ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Clear aligners Successfully Treat Patients with Open Bites |
| Clinical Question |
In a patient with anterior open bite, will clear aligners create the tooth movement required for correction? |
| Clinical Bottom Line |
Clear aligners can successfully accomplish management of mild to moderate dental anterior open bite. However the current evidence is lesser level in the form of case report and series.Higher level studies are needed in the form of RCTs and SRs with meta-analysis to further investigate this topic. |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 19582256 | Park JH/2009 | 3 patients with anterior open bite treated with clear aligners | Case series | | Key results | Clear aligners used with inter/intra-maxillary elastics can extrude teeth which facilitates anterior open bite correction | | #2) 23363479 | Guarneri MP/2013 | 1 patient with 4mm od anterior open bite | Case report | | Key results | Clear aligners can successfully correct anterior open bite while maintaining facial aesthetics | | #3) 28425832 | Giancotti A/ 2017 | 3 patients with anterior open bite | Case series | | Key results | Clear aligners can successfully treat patients with anterior open bites | |
| Evidence Search |
Clear Aligners(All fields) AND open bites (MeSh Terms) |
Comments on
The Evidence |
Current evidence regarding management of open bite using clear aligners is in the form of case series and case reports. More clinical trials and prospective studies with larger sample size and pointedly reduced bias, need to be conducted in order to provide wider, higher levels of evidence. |
| Applicability |
Clear aligners can be a clinically effective addition in the treatment offerings of any orthodontist or general dentist as an alternative treatment option to fixed brackets for open bite correction. Clear aligners can be particularly effective for patients who refuse to wear conventional fixed appliances |
| Specialty/Discipline |
(General Dentistry) (Orthodontics) (Pediatric Dentistry) |
| Keywords |
Orthodontics, Clear aligners, Open Bite
|
| ID# |
3304 |
| Date of submission: |
12/11/2017 |
| E-mail |
banday@livemail.uthscsa.edu |
| Author |
Sana Banday |
| Co-author(s) |
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| Co-author(s) e-mail |
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| Faculty mentor/Co-author |
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| Faculty mentor/Co-author e-mail |
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Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
| None available | |
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