativa biomecnica entre o angulo de rotao cndilo e a guia incisal.Atribuiu a este fator a causa dos problemas temporomandibulares. Sonnesen L,

Objetivos

Maximizing facial esthetics in a brachyfacial class II deep-bite case. Badii KK, Uribe F, Nanda R. J Clin Orthod. 2009 Sep;43(9):591-9. No abstract available. PMID: 19904052 [PubMed - indexed for MEDLINE]Related citations

Deep-bite correction using a clear aligner and intramaxillary elastics.Park JH, Kim TW.J Clin Orthod. 2009 Mar;43(3):152-7; quiz 183. No abstract available. PMID: 19458451 [PubMed indexed for MEDLINE]Related citations Myoelectricity study on wearing flat bite plate under different raised distances in deep overbite therapy Authors: Jian-Guang Xu, Xu-Xia Wang, Xu-Sheng Ren, Jun Zhang, Na Li
Hua xi kou qiang yi xue za zhi = Hu.... 07/2009; 27(3):301-4.

...) and masseter muscle (MM) after raising vertical distance of occlusion by flat bite plate during treatment of deep overbite in order to approach an optimal raised vertical distance.

METHODS: A total of 70 persons were selected and divided into two groups: Experiment group (36 patients) with deep... Results of treatment of a distal deep bite according to the cephalometric analysis

Authors: A Papazyan Georgian medical news. 11/2008;

.... While comparing results with deep distal overbite before and after orthodontic care, we were able...

Class II/2 malocclusion: early treatment with removable appliances and stability after 20 years.Ferrazzini G.Schweiz Monatsschr Zahnmed. 2008;118(9):814-9.PMID: 18846975 [PubMed - indexed for MEDLINE] Prevalence of malocclusions in a young Brazilian population.Grando G, Young AA, Vedovello Filho M, Vedovello SA, Ramirez-Yaez GO.Int J Orthod Milwaukee. 2008 Summer;19(2):13-6.PMID: 18686678 [PubMed - indexed for MEDLINE] Temporomandibular disorders and psychological status in adult patients with a deep bite. Sonnesen L, Svensson P.Eur J Orthod. 2008 Dec;30(6):621-9. Epub 2008 Aug 5.PMID: 18684706 [PubMed - indexed for MEDLINE] agittal mandibular changes with overbite correction in subjects with different mandibular growth directions: late mixed-dentition treatment effects. Woods MG.Am J Orthod Dentofacial Orthop. 2008 Mar;133(3):388-94.PMID: 18331938 [PubMed - indexed for MEDLINE]Related citations Orthodontic treatment for deep bite and retroclined upper front teeth in childrenDeclan T Millett1, Susan Cunningham2, Kevin D O'Brien3, Philip E Benson4, Alison Williams5, Cesar M de Oliveira
9.

Use of semifixed posterior bite blocks to open a deep bite. Sehgal V, Chandna A, Saini M. J Clin Orthod. 2008 Jun;42(6):358-60. No abstract available. PMID: 18791294 [PubMed - indexed for MEDLINE]Related citations

Long-term follow-up of orthodontically treated deep bite patients

Authors: Ulrike Schtz-Fransson, Krister Bjerklin, Rune Lindsten

European journal of orthodontics. 11/2006; 28(5):503-12.

...The aim of this study was to evaluate the long-term stability of corrected deep bite and mandibular anterior crowding in a sample of 62 subjects (30 patients and 32 controls). The patients began... in the treatment group (mean 0.8 mm). In the control group, the overbite underwent reverse development (bite...

Deep bite treatment in relation to mandibular growth rotation

Authors: R I Levin

86. Biomechanical aspects of mandibular growth.Ihlow D, Kubein-Meesenburg D, Fanghnel J, Bernitt K, Hahn W, Dathe H, Sadat-Khonsari R, Thieme KM, Ngerl H.Ann Anat. 2007;189(4):404-6.PMID: 17696002 [PubMed - indexed for MEDLINE] revalence of malocclusions in a young Brazilian population.Grando G Related citations 87. Cervical vertebral body fusions in patients with skeletal deep bite.Sonnesen L, Kjaer I.Eur J Orthod. 2007 Oct;29(5):464-70. Epub 2007 Aug 9.PMID: 17693430 [PubMed indexed for MEDLINE] 102.

