Maximizing tissue response in selected subjects with anterior open bites.
OBJECTIVE
Open bites are challenging malocclusions with a multifactorial etiology, varying clinical severity, and questionable stability. The aim of this article is to describe a method for maximizing tissue response in the treatment of selected subjects with anterior open bites.


METHODS
Twelve subjects with an anterior open bite and insufficient incisor display underwent a limited corticotomy to augment alveolar bone response by creating an anteroposterior intra-arch anchorage differential. Cephalometric radiographs were taken before treatment (T1) and 1 month after open bite closure (T2). The change in perceived smile esthetics was assessed by a visual analog scale.


RESULTS
All open bites were closed after a mean of 6 weeks. Radiographic evaluation showed significant maxillary incisor extrusion and retrusion. There was a notable improvement in smile esthetics after treatment.


CONCLUSIONS
It is possible to close anterior open bites rapidly with significant improvement in smile esthetics in a selected group of anterior open-bite subjects.
Mostafa
Yehya A
YA
Department of Orthodontics, Cairo University Faculty of Dentistry, Cairo, Egypt.
El-Mangoury
Nagwa Helmy
NH
Abou-El-Ezz
Amr M
AM
Heider
Ahmed M
AM
D000293:Adolescent; D000539:Alveolar Process / Q000473:pathology / Q000601:surgery; D002508:Cephalometry / Q000379:methods; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D024343:Open Bite / Q000628:therapy*; D052280:Orthodontic Anchorage Procedures / Q000379:methods; D050793:Orthodontic Extrusion / Q000295:instrumentation; D012904:Smiling; D013997:Time Factors; D014087:Tooth Movement Techniques / Q000295:instrumentation; D016896:Treatment Outcome; D055815:Young Adult