Anterior open-bite orthodontic treatment in an adult patient: A clinical case report

Int Orthod. 2016 Jun;14(2):171-83. doi: 10.1016/j.ortho.2016.03.011. Epub 2016 Apr 11.


A 45-year-old woman presented with an anterior open-bite complaining chiefly of her unpleasant smile esthetics and masticatory and speech problems. Treatment included speech therapy initiated immediately after bonding. Lingual spurs were positioned on the mandibular incisors in order to help tongue rehabilitation. During the working phase, temporary anchorage devices (TADs) were used at the mandibular anterior segment to intrude the lower left premolars. A splint was used to ensure retention in the upper and lower arches; an enveloppe linguale nocturne (ELN) was provided. Non-surgical open-bite treatment could offer a valid alternative to orthognanthic surgery when cephalometric evaluation shows no vertical growth pattern; patient compliance is essential to prevent relapse.

Keywords: Adult patient; Anterior open-bite; Tongue posture.

Publication types

  • Case Reports

MeSH terms

  • Esthetics, Dental
  • Female
  • Humans
  • Malocclusion, Angle Class I / diagnostic imaging
  • Malocclusion, Angle Class I / therapy
  • Mastication
  • Middle Aged
  • Open Bite / diagnostic imaging
  • Open Bite / therapy*
  • Orthodontic Anchorage Procedures / methods
  • Radiography, Panoramic
  • Tongue / anatomy & histology