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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Spring 2011
Volume 12 , Issue 1

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Orthodontic Management Of An Originally Surgically Planned Treatment Of An Open Bite: A Case Report

Chadi Kassir, DDS, DEA, DESSO/Samar Bou Assi, DDS, MS

Pages: 6069
PMID: 21789291

The treatment of open bite malocclusion is generally considered a challenge due to its multifactorial etiology. Many treatment modalities to correct open bites, including orthognathic surgery and dental compensation, have been proposed. Dental compensation (intruding the posterior teeth and uprighting and extruding the anterior teeth with elastics) is a treatment option for borderline patients and those who are reluctant to undergo surgery. This report documents the treatment of a patient with a severe skeletal open bite malocclusion whose treatment plan originally included fixed appliance therapy as well as orthognathic surgery. He was subsequently treated with only fixed appliances. The patient, a male 17 years, 7 months of age, presented with a Class II, Division 1 malocclusion, 5 mm anterior open bite, and an increased anterior facial height. He was treated with extraction of the maxillary and mandibular premolars, full fixed appliances, and anterior vertical elastics. After 30 months of active treatment, a Class I occlusion with improved overjet and overbite was achieved. Orthodontics 2011;12:6069.

Key words: open bite, surgical treatment, hyperdivergent pattern

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