Combined orthodontic-surgical management of skeletal anterior open bite with maxillary constriction: a case report

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.