A novel approach in treatment of open bite: a case report.

This case illustrates the treatment of a 12-year-old boy with an open bite, a slight Class II jaw relationship, Class I molar relationship, and a steep lower occlusal plane. The patient needed a surgical procedure due to the severity of openbite; however the surgery option was rejected. Therefore, he was treated by a Hyrax, fixed tongue appliance, posterior bite plate, reverse chin cup and fixed orthodontics. His second premolars and lower second molars were extracted during treatment. The active treatment lasted for 34 months after which favorable correction of the malocclusion was observed. The SNA angle increased by 4 degrees and the GoGn-Sn decreased by 6 degrees. This patient was treated nonsurgically and favorable profile and occlusion were obtained.