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DA217 Dental Specialty Question: Dental Assisting Comparison of posterior occlusion between patients with anterior open bite and scissor deep bite. Answer: Dental Assisting – Article Summary The presented study by Kun, Xu, Hou, and Wang (2018) attempted to undertake the causative assessment of the scissor deep bite and anterior open bite/anterior vertical dimension. The study identified the influence of posterior occlusal height on the width of the number of worn cusps and width of the dental arch in 49 orthodontic individuals between the age groups pertaining to 10-27 years. The study hypothesized the 2-fold enhancement of the anterior vertical dimension under the impact of an elevated posterior vertical dimension. The study methods effectively utilized the posterior occlusal contact relation scoring system to effectively evaluate the buccal-lingual and mesial-distal relations. The investigators recorded the quantity of worn lingual and buccal cusps across the posterior teeth. Similarly, the arch width recording of the individual teeth cusp tips was undertaken to determine the buccal-lingual cusp-to-cusp occlusal relation. The researchers utilized the logical regression analysis to evaluate the impact of buccal-lingual/mesial–distal relation on the scissor deep/open bite as well as the anterior occlusal pattern. The study findings revealed the elevation of the vertical dimension the posterior occlusion contacts’ buccal-lingual cusp-to-cusp relation. The study outcomes also revealed the impact of a wider mandibular arch dimension (based on the open bite) on the structural configuration of the posterior occlusion contacts’ buccal-lingual cusp-to-cusp relation. The study identified the cusp-to-cusp relation as the significant causative factor for the development of wear in the tooth tip of the non-supporting and supporting cusps in the selected youngsters. The study outcomes therefore substantially negated the study hypothesis and revealed the development of the anterior vertical occlusion pattern under the impact of posterior buccal-lingual cusp-to-cusp relation configuration. In other words, the variation between the deep and open bite proved to be the direct outcome of the buccal-lingual cusp-to-cusp relation pattern in the selected patients.    References Kun, Q., Xu, Y., Hou, Y., & Wang, M. Q. (2018). Comparison of posterior occlusion between patients with anterior open bite and scissor deep bite. J Int Med Res, 2284–2291. doi: [10.1177/0300060518762987]

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