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Updated: Feb 23, 2026

Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
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Extreme skeletal open bite correction with vertical elastics.

Marco Antonio Cruz-Escalante, Aron Aliaga-Del Castillo, Luciano Soldevilla

    The Angle Orthodontist
    |September 13, 2017
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a non-surgical orthodontic approach for severe open bites, utilizing multiloop edgewise archwire mechanics. The treatment successfully corrected the open bite, improving occlusion and facial aesthetics within 24 months.

    Keywords:
    Corrective orthodonticsElasticsOpen bite

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    Area of Science:

    • Orthodontics
    • Dentofacial Orthopedics

    Background:

    • Severe skeletal open bites can be treated surgically or with orthodontic camouflage.
    • Orthodontic camouflage aims to mask malocclusion without surgery.

    Observation:

    • An 18-year-old male presented with a severe open bite, increased vertical dimension, Class III malocclusion, posterior crossbite, midline deviation, and missing teeth.
    • The patient had anterior and posterior teeth involved in the open bite up to the first molars.

    Findings:

    • A non-surgical treatment plan involved mandibular first premolar extraction, posterior teeth uprighting/vertical control, and anterior teeth extrusion using multiloop edgewise archwire mechanics.
    • Significant open bite reduction was achieved within 8 months, with full treatment completion in 24 months.
    • The treatment resulted in anterior extrusion, posterior intrusion, counterclockwise mandibular rotation, and improved overbite, overjet, sagittal occlusion, and facial profile.

    Implications:

    • Multiloop edgewise archwire mechanics can provide effective and stable non-surgical correction for severe open bites.
    • This approach offers a viable alternative to surgical-orthodontic treatment for specific open bite cases.
    • The demonstrated stable results at the 2-year follow-up highlight the long-term efficacy of this orthodontic technique.