4, 6, 8– 10 A recent systematic review 11 concluded that crib therapy, regardless of the appliance design, was effective in the treatment of AOB. Several options have been proposed to treat a dental AOB, mainly aiming at the cessation of the habit such as by the use of spurs, 3– 6 quad helix/crib appliance, 7 or removable or fixed palatal crib. Dental AOB can occur as a result of environmental causes such as tongue thrust or the tongue posture at rest, whereas the etiology of skeletal AOB is mainly related to genetic factors. 1 It can be divided into two main categories: either dental or skeletal according to the etiology. Anterior open bite (AOB) can be defined as the absence of vertical overlap between the maxillary and mandibular anterior teeth when the posterior teeth are in occlusion.
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