Treatment option criteria for open bite with receiver operating characteristic analysis—a retrospective study

Abstract

Temporary anchorage devices (TADs) allow molar intrusion as an additional treatment option to conventional treatment for open bite cases. We investigated the treatment option criteria for open bite treatment. A total of 33 patients with skeletal Class I to Class II open bite who had stable occlusion one year after treatment were enrolled in the study, including 15 patients who had undergone surgical orthodontic treatment, 8 patients who had undergone treatment with molar intrusion, and 10 patients who had undergone treatment with anterior teeth extrusion. Pre-treatment cephalometric analysis of these patients was used for comparison. Furthermore, receiver operating characteristic (ROC) curve analysis was employed to examine the measurement parameters that would be valid as treatment criteria. In the results, FMA showed that patients treated with molar intrusion had a moderately high angle, while those treated with surgical orthodontic treatment had a severe high angle. The area under the curve (AUC) of the ROC curve indicated that FMA is the most appropriate parameter for treatment option criteria. In addition, the cutoff value indicated that the borderline between molar intrusion and surgical orthodontic treatment was 37.5◦ for FMA. In this study, we suggested criteria for the treatment of open bite with molar intrusion.