Orthodontic Management of an Adult with Anterior Open Bite, Severe Spacing, and Bimaxillary Proclination.

Abstract

A 34-year-old female presented at the orthodontic clinic of Lagos State University Teaching Hospital with the chief complaints of spaces between her teeth and inability to bite. On intraoral examination, she had Angle's Class I malocclusion on a skeletal pattern 1 base with anterior open bite extending from canine to canine and measuring 5mm, severe spacing of the upper and lower arches, a tongue habit, and multiple rotated teeth. This treatment aimed to achieve normal overbite and overjet, close the spaces in upper and lower arches, control the tongue habit and achieve a stable occlusion and retention. Orthodontic treatment with non-extraction upper and lower fixed appliance therapy using Roth 0.022” prescription preadjusted edgewise appliance. After 30 months of active treatment, objectives were achieved and the patient was restored to function and aesthetics. Occlusion was retained with the use of fixed lingual and removable Hawley's retainer in the upper and lower arches, with the incorporation of tongue rake in the upper Hawley's retainer. The patient was satisfied with the treatment outcome.