Orthodontic treatment for deep bite and retroclined upper front teeth in children.Millett DT, Cunningham SJ, O'Brien KD, Benson P, Williams A, de Oliveira CM.University
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 7, Copyright 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
Dental School and Hospital, Oral Health and Development, Wilton, Cork, Ireland. [email protected]

Abstract
BACKGROUND: Correction of the type of dental problem where the bite is deep and the upper front teeth are retroclined (Class II division 2 malocclusion) may be carried out using different types of orthodontic treatment. However, in severe cases, surgery to the jaws in combination with orthodontics may be

required. In growing children, treatment may sometimes be carried out using special upper and lower dental braces (functional appliances) that can be removed from the mouth. In many cases this treatment does not involve taking out any permanent teeth. Often, however, further treatment is needed with fixed braces to get the best result. In other cases, treatment aims to move the upper first permanent molars backwards to provide space for the correction of the front teeth. This may be carried out by applying a force to the teeth and jaws from the back of the head using a head brace (headgear) and transmitting this force to a part of a fixed or removable dental brace. This treatment may or may not involve the removal of permanent teeth. In some cases, neither functional appliances nor headgear are required and treatment may be carried out without extraction of any permanent teeth. Instead of using a headgear, in certain cases, the back teeth are held back in other ways such as with an arch across or in contact with the front of the roof of the mouth which links two bands glued to the back teeth. Often in these cases, two permanent teeth are taken out from the middle of the upper arch (one on each side) to provide room to correct the upper front teeth. It is important for orthodontists to find out whether orthodontic treatment only, carried out without the removal of permanent teeth, in children with a Class II division 2 malocclusion produces a result which is any different from no orthodontic treatment or orthodontic treatment only involving extraction of permanent teeth. OBJECTIVES: To establish whether orthodontic treatment, carried out without the removal of permanent teeth, in children with a Class II division 2 malocclusion, produces a result which is any different from no orthodontic treatment or orthodontic treatment involving removal of permanent teeth. SEARCH STRATEGY: The Cochrane Oral Health Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE were searched. The handsearching of the main international orthodontic journals was updated to April 2006. There were no restrictions with regard to publication status or language of publication. International researchers, likely to be involved in Class II division 2 clinical trials, were contacted to identify any unpublished or ongoing trials. SELECTION CRITERIA: Trials were selected if they met the following criteria: randomised controlled trials (RCTs) and controlled clinical trials (CCTs) of orthodontic treatments to correct deep bite and retroclined upper front teeth in children. DATA COLLECTION AND ANALYSIS: Screening of eligible studies, assessment of the methodological quality of the trials and data extraction were to be conducted in duplicate and independently by two review authors. Results were to be expressed as random-effects models using mean differences for continuous outcomes and risk ratios for dichotomous outcomes with 95% confidence intervals. Heterogeneity was to be investigated including both clinical and methodological factors. MAIN RESULTS: No RCTs or CCTs were identified that assessed the treatment of Class II division 2 malocclusion in children. AUTHORS' CONCLUSIONS: It is not possible to provide any evidence-

based guidance to recommend or discourage any type of orthodontic treatment to correct Class II division 2 malocclusion in children.

