Published September 30, 2025 | Version v1
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The Role of Anterior Bite Plates in Deep Bite Correction: A Review

  • 1. International Journal of Dental Science and Innovative Research (IJDSIR)

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Abstract

Background: Deep bite malocclusion is a common orthodontic problem that can impair function, esthetics, and long-term stability. Anterior bite planes, both fixed and removable, are widely used to correct deep bite by promoting selective eruption and altering neuromuscular balance.

Objective: This review aims to summarize current evidence on the clinical effects, treatment outcomes, and limitations of anterior bite planes in the management of deep bite malocclusion.

A narrative review of relevant clinical studies, randomized controlled trials, and case reports was undertaken, focusing on dentoalveolar, skeletal, and functional effects, as well as patient acceptance and potential risks.

Results: Anterior bite planes effectively reduce deep bite primarily through dentoalveolar changes, including posterior molar eruption and minor incisor intrusion. Fixed designs demonstrate greater efficiency with minimal reliance on patient cooperation, while removable appliances offer flexibility but are compliance-sensitive. Several studies reported transient neuromuscular adaptations and reduced masticatory muscle activity immediately following insertion, which normalize over time. Long-term skeletal changes are limited, and treatment stability depends on case selection and retention protocols. Overall, patient acceptance has been favorable, particularly with fixed bite planes and integration of digital scanning methods.

Conclusion: Anterior bite planes represent a simple, reliable, and clinically effective adjunct in the management of deep bite malocclusion. Although their effects are primarily dentoalveolar, they contribute significantly to functional correction and improved esthetics. Further longitudinal and controlled clinical trials are required to validate long-term stability and optimize appliance design.

