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Open Bite With Short Root Anomaly: A Case Report
1Department of Pediatric Dentistry, College of Dentistry Prince Sattam Bin Abdulaziz University Al Kharj Saudi Arabia.
Clinical Case Reports
|July 24, 2026
Summary
This case report details successful orthodontic treatment for an 18-year-old male with a rare open bite and short root anomaly. Conservative management achieved a closed bite and improved aesthetics without significant root resorption.
Area of Science:
- Dentistry
- Orthodontics
- Genetics
Background:
- Anterior open bite and short root anomaly present complex orthodontic challenges.
- Short root anomaly increases the risk of root resorption during treatment.
- Scleroderma history adds complexity to patient management.
Purpose of the Study:
- To illustrate orthodontic therapy management for a rare combination of anterior open bite and short root anomaly.
- To demonstrate a conservative, non-surgical approach for this complex case.
- To evaluate treatment outcomes regarding bite closure, occlusion, and root stability.
Main Methods:
- Non-surgical orthodontic treatment using segmental mechanics.
- Application of an extrusion archwire for bite closure.
- Careful force control and regular follow-up evaluations.
Main Results:
- Successful closure of the anterior and lateral open bite after 22 months.
- Achievement of Class I molar and canine relationships.
- Improved facial aesthetics with no significant root resorption observed.
Conclusions:
- Anterior open bite with short root anomaly can be effectively managed orthodontically.
- Conservative treatment with controlled forces yields stable and esthetic results.
- This case highlights successful management despite complicating factors like short root anomaly and scleroderma history.