Anterior Open Bite Closure by Clear Aligners Versus Fixed Appliances in Adult Patients With Skeletal Open Bite: A Randomized Clinical Trial.

Anterior Open Bite Closure by Clear Aligners Versus Fixed Appliances in Adult Patients With Skeletal Open Bite: A Randomized Clinical Trial

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Brief Summary: Comparative Management of Skeletal Anterior Open Bite Using Mini-Screw Supported Intrusion with Clear Aligners Versus Fixed Appliances

PICO elements

Population: Adults (17-25 years) with uncompensated skeletal anterior open bite.

Intervention: TAD-supported intrusion with clear aligners. Comparison: TAD-supported intrusion with fixed appliances.

Outcomes:

Primary: Anterior open bite closure. Secondary: Molar intrusion, mandibular autorotation, incisor movement and quality of life.

The aim of the study is to compare the effects of mini-screw supported maxillary posterior segments' intrusion using fixed appliances versus clear aligners.

Inclusion Criteria:

• uncompensated skeletal openbite with normal incisal show at rest and smiling
• good oral hygeine

Exclusion Criteria:

• systemic disease
• extraction or missing dentition
• root resorption in posterior teeth
• carious or fractured upper posterior teeth peridontal affected upper posterior teeth