Disarticulation methods in orthodontic treatment - An update

TL;DR

This paper reviews bite raisers in orthodontics, focusing on their designs, uses, and innovations to improve patient comfort and treatment outcomes.

Contribution

The paper provides an updated review of disarticulation methods, emphasizing innovations and patient-specific considerations.

Findings

Bite planes are categorized into anterior and posterior types with specific clinical applications.

Innovations aim to reduce patient discomfort and adverse effects like trauma or unwanted tooth movement.

Tailoring bite raiser selection to patient-specific factors improves treatment outcomes.

Abstract

Disarticulation methods, commonly referred to as bite raisers or bite planes, play a pivotal role in orthodontics. This review
consolidates current literature on the various designs, classifications and modifications of anterior and posterior bite planes, along
with their clinical indications, ideal requirements and associated complications. Special emphasis is placed on innovations that improve
patient comfort, reduce dependence on compliance and minimize adverse effects such as trauma, speech interference, or undesired tooth
movement. The article further highlights the significance of tailoring bite raiser selection to the patient"s facial type, malocclusion,
mandibular plane angle and treatment mechanics. A comprehensive understanding of the biomechanics, application protocols and potential
risks is essential for optimizing treatment outcomes.