Managing unexpected iatrogenic opening of anterior bite during active orthodontic treatment: a case report / Nor Dayana Mohd Ali and Sarah Haniza Abdul Ghani

Orthodontic treatment even though managed and properly controlled , on some remote occasion may lead to presence of unwanted movement. Anterior open bite is one such example of an iatrogenic outcome. This article describes the management of an iatrogenic anterior open bite case that occurred in active orthodontic treatment in the early stage of leveling and aligning. A few modalities had been employed to manage the open bite through some artistic bends followed by the use of modified low transpalatal arch with extended looped arms with loops as well as orthodontic mini implants for distalisation and some intrusion mechanics. This case report is aimed to share authors’ anecdotal experience on overcoming the open bite.