A 17-year case report: Smile-clenching-swallowing exercise treatment to control tongue behavior and posture of anterior open bite

AJO-DO clinical companion Pub Date : 2024-02-01 DOI:10.1016/j.xaor.2023.11.004

Hyung-Kyu Noh, Ho-Jin Kim, Hyo-Sang Park

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Abstract

This case report emphasizes the importance of tongue habit control and careful monitoring in the treatment and stability of anterior open bite. An 8-year-old girl sought treatment for a severe open bite. On clinical examination, the patient was diagnosed with a dental open bite with infantile swallowing. Attempts for habit control using tongue crib and spur were unsuccessful, resulting in prolonged treatment and relapse of the open bite. Tongue habits could only be eliminated by the patient actively performing the smile-clenching-swallowing exercise after renewed motivation. The treatment, retention, and retreatment lasted for 12 years and focused on the closure of open bite with mechanotherapy and habit control, and the treatment results were stable even after 5.7 years. Hence, when treating an anterior open bite accompanied by tongue habits, focusing on habit control is essential.

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在治疗前牙开合咬合的过程中，通过微笑咬合-吞咽运动来控制舌头的行为和姿势：描述 17 年治疗、复发和随访的病例报告

本病例报告强调了控制舌习惯和仔细观察对治疗和稳定前牙开合咬合的重要性。一名 8 岁女孩因严重开牙合而寻求治疗。经临床检查，患者被诊断为牙齿开牙合，并伴有婴儿期吞咽困难。患者曾尝试使用舌弓和舌刺控制习惯，但均未成功，导致治疗时间延长和开牙合复发。患者只有在重新获得动力后积极进行微笑咬合-吞咽练习，才能消除舌习惯。治疗、保留和再治疗持续了 12 年，主要是通过机械疗法和习惯控制来关闭开牙合，即使在 5.7 年后，治疗效果也很稳定。因此，在治疗伴有舌习惯的前牙开合咬合时，注重习惯控制至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AJO-DO clinical companion Dentistry, Oral Surgery and Medicine

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审稿时长

73 days