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

Autor:	Feres MF; Department of Paediatric Dentistry and Orthodontics, Guarulhos University, Brazil, murilo.feres@prof.ung.br., Abreu LG; Department of Paediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte, Brazil., Insabralde NM; Department of Orthodontics, University of North Parana, Londrina, Brazil and., de Almeida MR; Department of Orthodontics, University of North Parana, Londrina, Brazil and., Flores-Mir C; School of Dentistry, University of Alberta, Edmonton, Canada.
Jazyk:	angličtina
Zdroj:	European journal of orthodontics [Eur J Orthod] 2017 Feb; Vol. 39 (1), pp. 31-42. Date of Electronic Publication: 2016 Feb 03.
DOI:	10.1093/ejo/cjw005
Abstrakt:	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. (© The Author 2016. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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