%0 Journal Article
%T Therapeutic Approach to Anterior Open Bite Using Molar Intrusion on Miniscrews: A Clinical Case Study
%A Laila Lazrak
%A Fran&#231
%A ois Tonamou
%A Amadou Oury Diallo
%A Meriem Bellamine
%A Ihsane Ben Yahya
%J Open Access Library Journal
%V 13
%N 3
%P 1-15
%@ 2333-9721
%D 2026
%I Open Access Library
%R 10.4236/oalib.1114976
%X Introduction: Anterior open bite is a therapeutic challenge in orthodontics, often associated with a high recurrence rate. While orthognathic surgery remains an option, posterior tooth intrusion using temporary anchors has emerged as an effective non-surgical therapeutic approach. The aim of this article was to present the non-surgical management of anterior open bite in an adult patient with hyperdivergence, using miniscrew-assisted posterior tooth intrusion. Method: A 28-year-old female patient with a 6 mm open bite, facial hyperdivergence and lingual dysfunction was treated with a fixed vestibular multi-attachment appliance. The intrusion mechanism was based on double skeletal anchorage in the vestibular and palatal areas of the posterior maxilla to achieve pure molar intrusion. Tongue re-education was carried out in parallel to correct the tongue dysfunction. Results: The 18-month treatment resulted in complete correction of the open bite. Cephalometric analysis confirmed mandibular anterior rotation and a reduction in lower facial height. The result remained stable after 2 years of orthodontic treatment, with Class 1 occlusal relationships. Conclusion: Posterior tooth intrusion using miniscrews is an effective and non-invasive alternative to surgery for moderate to severe anterior open bites. Long-term stability is dependent on the concomitant correction of lingual dysfunction, emphasizing that the combination of orthodontic mechanics and functional therapy is a determining factor for success.
%K Anterior Open Bite
%K Molar Intrusion
%K Miniscrews
%K Temporary Anchorage Devices
%K Orthodontics
%U http://www.oalib.com/paper/6889151