Compensational Approach to the Treatment of Open Skeleton Type of Occlusion

Sa？etak Unlike a dental-alveolar type of open occlusion, which has been successfully treated in the period of milk and mixed dentition, an open skeletal occlusion presents a serious orthodontic anomaly, sometimes genetic, required a complex therapeutic approach. An accurate diagnosis and estimate of intensity of the anomaly is of particular importance, determining the treatment schedule. Besides a thorough clinical check-up, an X-ray cephalometric analysis is essential, as the basis for reaching a decision on conventional orthodontic treatment or orthodontic surgery. This paper presents the development of orthodontic treatment of a patient with a diagnosed open skeletal occlusion, caused by posterior rotation of the mandible. Through diagnostics, a decision was made to correct the said anomaly by conventional treatment, using fixed orthodontic technique, with the purpose of reaching the compensational effect. Upon the finished treatment, a good and stabile occlusive relation was achived, thus proving accurate the estimation on treatment method based on objective diagnostics