Combined orthodontic-surgical management of skeletal anterior open bite with maxillary constriction: a case report
https://doi.org/10.33925/1683-3031-2025-884
Abstract
Relevance. The skeletal form of anterior open bite accounts for up to 13.5% of all dentofacial anomalies. In such cases, the outcomes of camouflage treatment tend to be unstable and often require long-term follow-up and adjunctive speech therapy. To shorten the duration of orthodontic treatment, reduce the risk of post-treatment instability within the dentoalveolar complex, and achieve stable functional and aesthetic outcomes, it is advisable to include orthodontic treatment in combination with orthognathic surgery as part of a comprehensive treatment approach.
Clinical case description. This article presents a clinical case of a patient with anterior open bite and Class II malocclusion managed post-pubertal growth spurt, a key factor guiding the decision to pursue a combined orthodontic–surgical approach.
Conclusion. Combined treatment of anterior open bite and Class II malocclusion in a post-growth patient provides stable long-term functional and aesthetic outcomes and ensures greater post-treatment stability of the dentoalveolar structures.
About the Authors
A. A. Simakova
Nothern State Medical University
Russian Federation
Russian Federation
Anna A. Simakova, DMD, Assistant Professor, Department of the Pediatric Dentistry
Arkhangelsk
A. V. Suhanovskaya
Nothern State Medical University
Russian Federation
Russian Federation
Anastasia V. Suhanovskaya, DMD, Resident, Department of the Pediatric Dentistry
51 Troitskiy prospect, Arkhangelsk, Russian Federation, 163000
L. N. Gorbatova
Nothern State Medical University
Russian Federation
Russian Federation
Lubov N. Gorbatova, DMD, PhD, DSc, Professor, Head of the Department of Pediatric Dentistry
Arkhangelsk
A. U. Minkin
Nothern State Medical University
Russian Federation
Russian Federation
Alexandr U. Minkin, DDS, PhD, DSc, Professor, Head of the Department of Maxillofacial and Oral Surgery
Arkhangelsk
N. I. Imshenetskaya
Russian University of Medicine; Medical University Reaviz
Russian Federation
Russian Federation
Natalia I. Imshenetskaya, DDS, PhD, Associate Professor, Department of the Pediatric Maxillofacial Surgery; Associate Professor, Department of Dentistry
Moscow
References
1. Meshalkina IV, Korsak LV, Tkachenko TB. The problem of the open bite: the history or the issue and modern representation. The Dental Institute. 2019;(2):96 (In Russ.). Available from: https://www.elibrary.ru/item.asp?id=39184713
2. Simakova AA, Gorbatova MA, Grjibovski AM, Gorbatova LN. Prevalence of malocclusion and orthodontic treatment needs among 15-year-old adolescents of the Arkhangelsk region. Pediatric dentistry and dental prophylaxis. 2021;21(0):251-256 (In Russ.). doi: 10.33925/1683-3031-2021-21-4-251-256
3. Raposo R, Peleteiro B, Paço M, Pinho T. Orthodontic camouflage versus orthodontic-orthognathic surgical treatment in class II malocclusion: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2018;47(4):445-455. doi: 10.1016/j.ijom.2017.09.003
4. Möhlhenrich SC, Kötter F, Peters F, Kniha K, Chhatwani S, Danesh G, et al. Effects of different surgical techniques and displacement distances on the soft tissue profile via orthodontic-orthognathic treatment of class II and class III malocclusions. Head Face Med. 2021;17(1):13. doi: 10.1186/s13005-021-00264-4
5. Tamburrino RK, Boucher NS, Vanarsdall RL, Secchi A. The transverse dimension: Diagnosis and relevance to functional occlusion. 2010;2:13–22. Available from: https://www.learncco.com/wp-content/uploads/2022/02/Transverse-Dimension.-Diagnosis-and-Relevance-to-Functional-Occlusion-Tamburrino-et-all.pdf
6. Angelieri F, Cevidanes LH, Franchi L, Gonçalves JR, Benavides E, McNamara JA Jr. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2013;144(5):759-769. doi: 10.1016/j.ajodo.2013.04.022
7. Al Hamadi W, Saleh F, Kaddouha M. Orthodontic Treatment Timing and Modalities in Anterior Open Bite: Case Series Study. Open Dent J. 2017;11:581-594. doi: 10.2174/1874210601711010581
8. Vaida LL, Negruțiu BM, Zetu IN, Moca AE, Bran S. Substantial Improvements in Facial Morphology through Surgical-Orthodontic Treatment: A Case Report and Literature Review. Medicina (Kaunas). 2022;58(8):1043. doi: 10.3390/medicina58081043.
9. Sevbitov AV, Kuznecova MJu, Tihonov VJe, Borisov VV, Timoshina MD, Aryhova LK. Effect of result retention on patient satisfaction with orthodontic treatment. Russian Journal of Dentistry. 2020;24(6):382-386 (In Russ.). doi: 10.17816/1728-2802-2020-24-6-382-386
10. Tan ML, Tuk JG, Markarian V, de Lange J, Lindeboom JA. Assessing change in quality of life using the Oral Health Impact Profile in patients undergoing orthognathic surgery: A before and after comparison with a minimal follow-up of two years. J Stomatol Oral Maxillofac Surg. 2023;124(6 Suppl 2):101577. doi: 10.1016/j.jormas.2023.101577
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For citations:
Simakova A.A., Suhanovskaya A.V., Gorbatova L.N., Minkin A.U., Imshenetskaya N.I. Combined orthodontic-surgical management of skeletal anterior open bite with maxillary constriction: a case report. Pediatric dentistry and dental prophylaxis. 2025;25(2):209-214. (In Russ.) https://doi.org/10.33925/1683-3031-2025-884
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