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Year : 2021  |  Volume : 12  |  Issue : 4  |  Page : 167-185

The open bite checklist manifesto

1 Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
2 Department of Orthodontics, Faculty of Dentistry, Cairo University; Department of Orthodontics, Future University, Cairo, Egypt

Correspondence Address:
Dr. Heba E Akl
54 El-Malek, El-Saleh Street, Manial-Roda, Cairo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijor.ijor_28_21

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Background and Purpose: The vertical problems and specifically the anterior open bite (AOB) malocclusion represent a challenging situation whenever they are encountered by an orthodontist. The multiple intervening etiologies, the skeletal dysplasia involved, the functional and esthetic problems contribute to the difficulty of the situation. AOB is a descriptive term; underneath which lies a variety of antithesis status that depicts a similar overall appearance. An astute orthodontist should be able to look beyond the overall image to identify the etiological factor(s) that caused such malocclusion and consider the contributing components to apply the appropriate treatment modality. The aim of this paper is to study the interaction between the various components contributing to the AOB malocclusion. Methods: A subclassification has been proposed based on how these components present together differently (whether skeletal or dental open bites). A checklist of 10 questions has been formulated. The answers to these 10 questions in sequence were used through a specifically constructed diagnostic tree that should guide the orthodontist toward an accurate diagnosis. Results: The checklist and diagnostic tree were successfully applied on five patients, which is thought to facilitate their treatment planning. Conclusions: The detailed classification was useful in giving an idea on the clinical and cephalometric features of each patient. The checklist and the diagnostic tree helped to identify the exact offending factors for the presenting malocclusion. Accordingly, the most appropriate treatment option would be provided.

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