Skeletal open bite with amelogenesis imperfecta treated with compression osteogenesis: a case report.

Area of Science:

• Dentistry
• Orthodontics
• Oral Surgery
• Prosthodontics

Background:

• Severe amelogenesis imperfecta (AI) often presents with complex dental and skeletal discrepancies.
• Skeletal open bite poses significant challenges in achieving functional occlusion and stable long-term results.

Observation:

• A 37-year-old male patient with severe AI and a skeletal open bite underwent a multi-stage treatment.
• The treatment involved corticotomy, maxillary superior repositioning using compression osteogenesis, and subsequent prosthodontic rehabilitation.

Findings:

• The interdisciplinary approach successfully corrected the severe anterior open bite and achieved an ideal Class I molar relationship.
• Significant intrusion of maxillary molars and a counter-clockwise mandibular rotation were noted.
• Long-term stability was maintained for 8 years post-treatment, with acceptable occlusion and facial profile.

Implications:

• This case demonstrates the efficacy of combining orthodontics, oral surgery, and prosthodontics for managing severe open bite associated with AI.
• The findings highlight the potential for achieving stable and predictable outcomes in complex craniofacial anomalies.