Anterior open bite and Class II treatment with mandibular incisor extraction and temporary skeletal anchorage devices

Temporary skeletal anchorage devices (TSADs) provide anchorage for intruding the maxillary posterior teeth to correct an anterior open bite while simultaneously retracting the anterior teeth. The intrusion of posterior teeth with TSADs produces autorotation of the mandible and helps to correct a skeletal Class II pattern. Mandibular incisor extraction has been regarded as an additional treatment option in the correction of malocclusion. In this case report, a 37-year-old woman with a skeletal Class II malocclusion, anterior open bite and severe overjet was corrected with camouflage treatment. Both her occlusion and facial appearance were significantly improved after 23 months of treatment with TSADs and the extraction of her maxillary first premolars and one mandibular incisor.