{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:16:06Z","timestamp":1791526566707,"version":"4.3.4"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:00:00Z","timestamp":1758067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["n\u00b0. 2017\/06440-3"],"award-info":[{"award-number":["n\u00b0. 2017\/06440-3"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["n\u00b0. 2018\/05238-9"],"award-info":[{"award-number":["n\u00b0. 2018\/05238-9"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["n\u00b0. 2018\/24003-2"],"award-info":[{"award-number":["n\u00b0. 2018\/24003-2"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study evaluated the stability of anterior open bite (AOB) treatment with bonded spurs (BS) after 4 years of follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The BS group included 26 patients (9 male, 17 female) in the mixed dentition with Class I or Class II malocclusion and AOB, treated with BS for 1 year. Lateral cephalograms were taken at pretreatment (T1, 8.06 years), post-treatment (T2, 9.11 years) and 4-year post-treatment (T3, 13.3 years). The control group comprised 20 untreated subjects (7 male, 13 female) with AOB. The primary outcome was the overbite change. Interphase cephalometric comparisons in the BS group were performed with repeated measures ANOVA followed by Tukey or Friedman test (P &amp;lt; 0.05). Intergroup comparisons were performed with t-tests, Mann\u2013Whitney, and Chi-square tests (P &amp;lt; 0.05). Multiple linear regression analysis evaluated the influence of initial AOB severity and facial growth pattern on long-term overbite changes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the follow-up, the BS group showed a slightly increase in overbite (0.87 \u00b1 1.17\u2005mm). Two patients (7.69%) demonstrated relapse with negative overbite (mean: \u22122.75\u2005mm) at T3. During treatment, the BS group showed greater overbite increase (4.53 \u00b1 1.55\u2005mm), incisor extrusion (2.72 1.25\u2005mm), and lingual tip of upper (2.72 \u00b1 1.25\u00b0) and lower incisors (\u22122.24\u00b13.61\u00b0) compared to the control group. Neither initial AOB severity nor facial growth pattern significantly influenced long-term overbite changes (P = 0.831).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Limitation<\/jats:title>\n                  <jats:p>Ethnic heterogeneity between the BS and control groups, and the use of a historical control group, which made randomization impossible. Another limitation is the absence of data on the etiological habits in the control group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Bonded spurs are effective for anterior open bite treatment in the mixed dentition, providing a high rate of long-term stability (92.31%).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejo\/cjaf066","type":"journal-article","created":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T11:24:29Z","timestamp":1754220269000},"source":"Crossref","is-referenced-by-count":3,"title":["Long-term stability of anterior open bite treatment with bonded spurs in the mixed dentition: a secondary data analysis from a clinical trial"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4694-638X","authenticated-orcid":false,"given":"Gabriela","family":"Utrago","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo , Alameda Dr. Oct\u00e1vio Pinheiro Brisolla, 9-75, Bauru, SP 17012-901 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Cl\u00e1udia","family":"de Castro Ferreira Conti","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo , Alameda Dr. Oct\u00e1vio Pinheiro Brisolla, 9-75, Bauru, SP 17012-901 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fel\u00edcia","family":"Miranda","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo , Alameda Dr. Oct\u00e1vio Pinheiro Brisolla, 9-75, Bauru, SP 17012-901 ,","place":["Brazil"]},{"name":"Department of Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo , Rua Silvio Marchione, 3-20, Bauru, SP 17012-900 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3963-1742","authenticated-orcid":false,"given":"Aron","family":"Aliaga-Del Castillo","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan , 1011 N University Ave, Ann Arbor, MI 48109 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila","family":"Massaro","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo , Alameda Dr. Oct\u00e1vio Pinheiro Brisolla, 9-75, Bauru, SP 17012-901 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7785-1634","authenticated-orcid":false,"given":"Silvio Augusto","family":"Bellini-Pereira","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo , Alameda Dr. Oct\u00e1vio Pinheiro Brisolla, 9-75, Bauru, SP 17012-901 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Garib","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Bauru Dental School, University of S\u00e3o Paulo , Alameda Dr. Oct\u00e1vio Pinheiro Brisolla, 9-75, Bauru, SP 17012-901 ,","place":["Brazil"]},{"name":"Department of Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of S\u00e3o Paulo , Rua Silvio Marchione, 3-20, Bauru, SP 17012-900 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"2025092922372736400_cjaf066-B1","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1016\/j.ajodo.2004.11.031","article-title":"Stability of anterior open-bite extraction and nonextraction treatment in the permanent dentition","volume":"129","author":"Janson","year":"2006","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2025092922372736400_cjaf066-B2","volume-title":"Open-Bite Malocclusion: Treatment and Stability","author":"Janson","year":"2014"},{"key":"2025092922372736400_cjaf066-B3","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1016\/j.pcl.2018.05.008","article-title":"Orthodontics in children and impact of malocclusion on adolescents\u2019 quality of life","volume":"65","author":"Abreu","year":"2018","journal-title":"Pediatr Clin North Am"},{"key":"2025092922372736400_cjaf066-B4","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s40510-020-00323-7","article-title":"Is there a relationship between malocclusion and bullying? 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