Long-term stability of anterior open-bite treatment by intrusion of maxillary posterior teeth

Abstract

INTRODUCTION: Anterior open bite results from the combined influences of skeletal, dental, functional, and habitual factors. The long-term stability of anterior open bite corrected with absolute anchorage has not been thoroughly investigated. The purpose of this study was to examine the long-term stability of anterior open-bite correction with intrusion of the maxillary posterior teeth.

METHODS: Nine adults with anterior open bite were treated by intrusion of the maxillary posterior teeth. Lateral cephalographs were taken immediately before and after treatment, 1 year posttreatment, and 3 years posttreatment to evaluate the postintrusion stability of the maxillary posterior teeth.

RESULTS: On average, the maxillary first molars were intruded by 2.39 mm (P<0.01) during treatment and erupted by 0.45 mm (P<0.05) at the 3-year follow-up, for a relapse rate of 22.88%. Eighty percent of the total relapse of the intruded maxillary first molars occurred during the first year of retention. Incisal overbite increased by a mean of 5.56 mm (P<0.001) during treatment and decreased by a mean of 1.20 mm (P<0.05) by the end of the 3-year follow-up period, for a relapse rate of 17.00%. Incisal overbite significantly relapsed during the first year of retention (P<0.05) but did not exhibit significant recurrence between the 1-year and 3-year follow-ups.

CONCLUSIONS: Most relapse occurred during the first year of retention. Thus, it is reasonable to conclude that the application of an appropriate retention method during this period clearly enhances the long-term stability of the treatment.