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Home Use of a modified vertical holding appliance for open bite interceptive treatment...

Use of a modified vertical holding appliance for open bite interceptive treatment in growing patients

Authors:

  • A. M. Greco
    Visiting Professor, Department of Pediatric Dentistry University of L’Aquila, L’Aquila, Italy
  • F. Gavetti
    Private Practice Rome, Italy
  • M. Severino
    Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy
  • R. Gatto
    Professor and Chief, Department of Life, Health and Environmental Sciences, School of Dentistry, University of L'Aquila, L'Aquila, Italy

DOI:

https://doi.org/10.23804/ejpd.2021.22.01.07

ABSTRACT


Aim

The aim of this paper is to illustrate the use of a modified vertical holding appliance (G-VHA) to obtain the vertical control of maxillary molars and tongue stimulation in order to achieve a transverse activation in growing patients with dental open bite without the patient’s compliance.

Case report

The G-VHA is a modified trans-palatal bar with a resin pad covering the Omega central loop and two adjunctive lateral loops to ensure the bar flexibility. The G-VHA is designed to direct the force of the tongue against the upper molars to generate intrusion and at the same time to stimulate and re-educate the tongue. Two cases of dental open bite in growing patients are illustrated. Both patients were successfully treated, and the open bite was fully corrected thanks to molar intrusion, following counterclockwise rotation of the mandible and tongue correction. Finishing of alignment was performed in phase II of the treatment with conventional appliances.

Conclusion

The G-VHA proved to be effective in controlling the vertical position of maxillary molars promoting the counter-clockwise rotation of the mandible and stimulating a different tongue posture.

PLUMX METRICS

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Keywords:

growing patients, open bite, tongue pressure

Issue:

Vol.22 – n.1/2021

Page:

35 – 40

Publisher:

Ariesdue

Topic:

Developing dentition and occlusion in paediatric dentistry

Cite:


Harvard: A. M. Greco, F. Gavetti, M. Severino, R. Gatto (2021) "Use of a modified vertical holding appliance for open bite interceptive treatment in growing patients", European Journal of Paediatric Dentistry, 22(1), pp35-40. doi: 10.23804/ejpd.2021.22.01.07
Vancouver: A. M. Greco, F. Gavetti, M. Severino, R. Gatto. Use of a modified vertical holding appliance for open bite interceptive treatment in growing patients. European Journal of Paediatric Dentistry [Internet]. 2021.1 [cited 2023Jun.06];22(1):35-40. Available from: https://www.ejpd.eu/abstract-pubmed/use-of-a-modified-vertical-holding-appliance-for-open-bite-interceptive-treatment-in-growing-patients/
MLA: A. M. Greco, F. Gavetti, M. Severino, R. Gatto Use of a modified vertical holding appliance for open bite interceptive treatment in growing patients. European Journal of Paediatric Dentistry. 2021;22(1):35-40

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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