Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial
Abstract This randomized clinical trial aimed to compare the three-dimensional dentoalveolar maxillary changes after anterior open bite treatment with bonded spurs and build-ups versus bonded spurs alone. Patients from 7 to 11 years of age with anterior open bite were randomly allocated into two gro...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-15988-9 |
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| author | Aron Aliaga-Del Castillo Guilherme Janson Lorena Vilanova Lucia Cevidanes Marilia Yatabe Daniela Garib Luis Ernesto Arriola-Guillén Felicia Miranda Camila Massaro Silvio Augusto Bellini-Pereira Antonio Carlos Ruellas |
| author_facet | Aron Aliaga-Del Castillo Guilherme Janson Lorena Vilanova Lucia Cevidanes Marilia Yatabe Daniela Garib Luis Ernesto Arriola-Guillén Felicia Miranda Camila Massaro Silvio Augusto Bellini-Pereira Antonio Carlos Ruellas |
| author_sort | Aron Aliaga-Del Castillo |
| collection | DOAJ |
| description | Abstract This randomized clinical trial aimed to compare the three-dimensional dentoalveolar maxillary changes after anterior open bite treatment with bonded spurs and build-ups versus bonded spurs alone. Patients from 7 to 11 years of age with anterior open bite were randomly allocated into two groups. Bonded spurs and posterior build-ups were used in the experimental group and only bonded spurs were used in the comparison group. The randomization sequence was generated at www.randomization.com . Opaque, sealed and sequentially numbered envelopes were part of the allocation concealment. Digital dental models were acquired before (T1) and after 12 months of treatment (T2) and de-identified for analysis purposes. Three-dimensional changes of maxillary permanent incisors and first molars were evaluated by means of T1 and T2 dental model superimposition. Landmark-based registration on the posterior teeth and registration on the palate using regions of interest were performed. T or Mann–Whitney U tests were used for intergroup comparisons (P < 0.05). Mean difference (MD) and 95% confidence interval (CI) were calculated. Twenty-four children (17 girls and 7 boys) were included in the experimental group (mean age 8.22 ± 1.06 years) and 25 children (14 girls and 11 boys) were included in the comparison group (mean age 8.30 ± 0.99 years). After 12 months of treatment, inferior displacements of maxillary incisors were similar in the experimental (1.55–2.92 mm) and comparison (1.40–2.65 mm) groups. Inferior displacement of the maxillary molars was also similar in both groups (MD: − 0.13 mm; 95% CI − 0.38, 0.12). The experimental and comparison groups showed medial and lateral displacements of the permanent first molars, respectively (MD, − 0.31 mm; 95% CI − 0.51, − 0.11). Lingual inclination of the permanent first molars were observed in the experimental group and buccal inclination in the comparison group (MD, − 2.16°; 95% CI − 3.72, − 0.60). Similar three-dimensional displacements of maxillary central and lateral incisors, and inferior displacements of maxillary permanent first molars were observed in both groups. Bonded spurs associated with posterior build-ups demonstrated some medial displacement and lingual inclination of the maxillary permanent first molars while opposite changes were noticed in the comparison group. Trial registration: Clinicaltrials.gov; NCT03702881, date of registration: October 11, 2018. |
| first_indexed | 2024-04-13T03:13:33Z |
| format | Article |
| id | doaj.art-dcdcd0ad138c483985ce186c2122c21a |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-13T03:13:33Z |
| publishDate | 2022-07-01 |
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| series | Scientific Reports |
| spelling | doaj.art-dcdcd0ad138c483985ce186c2122c21a2022-12-22T03:04:59ZengNature PortfolioScientific Reports2045-23222022-07-0112111210.1038/s41598-022-15988-9Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trialAron Aliaga-Del Castillo0Guilherme Janson1Lorena Vilanova2Lucia Cevidanes3Marilia Yatabe4Daniela Garib5Luis Ernesto Arriola-Guillén6Felicia Miranda7Camila Massaro8Silvio Augusto Bellini-Pereira9Antonio Carlos Ruellas10Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of MichiganDepartment of Orthodontics, Bauru Dental School, University of São PauloDepartment of Orthodontics, Bauru Dental School, University of São PauloDepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of MichiganDepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of MichiganDepartment of Orthodontics, Bauru Dental School, University of São PauloDivision of Orthodontics and Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del SurDepartment of Orthodontics, Bauru Dental School, University of São PauloDepartment of Orthodontics, Bauru Dental School, University of São PauloDepartment of Orthodontics, Bauru Dental School, University of São PauloDepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of MichiganAbstract This randomized clinical trial aimed to compare the three-dimensional dentoalveolar maxillary changes after anterior open bite treatment with bonded spurs and build-ups versus bonded spurs alone. Patients from 7 to 11 years of age with anterior open bite were randomly allocated into two groups. Bonded spurs and posterior build-ups were used in the experimental group and only bonded spurs were used in the comparison group. The randomization sequence was generated at www.randomization.com . Opaque, sealed and sequentially numbered envelopes were part of the allocation concealment. Digital dental models were acquired before (T1) and after 12 months of treatment (T2) and de-identified for analysis purposes. Three-dimensional changes of maxillary permanent incisors and first molars were evaluated by means of T1 and T2 dental model superimposition. Landmark-based registration on the posterior teeth and registration on the palate using regions of interest were performed. T or Mann–Whitney U tests were used for intergroup comparisons (P < 0.05). Mean difference (MD) and 95% confidence interval (CI) were calculated. Twenty-four children (17 girls and 7 boys) were included in the experimental group (mean age 8.22 ± 1.06 years) and 25 children (14 girls and 11 boys) were included in the comparison group (mean age 8.30 ± 0.99 years). After 12 months of treatment, inferior displacements of maxillary incisors were similar in the experimental (1.55–2.92 mm) and comparison (1.40–2.65 mm) groups. Inferior displacement of the maxillary molars was also similar in both groups (MD: − 0.13 mm; 95% CI − 0.38, 0.12). The experimental and comparison groups showed medial and lateral displacements of the permanent first molars, respectively (MD, − 0.31 mm; 95% CI − 0.51, − 0.11). Lingual inclination of the permanent first molars were observed in the experimental group and buccal inclination in the comparison group (MD, − 2.16°; 95% CI − 3.72, − 0.60). Similar three-dimensional displacements of maxillary central and lateral incisors, and inferior displacements of maxillary permanent first molars were observed in both groups. Bonded spurs associated with posterior build-ups demonstrated some medial displacement and lingual inclination of the maxillary permanent first molars while opposite changes were noticed in the comparison group. Trial registration: Clinicaltrials.gov; NCT03702881, date of registration: October 11, 2018.https://doi.org/10.1038/s41598-022-15988-9 |
| spellingShingle | Aron Aliaga-Del Castillo Guilherme Janson Lorena Vilanova Lucia Cevidanes Marilia Yatabe Daniela Garib Luis Ernesto Arriola-Guillén Felicia Miranda Camila Massaro Silvio Augusto Bellini-Pereira Antonio Carlos Ruellas Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial Scientific Reports |
| title | Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial |
| title_full | Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial |
| title_fullStr | Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial |
| title_full_unstemmed | Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial |
| title_short | Three-dimensional dentoalveolar changes in open bite treatment in mixed dentition, spurs/posterior build-ups versus spurs alone: 1-year follow-up randomized clinical trial |
| title_sort | three dimensional dentoalveolar changes in open bite treatment in mixed dentition spurs posterior build ups versus spurs alone 1 year follow up randomized clinical trial |
| url | https://doi.org/10.1038/s41598-022-15988-9 |
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