Cephalometric Assessment and Long-Term Stability of Anterior Open-Bite Correction with Skeletal Anchorage: A Systematic Review and Meta-Analysis
Source abstract
Abstract
This systematic review evaluated the dento-skeletal effects and long-term stability of anterior open-bite (AOB) correction with temporary anchorage devices (TADs). A comprehensive search up to May 2025 was conducted in PubMed, Scopus, Web of Science, Embase, Cochrane Library, LILACS, Scielo, Epistemonikos, Google Scholar, and ScienceDirect. Eligible studies included randomized and non-randomized trials and case series with cephalometric outcomes. Risk of bias was assessed with the MINORS tool. A qualitative synthesis was performed, and studies meeting criteria were included in the meta-analysis. Ot of 1885 records, 22 studies were included qualitatively; 5 entered meta-analysis. Treatment yielded a mean overbite increase of 5.6 mm and reduction in N-Me of 2.8 mm. FMA and SN-GoMe decreased by about 2° and 1.6°, ANB by 1.7°, while SN-Pog increased by 1.4°. Most studies reported stability up to 3 years. Despite heterogeneity and predominance of non-randomized studies, evidence suggests TADs effectively correct AOB through overbite improvement and mandibular counterclockwise rotation. Reported effects appear stable, supporting skeletal anchorage as a reliable, less invasive alternative to surgery in selected patients.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Temporomandibular Joint Disorders · Dental Implant Techniques and Outcomes
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Sciences Integrated Surgical and Diagnostic, University of Genova, 16132 Genova, Italy
Department of Biomedical Surgical and Dental Sciences, University of Milan, 20142 Milan, Italy
Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20142 Milan, Italy
Surgical, Medical and Dental Department, University of Modena and Reggio Emilia, 41124 Modena, Italy
Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
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