Anterior open bite closure
A 3 mm open bite closed with posterior intrusion and controlled anterior extrusion, with tongue habit management.
- Attachment
- IPR
- Planned position
Presentation
Adult with a 3 mm anterior open bite from canine to canine, tongue thrust habit, Class I molars. No skeletal surgery wanted.
Planning approach
- Relative intrusion of the posterior segments using the aligner as a posterior bite block.
- Anterior extrusion staged slowly with horizontal attachments on the incisors.
- Habit management and myofunctional referral noted as a condition of the plan.
Setup outcome
Positive overbite of 1.5 mm in the setup with posterior contacts preserved.