Abstract

BONA, Ana Paula et al. Multidisciplinary performance to anterior open bite associated with finger sucking: case report. Rev. Assoc. Paul. Cir. Dent. [online]. 2016, vol.70, n.1, pp. 58-63. ISSN 0004-5276.

The purpose of this study is to report to the clinical case of a patient with anterior open bite (AOB) associated to the oral deleterious habit of digital suction and the importance of interaction between professionals in the comprehensive treatment. Patient (9 years of age) and its guardian searched dental care with main complaint of prolonged digital suction, AOB, absence of some teeth and bad dental positioning, which compromised negatively the aesthetic and selfesteem of the patient. Balanced facial growth, AOB, upper alveolar dental atresia, negative discrepancy and teeth 11 and 12 with delayed eruption were diagnosed. The treatment consisted in installation of Hass expander associated to palatine grating in order to obtain a fast maxilla expansion and to correct the upper arch atresia that so neutralize the negative discrepancy. Concurrently, held the monitoring and psychological and speech treatment were performed. The palatine grating, adapted with acrylic barrier, prevented the tongue to be positioned between the incisors, which favored their eruption. However, the patient was absent for 2-month and the habit of digital suction was reestablished. In view of this, bi-helix with grating for expansion of the alveolar dental region was indicated and the patient continued speech therapy and psychological treatment. The follow-up to monitoring of the dental eruption and developing of the occlusion were conducted. By means of this study, it was concluded that the OPB intervention require multidisciplinary approach with the purpose of reestablishing the occlusion, propitiating improvement in the selfesteem and consequently in the child quality of life.

Keywords : open bite; fingersucking; pediatric dentistry; patient care team..