Article: Volume 14 Number 1 Page 21 - January 2021

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  Orth Update 2021; 14: 21-25

Orthodontics:  Partial Glossectomy as an adjunct to Orthodontic Treatment of Anterior Open Bite Associated with Macroglossia: A Case Report

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Abstract: Orthodontic treatment of an anterior open bite is one of the most challenging malocclusions to treat, especially with respect to post-treatment stability. Complete diagnosis and targeted treatment is required for successful post treatment stability. In instances where macroglossia is the primary aetiology, partial glossectomy will greatly improve post treatment stability. The following case report describes a patient with severe anterior open bite and bimaxillary protrusion secondary to macroglossia. Treatment was successfully performed with partial glossectomy and straight wire orthodontics. Post-treatment relapse was minimal.

Clinical relevance: This article describes a review of the aetiology of anterior open bite and documents one possible treatment option, when the main aetiology of the malocclusion is of soft tissue origin

Author notes: Tarun K Mittal, BDS, DDS, MFDS RCS(Ed), MOrth RCS(Ed), FDS(Orth) RCS(Ed), Consultant in Orthodontics, Leeds Dental Institute, Leeds, UK. Kulraj Achal, BDS, MClinDent, MJDF RCS(Eng), IMOrth RCS(Eng), FDS(Orth) RCS(Eng), Consultant in Orthodontics, Castle Hill Hospital, Hull, UK. James T Taylor, BDS, FDS RCS(Eng), MBBS, FRCS RCS(Eng), FRCS(OMFS) RCS(Eng), Consultant in Oral and Maxillofacial Surgery, York Teaching Hospital, York, UK. Jay D Kindelan BChD(Hons), FDS(Orth) RCS(Eng), MOrth RCS(Eng), MMedSci(Orth) Consultant In Orthodontics, York Teaching Hospital, York, UK. email: tarun.mittal@nhs.net

Objective: A case report is presented on treating anterior open bite showing how complete diagnosis and targeted treatment is required for successful post treatment stability.