Eur J Orthod. 2006 Oct;28(5):503-12.Long-term

follow-up of orthodontically treated

deep bite patients.Schtz-Fransson U, Bjerklin K, Lindsten R.Orthodontic Clinic, Mlndal,

Sweden. Abstract

The aim of this study was to evaluate the long-term stability of corrected deep bite and mandibular anterior crowding in a sample of 62 subjects (30 patients and 32 controls). The patients began treatment at a mean age of 12.2 years (SD 1.56). The treatment consisted of non-extraction and fixed appliances in 23 subjects and functional appliances in seven. The treatment group was compared with the control group with normal molar occlusion, normal overjet and overbite, no crowding, and without an orthodontic treatment need. The registrations were made on four occasions: before treatment (T1), after treatment (T2), and at two longterm follow-ups (T3 and T4). Four registrations were also made in the control group. All measurements were undertaken on plaster models and lateral cephalograms. Treatment was found to have normalized the overbite and overjet and to have eliminated the space deficiency in the mandibular anterior region. At T4, there was a minor relapse in overbite in the treatment group (mean 0.8 mm). In the control group, the overbite underwent reverse development (bite opening by 0.7 mm) during the same period. The available mandibular incisor space, however, was -0.9 mm in the treatment group and -1.8 mm in the control group. The long-term stability of the treatment results was thus good.

Computed tomographic examination of muscle volume, cross-section and density in patients with dysgnathia]Gedrange T, Hietschold V, Haase I, Haase J, Laniado M, Harzer W.Rofo. 2005 Feb;177(2):204-9. German. PMID: 15666228 [PubMed - indexed for MEDLINE] 154. A retrospective cephalometric study for the quantitative assessment of relapse factors in cover-bite treatment.Lapatki BG, Klatt A, Schulte-Mnting J, Stein S, Jonas IEJ Orofac Orthop. 2004 Nov;65(6):475-88. English, German. PMID: 15570406 [PubMed indexed for MEDLINE]Related citations 158.

[Early recognition of orthodontic problems by the general dentist during oral examination: signs which should attract attention]Bensch L.Rev Belge Med Dent. 2004;59(3):170-8. French. PMID: 15526644 [PubMed - indexed for MEDLINE]

[Early recognition of orthodontic problems by the general dentist during oral examination: signs which should attract attention]Bensch L.Abstract
The last decennia more and more patients are aware of the advantages of a good dental health. Dental minded parents in their children visit the dentist (general practitioner, GP) on a regular basis for a routine check up. During this check up, signs of possible future orthodontic problems can be encountered by the GP. In this article guidelines are handed to the GP by means of a flow chart which can be used at the end of the dental examination. Anterior/posterior relation, cross-bites, deep and open bite, habits and crowding shall be briefly discussed. Heaving knowledge of these, the GP can decide referring the patient to the orthodontist for further orthodontic evaluation.

PMID: 15526644 [PubMed - indexed for MEDLINE]

Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need.Tausche E, Luck O, Harzer W.Eur J Orthod. 2004 Jun;26(3):237-44.PMID: 15222706 [PubMed - indexed for MEDLINE]
MeSH Terms

Shanghai Kou Qiang Yi Xue. 2003 Oct;12(5):334-7.

[A clinical study of the changes of condylar position in class division 2 deep-bite patients after orthodontic treatment][Article in Chinese]Gong FF, Tao L,
Cao HJ.Department of Orthodontics, Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.

Abstract
OBJECTIVE: To observe the effects of orthodontic treatment on the changes of condylar position in Class division 2 deep-bite patients. METHODS: 11 patients with Class division 2 deep-bite malocclusion were orthodontically treated, the changes of condylar position were evaluated by means of 3D-CT and Samdiagnostic articulator. RESULTS: With the increase of inclination of upper incisors and opening bite, there

were statistically significant changes of condylar longitudinal distance and condylar height in both sides, and retruded contact position-intercuspal position(RCP-ICP) discrepancy was significantly reduced. CONCLUSION: The condylar position in division 2 deep-bite patients could be orthodontically changed, moving anterior-inferiorly and approaching RCP.

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The biomechanical relationship between incisor and condylar guidances in deep bite and normal cases Authors: N Darendeliler, M Diner, R Soylu
Journal of oral rehabilitation. 06/2004; 31(5):430-7.

