The use of anterior bite raisers in deep bite cases: a clinical report
Authors
Aldo Giancotti, Martina Carillo, Ilenia Cortese, Francesco Pachì
Abstract
Aim:
Bite-raising appliances are frequently utilized in orthodontic treatment to temporarily disclude the dental arches, thereby facilitating tooth movements and minimizing occlusal interferences.
This article aims to elucidate the clinical application of anterior bite raisers in the management of deep bite cases, with or without asymmetry, and to demonstrate their role as an adjunctive instrument in orthodontic treatment. Specifically, BiTurbos 2 were utilized in three deep bite cases presented in the herein clinical report.
Methods:
The case series presented herein illustrates the clinical application of anterior bite raisers in three patients diagnosed with deep-bite Class II malocclusion, two of whom exhibited asymmetric malocclusion. The devices were affixed to the palatal surfaces of the maxillary central incisors to facilitate posterior disclusion during initial treatment stages. Clinical records were meticulously analyzed to evaluate occlusal modifications, treatment progression, and the dependability of the appliance throughout both the mixed and permanent dentition phases.
Results:
In all instances, the application of anterior bite raisers consistently produced effective posterior disclusion, thereby facilitating the correction of deep bite, asymmetries, and Class II relationships. A swift enhancement in occlusal relationships was noted, including reductions in overbite and resolution of Class II malocclusions. The devices maintained stability throughout the treatment period, with no significant debonding or mechanical failures. Favorable outcomes were documented in cases involving both mixed and permanent dentition.
Conclusions:
Anterior bite raisers serve as a valuable adjunct in orthodontic treatment. Their ability to facilitate early occlusal disclusion may improve vertical and sagittal corrections, especially in cases of deep bite and asymmetric malocclusions. Additional research, encompassing larger sample sizes and extended follow-up durations, is necessary to validate these clinical results.
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