Effectiveness of open bite correction when managing deleterious oral habits in growing children and adolescents: a systematic review and meta-analysis.

Abstract

BACKGROUND/OBJECTIVES:

Oral habits are common etiological factors for anterior open bites (AOBs) in growing children and adolescents. The objective of this review was to provide a literature synthesis evaluating the effectiveness of open bite correction in growing individuals with the use of habit-interception appliances.

SEARCH METHODS:

Electronic searches were conducted on PubMed, Embase, Cochrane Library, Web of Sciences, Scopus, Google Scholar, Scielo, and Lilacs databases. Trials registries were consulted for ongoing trials, and a partial grey literature search was also conducted.

SELECTION CRITERIA:

The selection criteria included controlled clinical trials enrolling growing subjects who underwent habit-interception orthodontic treatment to correct dental and/or skeletal AOB.

DATA COLLECTION ANALYSIS:

Data was grouped and analysed descriptively. A meta-analysis was only possible regarding crib therapy effectiveness. Qualitative appraisal was performed according to Cochrane Risk of Bias tool for randomized clinical trials (RCTs) and the MINORS tool for non-randomized clinical trials (nRCTs).

RESULTS:

Two RCTs and nine nRCTs were identified. Most of them presented relevant limitations. Crib therapy demonstrated to be effective (+3.1mm overbite correction). However, most of the dental effects are seemingly lost with time; and the skeletal effects are still controversial. Other habit-interception appliances, such as spurs, were not sufficiently investigated.

CONCLUSIONS:

Crib therapy appears to be effective on a short time basis. As for other habit-interception appliances, insufficient evidence could not provide reliable conclusions.

• Authors: Murilo Fernando Neuppmann Feres, Lucas Guimarães Abreu, Natalia Martins Insabralde, Marcio Rodrigues de Almeida, Carlos Flores-Mir
• Journal: European journal of orthodontics (Eur J Orthod) Vol. 39 Issue 1 Pg. 31-42 (Feb 2017) ISSN: 1460-2210 [Electronic] England
• PMID: 26846264 (Publication Type: Journal Article, Review, Systematic Review)
• Copyright: © The Author 2016. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: [email protected].

Topics

• Adolescent
• Bias
• Child
• Habits
• Humans
• Open Bite (therapy)
• Overbite