title: Closure of anterior open bites with mandibular surgery: advantages and disadvantages of this approach.
abstract: BACKGROUND
  While closure of an anterior open bite with a mandibular procedure may predispose a surgical case to instability, there are instances where this type of treatment planning is indicated.
  
  
  METHODS
  In this paper, the authors review the advantages and disadvantages of this approach and present three cases with varying degrees of success. Additionally, treatment strategies are presented for managing large advancements of the maxilla and mandible.
  
  
  RESULTS
  Counterclockwise rotation of the mandible is a valuable tool that can be used in the treatment of patients with dentofacial deformities.
authors.affiliation: Division of Oral and Maxillofacial Surgery, Chandler Medical Center, College of Dentistry, University of Kentucky, 800 Rose Street, D-508, Lexington, KY 40536-0297, USA. vansick@email.uky.edu
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Van Sickels
authors.forename: Aaron
authors.initials: A
authors.lastname: Wallender
mesh_terms: D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D002508:Cephalometry / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D063172:Genioplasty; D006801:Humans; D008334:Mandible / Q000002:abnormalities / Q000601:surgery*; D019186:Mandibular Advancement / Q000295:instrumentation / Q000379:methods; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery; D024343:Open Bite / Q000601:surgery*; D056948:Orthognathic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D011183:Postoperative Complications; D012008:Recurrence; D063173:Retrognathia / Q000601:surgery; D012399:Rotation; D020181:Sleep Apnea, Obstructive / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult