The Role of Anterior Bite Plates in Deep Bite Correction: A Review

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.