The biomechanical relationship between incisor and condylar guidances in deep bite and normal cases

Authors: N Darendeliler, M Diner, R Soylu Journal of oral rehabilitation. 01/06/2004; 31(5):430-7. ISSN: 0305-182X

208. Cerec 3 for orthodontics: a tool for treating deep bite.Muratore F, Varvara G, Tripodi D, de Simone R, Pascetta C, Festa F.Int J Comput Dent. 2002 Jan;5(1):25-31. English, Italian. PMID: 12244831 [PubMed - indexed for MEDLINE] 222. Overbite correction and sagittal changes: late mixed-dentition treatment effects.Woods M.Aust Orthod J. 2001 Nov;17(2):69-80.PMID: 11862869 [PubMed - indexed for MEDLINE] Display Settings: rthodontic Unit, School of Dental Science,
University of Melbourne, 711 Elizabeth Street, Melbourne 3000 Victoria, Australia. [email protected]

Abstract
This study involved the assessment of pre- and post-treatment lateral cephalograms from 182 late mixeddentition patients with Class I and Class II malocclusions, with or without crowding, selected before treatment commenced. It was designed specifically to determine whether antero-posterior mandibular dento-alveolar and skeletal changes occurring with growth and one particular late mixed-dentition

treatment approach are influenced in any way by the required amount of incisal overbite correction to be achieved with treatment. Significantly greater forward movements were found at both point B and pogonion in non-headgear patients in whom very deep overbites had been reduced, when compared with patients with less required incisal overbite reduction. This finding would seem to have provided further quantitative evidence to support the concept of unlocking of dento-alveolar structures with early reduction of very deep incisal overbites in appropriate patients. The suggestion was therefore made that the biteopening in such deep-bite patients should be undertaken at least as early as this late mixed-dentition stage in order to provide an improved environment for the mandibular dento-alveolus as the mandible itself moves forward with normal growth.

The effects of overbite on the maxillary and mandibular morphology.Ceylan I, Erz UB.Angle Orthod. 2001 Apr;71(2):110-5.PMID: 11302586 [PubMed - indexed for MEDLINE] The effect of vertical dimension and mandibular position on isometric strength of the cervical flexors.al-Abbasi H, Mehta NR, Forgione AG, Clark RE.Cranio. 1999 Apr;17(2):85-92.PMID: 10425935 [PubMed - indexed for MEDLINE] Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion.Sonnesen L, Bakke M, Solow B.Eur J Orthod. 1998 Oct;20(5):543-59.PMID: 9825557 [PubMed - indexed for MEDLINE]Free Article Class II correction with magnets and superelastic coils followed by straight-wire mechanotherapy. Occlusal changes during and after dental therapy.Bondemark L, Kurol J.J Orofac Orthop. 1998;59(3):127-38. English, German. Alveolar and skeletal dimensions associated with overbite.Beckmann SH, Kuitert RB, Prahl-Andersen B, Segner D, The RP, Tuinzing DB.Am J Orthod Dentofacial Orthop. 1998 Apr;113(4):443-52. [Findings in the panoramic tomogram in orthodontic patients with functional disorders]Bauer W, Augthun M, Wehrbein H, Mller-Leisse C, Diedrich P.Fortschr Kieferorthop. 1995 Nov;56(6):318-26. German. PMID: 8655104 [PubMed - indexed for MEDLINE]
1

Am J Orthod Dentofacial Orthop. 1995 Apr;107(4):382-93.

Skeletal and dental changes associated with the treatment of deep bite malocclusion.

Parker CD, Nanda RS, Currier GF.College of Dentistry, University of Oklahoma, USA. Abstract

A retrospective study of 132 treated orthodontic cases presenting at least 70% overbite was conducted using dental casts and lateral cephalometric radiographs from before and after treatment. These were 61 Class I, 27 Class II, Division 1, and 44 Class II, Division 2 malocclusion patients. Six different treatment modalities for the correction of the deep bite were compared. On the basis of the analysis of cephalometric measurements, no statistically significant differences were observed between the various treatment mechanics in the correction of the deep bite. Only in the Class II, Division 2 sample, total anterior face height increased significantly (p < 0.01) with all treatment modalities. The data were then grouped according to Angle classification regardless of the type of mechanics used. Within each Angle class, the changes from before to after treatment were statistically significant for almost all of the cephalometric measurements. These significant changes were due to both anticipated growth and orthodontic treatment. The treatment of overbite primarily affected the proclination of incisors and the extrusion of molars. Within each Angle classification, the patients were also separated according to whether the permanent teeth had been extracted. The nonextraction group was compared with the extraction group for the changes in each cephalometric measurement. It was found that the extraction of teeth did have a significant effect on the changes observed with treatment in all the Angle classes but was more pronounced in the Class I sample. The proclination of incisors was less and the mesial movement of molars was more in patients who were treated with the extraction of premolar teeth than those who were treated with the nonextraction procedures.

8. The importance of reducing overbite before overjet with initial treatment mechanics.Jenner JD.Aust Orthod J. 1995 Mar;13(4):219-30.PMID: 8975660 [PubMed - indexed for MEDLINE] Aust Orthod J. 1995 Mar;13(4):219-30.

The importance of reducing overbite before overjet with initial treatment mechanics.
Jenner JD.

Department of Dentistry, The University of Adelaide.

Abstract
Rapid overjet reduction commonly experienced with the ribbon arch bracket may inadvertently have a major influence on profile control. The main purpose of this paper is to warn of the danger of early upper incisor retraction, particularly in the deep bite patient in whom the upper incisor retraction itself is the direct cause of the backward mandibular rotation. The paper explores the incisor interference phenomenon as a major cause of backward mandibular rotations and suggests means of avoiding incisor interference by modification of the treatment plan and treatment mechanics. To provide the best treatment results, initial treatment mechanics should be modified so that reduction of overbite takes priority over reduction of overjet.

Craniofacial characteristics in children with Angle Class II div. 2 malocclusion combined with extreme deep bite.Karlsen AT.Angle Orthod. 1994;64(2):123-30.PMID: 8010520 [PubMed - indexed for MEDLINE] rthodontic magnets. A study of force and field pattern, biocompatibility and clinical effects.Bondemark L.Swed Dent J Suppl. 1994;99:1-148.PMID: 7801229 [PubMed indexed for MEDLINE] 373. [The functional treatment of deep bite--the results of a long-term study]Hirschfelder U, Fleischer-Peters A.Fortschr Kieferorthop. 1992 Dec;53(6):313-21. German. PMID: 1487215 [PubMed - indexed for MEDLINE]

[The functional treatment of deep bite--the results of a long-term study]

Abstract
The amount of overbite reduction and the stability of the results three to 14.5 years post-retention were analysed in a follow-up study of 60 patients who had been treated with functional appliances. To establish therapeutic and posttherapeutic changes in dento-facial relationships, plaster casts and lateral cephalograms were evaluated at the beginning, at the end of treatment and at the follow-up examination. Posttherapeutic deepening of the overbite (> 0.8 mm) was found in 54.2% of the cases, while overbite reduction remained stable in 39%. A number of skeletal and dental factors were found to be involved in overbite reduction and posttreatment deepening. In this connection, changes in the ML-NSL angle, the ML-NL angle and the gonion angle were found to be just as important as the therapeutic and

posttherapeutic changes in anterior and posterior facial height and changes in the skeletal pattern. It is emphasized that strict application of retention is of the greatest importance to minimize vertical relapse.

PMID: 1487215 [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

J Clin Orthod. 2009 Mar;43(3):152-7; quiz 183.

Deep-bite correction using a clear aligner and intramaxillary elastics.

Park JH, Kim TW. Postgraduate Orthodontic Program, Arizona School of Dentistry and Oral Health, Mesa, AZ 85206, USA. [email protected]
PMID: 19458451 [PubMed - indexed for MEDLINE]

MeSH Terms, Substances

400. . Pacientes deep bite