title: Anterior open-bite orthodontic treatment in an adult patient: A clinical case report.
abstract: A 45-year-old woman presented with an anterior open-bite complaining chiefly of her unpleasant smile esthetics and masticatory and speech problems. Treatment included speech therapy initiated immediately after bonding. Lingual spurs were positioned on the mandibular incisors in order to help tongue rehabilitation. During the working phase, temporary anchorage devices (TADs) were used at the mandibular anterior segment to intrude the lower left premolars. A splint was used to ensure retention in the upper and lower arches; an enveloppe linguale nocturne (ELN) was provided. Non-surgical open-bite treatment could offer a valid alternative to orthognanthic surgery when cephalometric evaluation shows no vertical growth pattern; patient compliance is essential to prevent relapse.
authors.affiliation: Neuroscience department, university of Padua, via Giustiniani, 2, 35100 Padua, Italy. Electronic address: antonio.gracco@unipd.it.
authors.forename: Antonio
authors.initials: A
authors.lastname: Gracco
authors.affiliation: Orthodontics department, university of Ferrara, via Montebello, 31, 44131 Ferrara, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Siviero
authors.affiliation: Neuroscience department, university of Padua, via Giustiniani, 2, 35100 Padua, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: de Stefani
authors.affiliation: Neuroscience department, university of Padua, via Giustiniani, 2, 35100 Padua, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Bruno
authors.affiliation: Neuroscience department, university of Padua, via Giustiniani, 2, 35100 Padua, Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Stellini
mesh_terms: D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D008311:Malocclusion, Angle Class I / Q000000981:diagnostic imaging / Q000628:therapy; D008409:Mastication; D008875:Middle Aged; D024343:Open Bite / Q000000981:diagnostic imaging / Q000628:therapy*; D052280:Orthodontic Anchorage Procedures / Q000379:methods; D011862:Radiography, Panoramic; D014059:Tongue / Q000033:anatomy & histology
keywords: Adult patient; Anterior open-bite; Tongue posture