Prevalence of vertical occlusion alterations
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Objective: Identify the prevalence of vertical occlusion alterations in patients treated at the postgraduate orthodontics clinics of San Gregorio de Portoviejo University during the year 2025. Materials and methods: An observational, descriptive, cross-sectional prevalence study was conducted with a quantitative approach and a non-experimental design. Three hundred and seventy-four medical records of patients treated between January and December 2025 were reviewed, selected using census sampling. The variables analyzed included the type of vertical alteration, facial biotype, sex, age, and mandibular plane. Data were processed using IBM SPSS Statistics with descriptive statistics and the chi-square test. Results: 48.9% of patients did not present vertical malocclusions, while deep bite was the most prevalent (41.4%), followed by open bite (9.6%). The mesofacial biotype predominated in females (48.9%), while the dolichofacial biotype predominated in males (44%). An increased mandibular plane was the most frequent in all three vertical occlusion categories (46.2-48.7%). No statistically significant association was found between facial biotype and vertical occlusion type (p =0.652), nor between the mandibular plane and vertical occlusion (p = 0.33). Conclusions: Deep bite was the most frequent vertical malocclusion in the studied population. The mesofacial biotype predominated in women and the dolichofacial biotype in men, while the mandibular plane did not act as a determining factor in the type of vertical occlusion.
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1. Organización Mundial de la Salud [Internet]. Ginebra: Organización Mundial de la Salud; 2026. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/oral-health
2. Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: A systematic review. Dental Press J Orthod. 2023; 23(6): 40. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6340198/
3. Göranson E, Sonesson M, Naimi-Akbar A, Dimberg L. Malocclusions and quality of life among adolescents: a systematic review and meta-analysis. European Journal of Orthodontics. 2023; 45(3): 295-307. Disponible en: https://academic.oup.com/ejo/article/45/3/295/7095559
4. Pan Y, Gui Z, Lyu J, Huang J. The prevalence of malocclusion and oral health-related quality of life among 12- and 15-year-old schoolchildren in Shanghai, China: a cross-sectional study. BMC Oral Health. 2024; 24(1315). Disponible en: https://link.springer.com/article/10.1186/s12903-024-05077-w
5. Alvarez Barzola O, Veliz Araúz C, Santos Zambrano T. Prevalencia de maloclusiones esqueléticas en relación con el género y los hábitos orales perniciosos: Revisión bibliográfica. Rev Odontol Basadina. 2025; 8(2): 66-74. Disponible en: https://revistas.unjbg.edu.pe/index.php/rob/article/view/2102/2394
6. Mendoza Oropeza L. Prevalencia de las maloclusiones asociada con hábitos bucales nocivos en una muestra de mexicanos. Rev Mex Ortod. 2014; 2(4) :220-227. Disponible en: https://revistas.unam.mx/index.php/rmo/article/view/54211/0
7. Borja D, Ortega E, Cazar M. Prevalence of skeletal malocclusions in the population of the province of Azuay - Ecuador. RSD. 2021; 10(5): e24010515022. Disponible en: https://rsdjournal.org/rsd/article/view/15022
8. Fayad MI. A Literature Review of Vertical Dimension in Prosthodontics Theory and Practice - Part 1: Theoretical Foundations. Cureus. 2024; 16(6): e61903. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11161034/
9. Ministerio de Salud Pública del Ecuador. Manual del Modelo de Atención Integral de Salud - MAIS. Quito: MSP; 2013. Disponible en: https://instituciones.msp.gob.ec/images/Documentos/subse_gobernanza/manual_mais_2013_modificado.pdf
10. Organización Mundial de la Salud. Salud sexual. Ginebra: OMS; 2006. Disponible en: https://www.who.int/es/health-topics/sexual-health#tab=tab_2
11. Watted N, Lone IM, Zohud O, Midlej K, Proff P, Iraqi FA. Comprehensive Deciphering the Complexity of the Deep Bite: Insight from Animal Model to Human Subjects. J Pers Med. 2023; 13(10):1472. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10608509/
12. Casado Fernández, R. Tratamiento interceptivo de la mordida abierta en pacientes en crecimiento. SANUM. 2025; 9(1). Disponible en: https://revistacientificasanum.com/vol-9-num-1-enero-2025-tratamiento-interceptivo-de-la-mordida-abierta-en-pacientes-en-crecimiento/
13. Wajid MA, Chandra P, Kulshrestha R, Singh K, Rastogi R, et al. Open bite malocclusion: An overview. J Oral Health Craniofac Sci. 2018; 3: 011-020. Disponible en: https://doi.org/10.29328/journal.johcs.1001022 https://www.craniofacialjournal.com/articles/johcs-aid1022.php
14. Cerda-Peralta B, Schulz-Rosales R, López-Garrido J, Romo-Ormazabal F. Parámetros cefalométricos para determinar biotipo facial en adultos chilenos. Rev Clin Periodoncia Implantol Rehabil Oral. 2019; 12(1). Disponible en: https://www.redalyc.org/journal/3310/331059337002/html/
15. Maris Flores S. Losoviz E. Periale L. Análisis de diferentes protocolos cefalométricos laterales parte II: consideraciones sobre diferentes aplicaciones. RAAO. 2021; 64(1): 38-43. Disponible en: https://docs.bvsalud.org/biblioref/2021/06/1252459/articulo06.pdf
16. Machado-Gutiérrez A, García-Díaz C, Rodríguez-Ávila J, Gutiérrez-Gil A, Wong-Silva J. Sobremordida vertical excesiva: características clínico-epidemiológicas y tratamiento en menores de 19 años. Rev Ciencias Médicas. 2023; 27(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942023000200010&lng=es.
17. Chacha B, Bustamante J. Correlación entre biotipo facial clínico y cefalométrico como elementos de diagnóstico en ortodoncia. Rev Cient Espec Odontol UG2018; 1(1): 1-5. Disponible en: https://revistas.ug.edu.ec/index.php/eoug/es/article/view/1368/3258
18. Calizana Ayna R, Iglesias Valdivia F. Prevalencia del biotipo facial según el análisis cefalométrico de Ricketts en radiografías obtenidas en un centro radiológico Arequipa 2020. [Tesis en Internet]. Universidad César Vallejo; 2020: 1-43. Disponible en: https://repositorio.ucv.edu.pe/bitstream/handle/20.500.12692/63775/Calizana_AR-Iglesias_VFA-SD.pdf?sequence=1&isAllowed=y
19. Sánchez-Tito M, Yañez-Chávez E. Asociación entre el biotipo facial y la sobremordida: Estudio piloto. Rev. Estomatol. Herediana. 2015; 25(1): 05-11. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1019-43552015000100002&lng=es.
20. Farias Vera J, De La Torre Escalante E, Tello Rodríguez A. La relación del biotipo y perfil facial según análisis de Ricketts y Burstone en pacientes con maloclusiones. En Santacruz Vélez MA, editor. Estudios interdisciplinares en ciencias de la salud. 2024; 1: 81-92. Disponible en: https://press.religacion.com/index.php/press/catalog/download/237/801/1003?inline=1