title: Open-bite treatment with vertical control and tongue reeducation.
abstract: An open-bite malocclusion with a tongue-thrust habit is a challenging type of malocclusion to correct. A 12-year-old girl came for orthodontic treatment with a severe anterior open bite, extruded posterior segments, a tongue-thrust habit, and lip incompetency. Her parents refused surgical treatment, so a nonextraction treatment plan was developed that used palatal temporary skeletal anchorage devices for vertical control and mandibular tongue spurs to reeducate the tongue. Interproximal reduction was also used to address the moderate to severe mandibular crowding. An abnormal Class I occlusion was achieved with proper overbite and overjet, along with a pleasing smile and gingival display.
authors.affiliation: Private practice, Charleston, SC.
authors.forename: Justin
authors.initials: J
authors.lastname: Garrett
authors.affiliation: Clinic director, Graduate Orthodontics, Center for Advanced Dental Education, Saint Louis University, St Louis, Mo.
authors.forename: Eustaquio
authors.initials: E
authors.lastname: Araujo
authors.affiliation: Private practice, Cary, NC. Electronic address: chrlbake@gmail.com.
authors.forename: Christopher
authors.initials: C
authors.lastname: Baker
mesh_terms: D002508:Cephalometry / Q000379:methods; D002648:Child; D003679:Deglutition / Q000502:physiology; D005260:Female; D005881:Gingiva / Q000473:pathology; D006801:Humans; D008046:Lip / Q000473:pathology; D024343:Open Bite / Q000628:therapy*; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation; D016382:Orthodontic Appliance Design; D009967:Orthodontic Appliances; D010347:Patient Care Planning; D012904:Smiling; D013060:Speech / Q000502:physiology; D014061:Tongue Habits / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000295:instrumentation