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MedNext Journal of Medical and Health Sciences
Review
DOI: 10.54448/mdnt22S407
Submitted: 07-12-2022
Published: 07-12-2022

Major clinical findings of ortho-surgical procedures in Class II patients: a concise systematic review

UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
Santa Isabel Dental Clinic, Dr. Luís Aires Street, Sao Paulo City, Sao Paulo, Brazil
UNORTE - University Center of Northern São Paulo - Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, Sao Jose do Rio Preto, Sao Paulo, Brazil
Maxillary protrusion Malocclusion Class II malocclusion Orthodontics Surgery Risk of Bias

Abstract

Introduction: In the ortho-surgery treatment, the AOB is an easily recognized malocclusion and presents only aesthetic and functional problems. Its etiology is multifactorial, including heredity, oral habits, unfavorable growth patterns, and increased lymphatic tissue along with mouth breathing and functional oral matrices. The prevalence of anterior open bite in the early mixed dentition is approximately 17.0-25%. Objective: the present study aimed to list the major clinical findings of ortho-surgical procedures in class II patients, as well as to analyze the risks of bias between the selected clinical studies. Methods: The present study was followed by a systematic literature review model, according to the PRISMA rules. The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar databases. The present study was carried out from February to June of 2022. The quality of the studies was based on the GRADE instrument, with randomized controlled clinical studies, prospective controlled clinical studies, and studies of systematic review and meta-analysis listed as the studies with the greatest scientific evidence, and the Risk of Bias was analyzed according to the Cochrane instrument (Funnel Plot Analysis). Results and Conclusion: A total of 111 articles were found. After this process, the abstracts were evaluated and a new exclusion was performed based on the GRADE Instrument and Risk of Bias. A total of 57 articles were fully evaluated and 13 clinical studies were included and discussed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 27 studies that were excluded with a Major Risk of Bias (studies with small sample size), and 44 studies that were excluded with a Minor Risk of Bias. Also, 7 studies were excluded because they did not meet the GRADE. Significant improvement in anterior occlusion can be expected in most patients when maxillary or mandibular surgery is used for Class II open bite correction. However, there will be individual patients in whom there will be considerable post-treatment changes in the anteroposterior and vertical dimensions. Although individual morphology needs to be taken into account, it appears that both short-term and long-term stability are likely to be greater after Le Fort I surgery compared to bilateral sagittal split osteotomy.

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References

  1. Hsu LF, Liu YJ, Kok SH, Chen YJ, Chen YJ, Chen MH, Jane Yao CC. Differences of condylar changes after orthognathic surgery among Class II and Class III patients. J Formos Med Assoc. 2022 Jan;121(1 Pt 1):98-107. doi: 10.1016/j.jfma.2021.01.018. Epub 2021 Feb 12. PMID: 33583702.
  2. Kim M, Hwang CJ, Cha JY, Lee SH, Kim YJ, Yu HS. Correlation Analysis between Three-Dimensional Changes in Pharyngeal Airway Space and Skeletal Changes in Patients with Skeletal Class II Malocclusion following Orthognathic Surgery. Biomed Res Int. 2022 Jan 11;2022:3995690. doi: 10.1155/2022/3995690. PMID: 35059461; PMCID: PMC8766181.
  3. Alqussair A, Baek SH, Kim TS, Ha SH, Choi JY. Surgical Accuracy of Positioning the Maxilla in Patients With Skeletal Class II Malocclusion Using Computer-Aided Design and Computer-Aided Manufacturing-Assisted Orthognathic Surgery. J Craniofac Surg. 2021 Dec 13. doi: 10.1097/SCS.0000000000008407. Epub ahead of print. PMID: 34907951.
  4. Cacucci L, Ricci B, Moretti M, Gasparini G, Pelo S, Grippaudo C. Surgical Orthodontic Treatment of a Patient Affected by Type 1 Myotonic Dystrophy (Steinert Syndrome). Case Rep Dent. 2017;2017:7957961.
  5. Kassir C, Saade A. Nonsurgical Treatment of a Severe Skeletal Anterior Open Bite. J Clin Orthod. 2017 Feb;51(2):103-112.
  6. Franzotti Sant'Anna E, Carneiro da Cunha A, Paludo Brunetto D, Franzotti Sant'Anna C. Camouflage of a high-angle skeletal Class II open-bite malocclusion in an adult after mini-implant failure during treatment. Am J Orthod Dentofacial Orthop. 2017 Mar;151(3):583-597.
  7. Castro IO, valladares-Neto J, Estrela C. Prevalência de Maloclusão em Indivíduos que Solicitaram Tratamento Ortodôntico na Rede Pública de Saúde. Rev Odontol Bras Central 2010;19(51).
  8. Góis EG, Vale MP, Paiva SM, Abreu MH, Serra-Negra JM, Pordeus IA. Incidence of malocclusion between primary and mixed dentitions among Brazilian children, A 5-year longitudinal study. Angle Orthod. 2012; 82:495-500.
  9. Tibolla C, Rigo L, Nojima LI, Estacia A, Frizzo EG, Lodi L. Association between anterior open bite and pacifier sucking habit in schoolchildren in a city of southern Brazil. Dental Press J Orthod. 2012 Nov-Dec; 17(6):89-96.
  10. Lentini-Oliveira DA, Carvalho FR, Rodrigues CG, YE Q, Hu R. Minami-Sugaya H, Carvalho LBC, Prado LBF, Prado GF. Orthodontic and orthopaedic treatment for anterior open bite in children. Cochrane Database Syst Rev. 2007 Apr 18;(2):CD005515.
  11. Shalish M, Gal A, Brin I, Zini A, Ben-Bassat Y. Prevalence of dental features that indicate a need for early orthodontic treatment. Eur. J. Orthod. 35 2013; 454–459.
  12. Feres MFN, Abreu LG, Insabralde NM, Almeida MR, Flores-Mir C. Effectiveness of the open bite treatment in growing children and adolescents. A systematic review. Eur. J. Orthod. 2015, 1–14.
  13. Albogha, M.H.; Takahashi, I.; Sawan, M.N. Early treatment of anterior open bite: Comparison of the vertical and horizontal morphological changes induced by magnetic bite-blocks and adjusted rapid molar intruders. Korean J Orthod 2015; 45(1):38-46.
  14. Van Dyck C, Dekeyser A, Vantricht E, Manders E, Goeleven A, Fieuws S, Willems G. The effect of orofacial myofunctional treatment in children with anterior open bite and tongue dysfunction: a pilot study. Eur. J. Orthod 2015; 1–8.
  15. Fialho MPN, Pinzan-Vercelino CRM,Nogueira RP, Gurgel JA. Relationship between facial morphology, anterior open bite and nonnutritive sucking habits during the primary dentition stage. Dental Press J Orthod. 2014 May-June;19(3):108-13.
  16. Dimberg L, Lennartsson B, Söderfeldt B, Bondemark L. Malocclusions in children at 3 and 7 years of age: a longitudinal study. Eur. J. Orthod. 35 2013; 131–137.
  17. Celli C, Santos-Pinto PR, Capelozza Filho L, Souza YS, Santos-Pinto G. Correção da mordida aberta anterior com a utilização do aparelho expansor removível com concha suspensa Celli-C. Rev Clín Ortod Dental Press. 2013 jun-jul;12(3):38-50.
  18. Flores-Ysla A, Arriola-Guillén LE, Rodríguez-Càrdenas YA, Ruíz-Mora GA, Aliaga-Del Castillo A, Janson G. Skeletal open bite cranial base characteristics in young Latin-American individuals with class I, II and III malocclusions: An observational study. Int Orthod. 2020 Jun;18(2):237-245. doi: 10.1016/j.ortho.2020.01.002. Epub 2020 Feb 6. PMID: 32037207.
  19. Torgersbråten N, Stenvik A, Espeland L. A comparison of Class II open bite correction by maxillary or mandibular surgery. Am J Orthod Dentofacial Orthop. 2020 May;157(5):631-640. doi: 10.1016/j.ajodo.2019.05.018. PMID: 32354436.
  20. Zupnik JT, Ioshida M, Yatabe M, Ruellas ACO, Gomes LR, Aronovich S, Benavides E, Edwards SP, Paniagua B, Cevidanes LHS. Three-dimensional analysis of condylar changes in surgical correction for open bite patients with skeletal class II and class III malocclusions. Int J Oral Maxillofac Surg. 2019 Jun;48(6):739-745. doi: 10.1016/j.ijom.2019.01.004. Epub 2019 Feb 1. PMID: 30712988; PMCID: PMC6510631.

How to Cite

Bijotti, M. S., Oliveira, E. S. S. de, Moreira Junior, J. R., Valle, C. A. do, & Kassis, E. N. (2022). Major clinical findings of ortho-surgical procedures in Class II patients: a concise systematic review. MedNEXT Journal of Medical and Health Sciences, 3(S4). https://doi.org/10.54448/mdnt22S407