Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2023; 11(15): 3599-3611
Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3599
Treatment of severe open bite and mandibular condyle anterior displacement by mini-screws and four second molars extraction: A case report
Zi-Wei Huang, Ren Yang, Cheng Gong, Cai-Xia Zhang, Juan Wen, Huang Li
Zi-Wei Huang, Ren Yang, Cheng Gong, Cai-Xia Zhang, Juan Wen, Huang Li, Department of Orthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China
Author contributions: Huang ZW performed the orthodontic treatments under the supervision of Li H, and made contributions to collecting data and drafting the paper; Yang R made contributions to collecting data and drafting the paper; Gong C made contributions to lateral cephalometric radiographs and CBCT 3D superimposition; Wen J made contributions to revising and editing the manuscript; Zhang CX made contributions to revising and editing the manuscript; Li H made contributions to the conception and design of the paper, and clinical supervision of the treatments.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Huang Li, PhD, Professor, Department of Orthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, No. 30 Central Road, Nanjing 210000, Jiangsu Province, China. lihuang76@nju.edu.cn
Received: January 28, 2023
Peer-review started: January 28, 2023
First decision: February 28, 2023
Revised: March 7, 2023
Accepted: April 18, 2023
Article in press: April 18, 2023
Published online: May 26, 2023
Processing time: 117 Days and 14.5 Hours
Core Tip

Core Tip: This article is about the treatment of an adult male patient with a severe hyperdivergent skeletal Class II base, an unusual and gradually occurring open bite and an abnormal mandibular condyle anterior displacement. This case report suggested that identifying the cause of open bite is essential, and the temporomandibular joint (TMJ) factors for hyperdivergent skeletal Class II cases should be particularly examined. For these cases, intruding posterior teeth may place the condyle in a more appropriate position and provide an environment suitable for TMJ recovery.