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Correction of severe open bite using miniscrew anchorage.

M Kaku¹, A Kawai, H Koseki

¹Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, Minami-ku, Hiroshima, Japan. mkaku@hiroshima-u.ac.jp

Australian Dental Journal

|April 27, 2010

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Severe open bite and posterior crossbite cases may require surgical intervention for stable occlusion. This study successfully treated such a malocclusion using miniscrews for molar intrusion, achieving stable results.

Area of Science:

Dentistry
Orthodontics
Surgical Dentistry

Background:

Severe open bite and posterior crossbite often present complex orthodontic challenges.
Traditional orthodontic therapy alone may not achieve stable occlusion in severe cases.
Surgical intervention is frequently considered for predictable outcomes in complex malocclusions.

Observation:

A patient with severe open bite and posterior crossbite was treated.
Miniscrews were utilized as skeletal anchorage devices.
Molar intrusion was performed bilaterally using the miniscrews in the posterior teeth.

Findings:

The orthodontic treatment involved intruding molars using bilateral miniscrews.
The active treatment duration was 36 months.

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Long-term stability was observed after a subsequent 36-month retention period.

Implications:

Miniscrews offer a viable skeletal anchorage solution for severe open bite correction.
This approach can lead to stable occlusal outcomes in complex orthodontic cases.
Combining orthodontic mechanics with skeletal anchorage may reduce the need for extensive surgery.