CoChat
Sign Up
Cited by 20Orthodontics and Dentofacial OrthopedicsDental Trauma and TreatmentsDental materials and restorations

Anterior openbite malocclusion in adults: Treatment stability and patient satisfaction in National Dental Practice-Based Research Network patients

Open access
Gu, David, Leroux, Brian, Finkleman, Sam, Todoki, Lauren, Greenlee, Geoffrey, Allareddy, Veerasathpurush, Jolley, Cameron, Vermette, Michael +6 more·2022·The Angle Orthodontist
DOI 10.2319/071221-549.1PMC PMC8691483
Open this paper in CoChat — free accountOpen PDF

Abstract

Objectives: To investigate stability and satisfaction in adult anterior open bite (AOB) patients at least 9 months post-treatment, as well as patient and practitioner factors that may be associated with stability and satisfaction. Materials and Methods: Practitioners and their adult AOB patients were recruited through the National Dental Practice-Based Research Network. Data on patient and practitioner characteristics, treatment recommendations and factors were previously collected. Treatment stability was determined by assessing post-treatment intraoral photographs. Patient satisfaction was determined from post-treatment questionnaires. Treatment was categorized into aligners, fixed appliances, temporary anchorage devices, and orthognathic surgery. Extractions were also investigated. Retention type was categorized into vacuum-formed, Hawley-style, or bonded retainers, and regimens were classified as full-time or part-time wear. Results: Retention data collected from 112 patients had a mean post-treatment time of 1.21 years. There were no statistically significant differences in stability between treatment groups. Depending on whether a qualitative index or a millimetric measure was employed, stability ranged from 65% to 89%. Extractions and less initial lower incisor proclination were associated with higher stability in patients treated with fixed appliances only. High satisfaction was reported by patients at retention. There were no clear differences in stability or satisfaction among retention types or regimens. Conclusions: The stability of adult AOB orthodontic treatment was high, regardless of treatment or retainer modality. Satisfaction in adult AOB patients was high, regardless of retention type or regimen.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.2319/071221-549.1

Cites

18 of 18 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The largest prospective cohort clinical study on anterior open bites was conducted in the Network during its second funding cycle (2012-2019).

    “The largest prospective cohort clinical study on anterior open bites was done in the Network during the second cycle of funding (2012 to 2019).18–24”

    From Overview of the National Dental Practice-Based Research Network and Its Impact on Orthodontics (2026) · cites this paper as [22]

    The Introduction (page not available) identifies the Network’s anterior-open-bite study as a large, multicenter, prospective cohort study initiated in 2015. The Results report recruitment in 2015–2016 and follow-up data through 2018. Our copy does not establish that it was the largest such study or identify 2012–2019 as the Network’s second funding cycle. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Every manuscript from the National Anterior Open Bite Study had several practitioners as co-authors.

    “every manuscript that resulted from the National Anterior Open Bite study had several practitioners (both academic and private practice) serve as co-authors.18–24”

    From Overview of the National Dental Practice-Based Research Network and Its Impact on Orthodontics (2026) · cites this paper as [22]

    The Methods and Results describe practitioners participating in this National Anterior Open Bite Study, and the Acknowledgments thank them. Neither passage identifies practitioners as co-authors or distinguishes academic from private-practice authors. Our copy does not establish the claim about every manuscript (searched: co-authors, author affiliations, private practice). (LLM, conf=0.70)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Finkleman, S. The national dental practice-based research network adult anterior openbite study: patient satisfaction with treatment. Am J Orthod Dentofacial Orthop. 2019;156: 312-325.
  2. Huang G, Justus R, Kennedy D, Kokich V. Stability of anterior openbite treated with crib therapy. Angle Orthod. 1990;60(1):17-24.

Cited by

Sorted by citations

Related

Authors
Gu, D., Leroux, B., Finkleman, S., Todoki, L., Greenlee, G., Allareddy, V., Jolley, C., Vermette, M., Shin, K., Kau, C. H., de Jesus-Vinas, J., Dolce, C., _, _., & Huang, G.
Affiliations
  • University of Washington (US)
  • University of Illinois Chicago (US)
  • University of Iowa (US)
  • University of Alabama at Birmingham (US)
  • University of Florida (US)
Corresponding author
Gu, David
ORCID
Venue
The Angle Orthodontist
Publisher
The Angle Orthodontist (EH Angle Education & Research Foundation)
Published
2022-01
Volume
92
Issue
1
Pages
27-35
ISSN
  • 0003-3219 (ISSN-L)
  • 1945-7103
DOI
10.2319/071221-549.1
PMC
PMC8691483
OpenAlex
W3203381805
Cited by
20
References
18
Citations by year
2026: 1 · 2025: 7 · 2024: 5 · 2023: 6 · 2022: 1
FWCI
3.13
Type
journal article
Language
en
Open access
Locations
  • The Angle Orthodontist (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Dental and Craniofacial Research (U19DE028717, U19DE022516)
Topics
  • Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
  • Health Sciences › Health Professions › Emergency Medical Services › Dental Trauma and Treatments
  • Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
Keywords
anterior open bite, adult orthodontics, treatment stability, patient satisfaction, orthodontic retention, retainers, fixed orthodontic appliances, clear aligners, temporary anchorage devices, orthognathic surgery, tooth extraction, lower incisor proclination
MeSH terms
Orthodontic Appliances, Fixed, Adult, Humans, Incisor, Malocclusion, Vacuum, Orthodontic Appliance Design, Orthodontic Retainers, Open Bite, Orthognathic Surgical Procedures

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review