References

Epker BN, Fish LC. Surgical-orthodontic correction of open bite deformity. Am J Orthod. 1977; 71:278-299
Proffit WR, Bailey LJ, Phillips C, Turvey TA. Long-term stability of surgical open bite correction by Le Fort 1 osteotomy. Angle Orthod. 2000; 70:112-117
Umemori M, Sugawara J, Mitani H, Nagasaka H, Kawamura H. Skeletal anchorage system for open-bite correction. Am J Orthod Dentofacial Orthop. 1999; 115:166-174
Sugawara J, Baik UB, Umemori M, Takahashi I, Nagasaka H, Kawamura H Treatment and posttreatment dentoalveolar changes following intrusion of mandibular molars with application of a skeletal anchorage system (SAS) for open bite correction. Int J Adult Orthod Orthognath Surg. 2002; 17:243-253
Kuroda S, Sakai Y, Tamamura N, Deguchi T, Takano-Yamamoto T. Treatment of severe anterior open bite with skeletal anchorage in adults: comparison with orthognathic surgery outcomes. Am J Orthod Dentofacial Orthop. 2007; 132:599-605

The non-surgical approach to close an anterior open bite – a case report

From Volume 7, Issue 3, July 2014 | Pages 82-87

Authors

Lynda Kirk

Dip Orth Therapy, RCS(Edin)

Orthodontic Therapist, Royal Derby Hospital, Uttoxeter New Road, Derby DE22 3NE, UK

Articles by Lynda Kirk

Anne-Marie Smith

BDS, FDS RCS(Eng), MSc(Lond), MOrth RCS(Eng), FDS(Orth) RCS(Eng)

Consultant Orthodontist, Royal Derby Hospital, Uttoxeter New Road, Derby DE22 3NE, UK

Articles by Anne-Marie Smith

Alison Murray

BDS, MSc, MOrth RCS(Eng), FDS RCPS(Glasg)

Consultant Orthodontist, Royal Derby Hospital, Derby

Articles by Alison Murray

Abstract

Anterior open bites are notoriously difficult to correct. A case is described where a 26-year-old Caucasian female with an anterior open bite, due to a previous persistent digit-sucking habit, is treated successfully with upper and lower fixed appliances and skeletal anchorage to intrude the posterior teeth. This remained stable one year post treatment.

Clinical Relevance: Clinicians should be aware that the posterior teeth in patients with mild to moderate anterior open bites can be intruded successfully with temporary anchorage devices.

Article

Anterior open bites are a difficult problem to correct. The aetiology is complex and involves a combination of skeletal, dental, functional and habitual factors. A variety of treatment modalities have been used to treat patients with anterior open bites, including orthodontic extrusion of the anterior teeth or a combination of orthodontic and orthognathic surgical treatments in adults.1 These surgical procedures are relatively stable and produce acceptable results.2

The use of skeletal anchorage to correct anterior open bites with orthodontic intrusion of posterior teeth has been reported in patients with mild to moderate anterior open bites.3,4

A case is described where a 26-year-old Caucasian female with an anterior open bite is treated successfully with upper and lower fixed appliances and skeletal anchorage.

A 26-year-old Caucasian female was referred by her general dental practitioner with an increased overjet and an anterior open bite. She had been a persistent digit sucker until 18 months previously.

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