CASE REPORT TREATMENT OF AN ANTERİOR OPEN BITE WITH THE KİM’S TECHNIQUE MODIFIED BY ENACAR AND AFTER TWO YEARS POST-TREATMENT FOLLOW-UP

A malocclusion characterized by open-bite can be one of the most difficult problems to correct through orthodontic treatment because of the difficulty morphological disharmony and functional disorder associated with open-bite. the orthodontic treatment of anterior open bite malocclusion requires different treatment methods during different growth stages. one of the methods for the treatment of open bite is the multiloop edgewise arch wire technique developed by kim. this technique comprises the use of multiloop gable bend arch wires with vertical elastics in the canine regions. the aims of this technique involve correction of the inclination of the occlusal planes and uprighting of the axial inclinations of the posterior teeth. enacar et al modified kim’s technique by using 0.016 x 0.022 inch upper accentuated-curve and lower reverse-curve nickel titanium arch wires in place of multiloop wires with the intermaxillary elastics applied in the canine areas. in this study was to evaluate effects of open bite treatment with kim’s technique modified by enacar on a patient with anterior open bite and 2-year follow-up after treatment is presented. a 15-years-old female patient’s main complaint was not to be able to bite with her anterior teeth. the patient had a skeletal and dental class i relationship, and high angle characteristics with an anb 3,5 degrees, fma of 36,7 degrees, 5 mm of overjet and - 4 mm overbite according the clinical and radiographic examinations. the patient received conservative orthodontic treatment without tooth extraction. after 16 months of orthodontic treatment achieved class i molar and canine relationship and 2 mm overbite. bite closure was achieved by uprighting and extrusion of upper and lower incisors. openbite activator and hawley appliance were used by the patient during one year for retention. satisfactory results were observed after two years folow-up.