{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T05:25:07Z","timestamp":1792301107591,"version":"4.4.0"},"reference-count":62,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec id=\"st1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the long-term effects of rapid maxillary expansion (RME) and posterior bite block (BB) in prepubertal subjects with dentoskeletal open bite.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      The treatment group (TG) comprised 16 subjects (14 girls, 2 boys) with dentoskeletal open bite with a mean age of 8.1 \u00b1 1.1 years treated with RME and BB. Three consecutive lateral cephalograms were available before treatment (T1), at the end of the active treatment with the RME and BB (T2), and at a follow-up observation at least 4 years after the completion of treatment (T3). The TG was compared with a control group (CG) of 16 subjects (14 girls, 2 boys) matched for sex, age, and vertical skeletal pattern. An independent sample\n                      <jats:italic>t<\/jats:italic>\n                      -test was used to compare the T1 to T3, T1 to T2, and T2 to T3 cephalometric changes between the TG and the CG.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the long term, the TG showed a significantly greater increase in overbite (+1.8 mm), reduced extrusion of maxillary and mandibular molars (\u22123.3 mm), and, consequently, a significant decrease in facial divergence (\u22122.8\u00b0) when compared with untreated subjects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The RME and BB protocol led to successful and stable recovery of positive overbite in 100% of the patients considered. Correction of open bite was associated with reduced extrusion of maxillary and mandibular molars with a significant improvement in vertical skeletal relationships when compared with the CG.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/102717-728.1","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T09:13:24Z","timestamp":1524474804000},"page":"523-529","source":"Crossref","is-referenced-by-count":18,"title":["Long-term evaluation of rapid maxillary expansion and bite-block therapy in open bite growing subjects:"],"prefix":"10.2319","volume":"88","author":[{"given":"Manuela","family":"Mucedero","sequence":"first","affiliation":[{"name":"Research Fellow, Department of Clinical Sciences and Translational Medicine, University of Rome \u201cTor Vergata,\u201d Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Fusaroli","sequence":"additional","affiliation":[{"name":"Graduate student, Department of Clinical Sciences and Translational Medicine, University of Rome \u201cTor Vergata,\u201d Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Franchi","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Pavoni","sequence":"additional","affiliation":[{"name":"Research Fellow, Department of Dentistry, University Nostra Signora del Buon Consiglio, Tirana, Albania."},{"name":"Research Fellow, Department of Dentistry, University Nostra Signora del Buon Consiglio, Tirana, Albania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Cozza","sequence":"additional","affiliation":[{"name":"Professor and Department Chair, Department of Clinical Sciences and Translational Medicine, University of Rome \u201cTor Vergata,\u201d Rome, Italy."},{"name":"Head, Department of Dentistry, University Nostra Signora del Buon Consiglio, Tirana, Albania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Lione","sequence":"additional","affiliation":[{"name":"Research Fellow, Department of Dentistry, University Nostra Signora del Buon Consiglio, Tirana, Albania."},{"name":"Research Fellow, Department of Dentistry, University Nostra Signora del Buon Consiglio, Tirana, Albania."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-88-5-523-b01","series-title":"Prog Orthod","first-page":"28","article-title":"Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition","volume":"17","author":"Pisani \n              L,","year":"2016","unstructured":"Pisani \n              L, \n            \n            \n              Bonaccorso \n              L, \n            \n            \n              Fastuca \n              R, \n            \n            \n              Spena \n              R, \n            \n            \n              Lombardo \n              L, \n            \n            \n              Caprioglio \n              A. \n            \n          \n          Systematic review for orthodontic and orthopedic treatments for anterior open bite in the mixed dentition. 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Am J Orthod Dentofacial Orthop. 2017;151:1058\u20131064."},{"key":"i0003-3219-88-5-523-b18","series-title":"Eur J Orthod","first-page":"237","article-title":"Effectiveness of the open bite treatment in growing children and adolescents: a systematic review","volume":"38","author":"Feres \n              MF,","year":"2016","unstructured":"Feres \n              MF, \n            \n            \n              Abreu \n              LG, \n            \n            \n              Insabralde \n              NM, \n            \n            \n              Almeida \n              MR, \n            \n            \n              Flores-Mir \n              C. \n            \n          \n          Effectiveness of the open bite treatment in growing children and adolescents: a systematic review. Eur J Orthod. 2016;38:237\u2013250."},{"key":"i0003-3219-88-5-523-b19","series-title":"Am J Orthod Dentofacial Orthop","first-page":"417","article-title":"Role of posterior transverse interarch discrepancy in Class II, Division 1 malocclusion during the mixed dentition phase","volume":"110","author":"Tollaro \n              I,","year":"1996","unstructured":"Tollaro \n              I, \n            \n            \n              Baccetti \n              T, \n            \n            \n              Franchi \n              L, \n            \n            \n              Tanasescu \n              CD. \n            \n          \n          Role of posterior transverse interarch discrepancy in Class II, Division 1 malocclusion during the mixed dentition phase. Am J Orthod Dentofacial Orthop. 1996;110:417\u2013422."},{"key":"i0003-3219-88-5-523-b20","series-title":"An Atlas of Craniofacial Growth: Cephalometric Standards From the University School Growth Study. Monograph 2. 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St Louis, Mo: Mosby;1997."},{"key":"i0003-3219-88-5-523-b22","series-title":"Am J Orthod","first-page":"559","article-title":"Reliability and stability of the orthodontic patient cooperation scale","volume":"78","author":"Slakter \n              MJ,","year":"1980","unstructured":"Slakter \n              MJ, \n            \n            \n              Albino \n              JE, \n            \n            \n              Fox \n              RN, \n            \n            \n              Lewis \n              EA. \n            \n          \n          Reliability and stability of the orthodontic patient cooperation scale. Am J Orthod. 1980;78:559\u2013563."},{"key":"i0003-3219-88-5-523-b23","series-title":"Semin Orthod","first-page":"119","article-title":"The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics","volume":"11","author":"Baccetti \n              T,","year":"2005","unstructured":"Baccetti \n              T, \n            \n            \n              Franchi \n              L, \n            \n            \n              McNamara \n              JA\n              Jr. \n            \n          \n          The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod. 2005;11:119\u2013129."},{"key":"i0003-3219-88-5-523-b24","series-title":"Psychol Bull","first-page":"155","article-title":"A power primer","volume":"112","author":"Cohen \n              J.","year":"1992","unstructured":"Cohen \n              J. \n            \n          \n          A power primer. Psychol Bull. 1992;112:155\u2013159."},{"key":"i0003-3219-88-5-523-b25","series-title":"Eur J Orthod","first-page":"158","article-title":"The effect of sample size and bias on the reliability of estimates of error: a comparative study of Dahlberg's formula","volume":"34","author":"Springate \n              SD.","year":"2012","unstructured":"Springate \n              SD. \n            \n          \n          The effect of sample size and bias on the reliability of estimates of error: a comparative study of Dahlberg's formula. 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Korean J Orthod. 2015;45:38\u201346."},{"key":"i0003-3219-88-5-523-b29","series-title":"Angle Orthod","first-page":"1046","article-title":"Long-term skeletal changes with rapid maxillary expansion: a systematic review","volume":"75","author":"Lagravere \n              MO,","year":"2005","unstructured":"Lagravere \n              MO, \n            \n            \n              Major \n              PW, \n            \n            \n              Flores-Mir \n              C. \n            \n          \n          Long-term skeletal changes with rapid maxillary expansion: a systematic review. 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