title: Treatment of anterior open bite and multiple missing teeth with lingual fixed appliances, double jaw surgery, and dental implants.
abstract: The treatment of adult patients with severe anterior open bite frequently requires orthognathic surgery, especially when the chin is retruded severely. If a patient has multiple missing posterior teeth, it is difficult to control the occlusal plane because it is challenging to obtain anchorage during orthodontic treatment. We report on a 25-year-old woman who had a skeletal Class II malocclusion, severe anterior open bite, vertical maxillary asymmetry, and severe dental caries on her molars. There was no posterior occlusal contact between the maxillary and mandibular molars since 5 of her molars had to be extracted because of severe caries. Lingual fixed appliances and double jaw surgery were performed to treat her skeletal and dental problems, and dental implants helped restore her masticatory function. Pretreatment, posttreatment, and retention photographs demonstrate effective, esthetically pleasing, and stable treatment results.
authors.affiliation: Department of Orthodontics, Dental Research Institute and School of Dentistry, Seoul National University, Seoul, Korea.
authors.forename: Min-Ho
authors.initials: MH
authors.lastname: Jung
authors.forename: Un-Bong
authors.initials: UB
authors.lastname: Baik
authors.forename: Sug-Joon
authors.initials: SJ
authors.lastname: Ahn
mesh_terms: D000328:Adult; D002508:Cephalometry; D003731:Dental Caries / Q000601:surgery; D015921:Dental Implants; D005260:Female; D063172:Genioplasty; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000150:complications / Q000601:surgery / Q000628:therapy*; D008312:Malocclusion, Angle Class II / Q000150:complications / Q000601:surgery / Q000628:therapy*; D008334:Mandible / Q000601:surgery; D024343:Open Bite / Q000150:complications / Q000601:surgery / Q000628:therapy*; D009967:Orthodontic Appliances; D009971:Orthodontics, Corrective / Q000295:instrumentation; D056948:Orthognathic Surgical Procedures; D019340:Osteotomy, Le Fort; D059229:Osteotomy, Sagittal Split Ramus; D063173:Retrognathia / Q000601:surgery; D014081:Tooth Extraction
chemical_list: D015921:Dental Implants