Junior Bite Plate as a treatment ption in pediatric patients for deep bite correction
Case Report
DOI:
https://doi.org/10.29166/od.v28i1.9604Keywords:
Deep bite, Malocclusion, Maxillary Orthopedics, Mixed Dentition, Removable Orthodontic AppliancesAbstract
Objective: To describe the clinical and radiographic effects of the use of the Plato Junior orthopedic appliance in the correction of deep bite in a pediatric patient over a 90-day intervention period. Methodology: A case report of a pediatric patient diagnosed with deep bite is presented, treated with the placement of the Plato Junior appliance during this period. The evaluation was carried out through clinical analysis, photographic records, follow-up radiographs, and comparative cephalometric analysis at baseline and at the end of treatment. Results: At the end of the treatment, a clinical reduction of the overbite was observed, mainly attributable to dentoalveolar changes such as the relative intrusion of the upper incisors and posterior disocclusion, along with an improvement in occlusal function and facial aesthetics. Although cephalometric analysis showed favorable changes in the lower facial third, these cannot be interpreted as true skeletal growth due to the short intervention period and may correspond to functional adaptations and normal physiological growth of the patient. Conclusions: The Plato Junior appliance proved to be an effective short-term therapeutic alternative for dentoalveolar correction of deep bite in this pediatric patient; however, longitudinal studies with larger sample sizes are required to determine its impact on skeletal growth.
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1. Rasol OA, Hajeer MY, Sultan K, Ajaj MA, Burhan AS, Jaber ST, et al. Evaluation of different methods of correcting deep bite: a systematic review. Prog Orthod. 2025. doi:10.1186/s40510-025-00586-y
2. Rasol OA, et al. Orthodontic correction of deep bite in growing patients: a systematic review. Cureus. 2024;16:e62666. doi:10.7759/cureus.62666
3. El Guennouni B, et al. Orthodontic treatment of deep bite in mixed dentition: a systematic review. Orthod Fr. 2025. doi:10.1016/j.orthodfr.2024.11.012
4. Spillers T, et al. Deep bite correction with clear aligners. Semin Orthod. 2025. doi:10.1055/s-0045-1808255
5. Husain F, Riccardi J, Alletto L, Stellrecht E, Bejehmir AP, Al-Jewair T. Effectiveness and accuracy of clear aligners in treatment of deep bite: a systematic review. Clin Oral Investig. 2025;29:306. doi:10.1007/s00784-025-06381-7
6. Blundell HL, et al. Deep bite correction with clear aligners: a review. Am J Orthod Dentofacial Orthop. 2025. doi:10.1016/j.ajodo.2025.01.019
7. Boccuzzi M, et al. Predictability of overbite correction with clear aligners: a systematic review. Appl Sci. 2025;15(13):7268. doi:10.3390/app15137268
8. Zanatta S, et al. Clear aligners in curve of Spee leveling: a systematic review. Appl Sci. 2025;15:9719. doi:10.3390/app15179719
9. Francisco I, et al. Orthodontic methods for leveling curve of Spee: a systematic review. Appl Sci. 2025;15:12217. doi:10.3390/app152212217
10. Fahim F, et al. Effects of bite turbos in deep bite treatment. Dent J. 2025. doi:10.3390/dj13090412
11. Fahim F, et al. Patient satisfaction with bite turbos. Dent J. 2025. doi:10.3390/dj13090412
12. Mahfouz M, et al. Evidence-based review of deep bite etiology and management. SSRN. 2025. doi:10.2139/ssrn.6153347
13. Inchingolo AD, Malcangi G, Patano A, et al. Orthodontic and surgical approaches for vertical discrepancies: a systematic review. J Clin Med. 2024;13(22):6843. doi:10.3390/jcm13226843
14. Alkhamees A, et al. Class II division 2 treatment with deep bite. J Orthod Sci. 2024. doi:10.4103/jos.jos_56_24
15. Nota A, Tecco S, Baldini A. Predictability of deep bite correction with aligners: a systematic review. Appl Sci. 2024;14(18):8231. doi:10.3390/app14188231
16. Bardideh E, Tamizi G, Shafaee H, Rangrazi A, Ghorbani M, Kerayechian N. Skeletal anchorage-supported intrusion in deep bite: a systematic review and meta-analysis. Biomimetics. 2023;8(3):245. doi:10.3390/biomimetics8030245
17. Ke Y, Zhu Y, Zhu M. A comparison of treatment effectiveness between clear aligners and fixed appliances: a systematic review. BMC Oral Health. 2023;23:24. doi:10.1186/s12903-023-02702-1
18. Papageorgiou SN, Antonoglou GN, Eliades T. Evidence-based orthodontics: clinical implications and future perspectives. Prog Orthod. 2022;23(1):1–8. doi:10.1186/s40510-022-00412-7
19. Papageorgiou SN, et al. Timing of orthodontic treatment interventions: a systematic review. Eur J Orthod. 2022. doi:10.1093/ejo/cjab068
20. Zhang J, Chen G, Li W, Xu T. Patient compliance and orthodontic treatment outcomes: a systematic review. Patient Prefer Adherence. 2022;16:123–135. doi:10.2147/PPA.S338258
21. Gupta H, Gupta A, Verma S, Singh SP. Miniscrew-supported intrusion in deep bite correction: a systematic review and meta-analysis. Contemp Clin Dent. 2022;13(4):307–314. doi:10.4103/ccd.ccd_21_22
22. Prateek S, et al. Mini-implants versus intrusion arch for deep bite correction: a systematic review. Turk J Orthod. 2022;35(2):150–156. doi:10.5152/TurkJOrthod.2022.21114
23. Takeda LF, et al. Deep bite early treatment and outcomes. Res Soc Dev. 2022. doi:10.33448/rsd
24. Alhammadi MS, Fayed MS, Labib A. Global distribution of malocclusion traits: updated systematic review. Orthod Craniofac Res. 2022;25(1):1–12. doi:10.1111/ocr.12505
25. Almaghlouth B, et al. Skeletal anchorage in deep bite correction: a review. Clin Cosmet Investig Dent. 2021;13:11–19. doi:10.2147/CCIDE.S288667
26. AlQabandi AK, Sadowsky C, BeGole EA. Long-term stability of deep bite correction: a systematic review. Orthod Craniofac Res. 2021;24(1):1–10. doi:10.1111/ocr.12406
27. Grünheid T, Loh C, Larson BE. Accuracy of Invisalign treatment in non-extraction cases. Prog Orthod. 2021;22(1):1–10. doi:10.1186/s40510-021-00355-8
28. Almoammar K, et al. Deep bite and periodontal implications: a review. J Clin Exp Dent. 2021;13:e394–e400. doi:10.4317/jced.57954
29. Al-Moghrabi D, et al. Effectiveness of early orthodontic treatment: a systematic review. Angle Orthod. 2021. doi:10.2319/022021-154.1
30. Lombardo L, Arreghini A, Ramina F, Ghislanzoni LTH, Siciliani G. Predictability of orthodontic movement with clear aligners: a systematic review. Angle Orthod. 2020;90(5):755–765. doi:10.2319/022020-144.1
31. Papageorgiou SN, Koletsi D, Iliadi A, Eliades T. Treatment effects of functional appliances on deep bite: a systematic review and meta-analysis. Eur J Orthod. 2020;42(4):402–412. doi:10.1093/ejo/cjz061
32. Sosly R, Mohammed H, Rizk MZ, Jamous E, Qaisi AG, Bearn DR. Effectiveness of miniscrew-supported maxillary incisor intrusion: a systematic review and meta-analysis. Angle Orthod. 2020;90(2):291–304. doi:10.2319/021219-103.1
33. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2020;90(5):755–765. doi:10.2319/022020-144.1
34. Tsichlaki A, Chin SY, Pandis N, Fleming PS. Duration of orthodontic treatment with fixed appliances: a systematic review. Am J Orthod Dentofacial Orthop. 2020;149(3):308–318. doi:10.1016/j.ajodo.2015.10.020
35. Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: a systematic review. Dental Press J Orthod. 2020;25(6):52–61. doi:10.1590/2177-6709.25.6.052-061.oar
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