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A non-surgical correction of openbite

Author: 
Dr. Terence Abraham, Dr. Abhinay Saroke, Dr. Ridhima Suneja and Dr. Femy Terence
Subject Area: 
Health Sciences
Abstract: 

Aim: This case reports discuss the non-surgical correction of openbite using conventional biomechanics. Background: Open bite is a malocclusion that occurs in the vertical plane, characterized by lack of vertical overlap between the maxillary and mandibular dentition. Openbite can occur in the anterior and the posterior region and are called anterior openbite and posterior openbite respectively. The diagnosis, treatment, and successful retention of treated openbite malocclusion pose a challenge to the technical ability and skills of the clinicians. Case Description: This case reports discuss the management of Anterior openbite in a 32 yr old male patient who refused surgical treatment so a non-extraction treatment was planned using box elastics. Anterior spacing was closed using elastic thread. Class I molar and canine relation was achieved with normal overjet and overbite along with a pleasing smile. Conclusion: The use of fixed tongue crib and Box elastics could correct the anterior openbite in some extent and helped in maintaining proper Overjet and overbite, improvement in profile and smile esthetics. Fixed retainer with tongue crib along with patient motivation for tongue exercise improved the long-term stability. Clinical significance: This case report discussed the non surgical management of anterior open bite using conventional biomechanics. NiTi wire used here benefits the correction of open bite by its bite deepening property. Fixed tongue crib and Box elastics in some extent helped in maintaining proper overjet and overbite, improvement in profile and smile esthetics.

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