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References

  • 1. Nanda R. The differential diagnosis and treatment of excessive overbite. Dent Clin North Am. 1981 Jan;25 (1):69–84. 2. Pairatchawan N, Viteporn S, Thongudomporn U. Mandibular incisor root volume changes between anterior bite planes fabricated from acrylic resin and thermoplastic materials: a prospective randomized clinical trial. Angle Orthod. 2022 Nov 1;92(6):755–63. 3. Pratiwi D, Purwanegara M. Deep bite correction with an anterior bite plate in a growing patient. Sci Dent J. 2020;4(3):129. 4. Hutami IR, Novianty SI, Indrawati SV, Rinaryo AD, Rahadian A, Christiono S, et al. The effects of anterior bite plane on temporomandibular joint and mandibular morphology. Saudi Dent J. 2023 Sep; 35(6):720–6. 5. Dds BA, Dds SC. Evaluation of the Effects of Fixed Anterior Biteplane Treatment on the Dental and Skeletal Structures and Masticatory Muscles in Patients with Deep Bite. 6. Mohamed AMA, Yaosen C, Badawy R, Maher A balaa, Bakr ARF, Albarakani AY, et al. Impact of Anterior Bite Plane on Skeletal Relationships and Airway Space in Class II Retrognathic Mandibular Cases: A Retrospective Study. Digit Dent J. 2025 Aug;100038. 7. Forsberg CM, Hellsing E. The effect of a lingual arch appliance with anterior bite plane in deep overbite correction. 8. Hellsing E, Hellsing G, Eliasson S. Effect of fixed anterior biteplane therapy—A radiographic study. Am J Orthod Dentofacial Orthop. 1996 Jul;110 (1):61–8. 9. Jackson VH. A consideration of bite-planes in orthodontia. Int J Orthod Oral Surg Radiogr. 1922 Jan;8(1):1–19. 10. Effect-of- Using-Anterior- Bite-Plane- in-the-Treatment- of-Growing-Orthodontic-Patients-with-Deep-Overbite-Malocclusion-A-Systematic-Review. pdf [Internet]. [cited 2025 Sep 4]. Available from: https://www. researchgate. net/ profile/Mohamed-Abd- El-Ghafour-Omar-2/publication/ 349379226_ Effect_of_Using_Anterior_Bite_Plane_in_the_Treatment_of_Growing_Orthodontic_Patients_with_Deep_Overbite_Malocclusion_A_Systematic_Review/links/602 d4fed299bf1cc26d22d7e/ Effect-of-Using-Anterior-Bite-Plane-in-the- Treatment-of-Growing-Orthodontic- Patients-with- Deep-Overbite-Malocclusion- A-Systematic-Review.pdf 11. Zaboulian J, Ghassemi B. Fixed functional therapy with an anterior bite plane. Int J Orthod Milwaukee Wis. 2014;25(4):9–12. 12. Ciavarella D, Laurenziello M, Guida L, Montaruli G, Gallo C, Muzio LL. Dentoskeletal modifications in Class II deep bite malocclusion treatment with anterior bite plane functional appliance. 13. Sangwattanarat T, Thongudomporn U. Effectiveness of removable anterior bite planes with varied mealtime protocols in correcting deep bites among growing patients: a randomized clinical trial. Angle Orthod. 2024 Nov;94(6):615–22. 14. Emami M, Jamilian A, Showkatbakhsh A. The effect of anterior inclined plane treatment on the dentoskeletal of Class II division 1 patients. J Indian Soc Pedod Prev Dent. 2007;25(3):130. 15. Lecturer, Department of Oral Pathology, Oral Medicine, Radiology and Diagnosis, Faculty of Dentistry, University of Misurata, Libya, Senussi IB. Evaluation of Changes on Maxillo-Facial Skeleton of Class II Patients with Deep Bite Treated with Anterior Bite Plane as a Functional Appliance. J Adv Res Dent Oral Health. 2019 Mar 30;04(01):1–9. 16. Dunbar E, Chalmers E, Sivamurthy G, Revie G, McIntyre GT, Mossey PA. Is occlusal contact re-established within 6 months after bonding of a fixed anterior bite plane in adolescents with a Class II division 2 incisor relationship? A randomised controlled trial. J Orthod. 2025 Jun;52(2):115–32. 17. Hellsing E, Hellsing G, Eliasson S. Effect of fixed anterior biteplane therapy—A radiographic study. Am J Orthod Dentofacial Orthop. 1996 Jul;110 (1):61–8. 18. Showkatbakhsh R, Meybodi SE, Jamilian A, Meybodi SARF, Meybodi EM. Treatment effects of R-appliance and Anterior Inclined Bite Plate in Class II, Division I malocclusion. J Appl Oral Sci. 2011 Dec;19(6):634–8. 19. Wasinwasukul P, Nalamliang N, Pairatchawan N, Thongudomporn U. Effects of anterior bite planes fabricated from acrylic resin and thermoplastic material on masticatory muscle responses and maximum bite force in children with a deep bite: A 6‐month randomised controlled trial. J Oral Rehabil. 2022 Oct;49(10):980–92. 20. Nguyen VA, Nguyen TA, Doan TBN. The effectiveness of anterior unilateral bite turbos in correcting incisal plane cant and asymmetric overbite: a prospective clinical study. Sci Rep. 2025 May 6;15(1):15772. 21. Bassarelli T, Franchi L, Defraia E, Melsen B. Dentoskeletal effects produced by a Jasper Jumper with an anterior bite plane. Angle Orthod. 2016 Sep;86(5):775–81. 22. Alsawaf DH, Rajah N. Evaluation of efficacy of utility arch with inter-maxillary elastics for treating skeletal deep bite with retroclined upper incisors in the mixed dentition: a clinical randomized controlled trial. Angle Orthod. 2023 May 1;93(3):296–305. 23. Rasol OA, Hajeer MY, Sultan K, Ajaj MA, Burhan AS, Jaber ST, et al. Evaluation of the Best Method for Orthodontic Correction of Skeletal Deep Bites in Growing Patients: A Systematic Review. Cureus [Internet]. 2024 Jun 19 [cited 2025 Sep 5]; Available from: https:// www.cureus.com/ articles/265902-evaluation-of-the-best- method-for-orthodontic-correction-of-skeletal-deep-bites-in-growing-patients-a-systematic-review 24. Mohamed AMA, Yaosen C, Badawy R, Maher A balaa, Bakr ARF, Albarakani AY, et al. Impact of Anterior Bite Plane on Skeletal Relationships and Airway Space in Class II Retrognathic Mandibular Cases: A Retrospective Study. Digit Dent J. 2025 Aug;100038. 25. Sangwattanarat T, Thongudomporn U. Mandibular incisor root length and root volume changes using removable anterior bite planes in two mealtime protocols in growing deep bite patients: a randomized clinical trial. Angle Orthod. 2025 Sep;95(5):497–503.