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Dental Press J Orthod !"# 2011 Jan-Feb;16(1):126-38CA S O CL N I C O B B OM ocluso Classe I de Angle, com mordida aberta anterior, tratada com extrao de dentes permanentes*Mrian Aiko Nakane Matsumoto**A mordida aberta uma anomalia com caractersticas distintas que, alm da complexi-dade dos mltiplos fatores etiolgicos, traz consequncias estticas e funcionais. Muitas alternativastmsidoutilizadasemseutratamento,entreelasagradepalatina,foras ortopdicas, ajuste oclusal, camuflagem com ou sem exodontias, mini-implantes ou mi-niplacasecirurgiaortogntica.Odiagnsticoprecisoeadeterminaodaetiologia permitem estabelecer os objetivos e o plano de tratamento ideal para essa m ocluso. OpresenterelatodescreveotratamentodeumamoclusoClasseIdeAngle,com padro esqueltico de Classe II e mordida aberta anterior, realizado em duas fases e que foi apresentado diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO), representandoacategoria2,comopartedosrequisitosparaaobtenodottulode Diplomado pelo BBO. !"#$%&'()(*+(#,-.(*"/!" $%&'()$ *+ ,&-((+ . *+ /01&+2 !$3*4*- -5+36-2 736$*$064- %$33+648-2 9:63-;)$ *+06"34-2+(($3/(($%4-*$*$?+@-36-A+06$*+,&B04%-.0>-064&C7*$06$&$14-=3+8+0648-+D$%4-&*-E-%'&*-*+*+7*$06$&$14-*+F45+43)$ =3+6$C G048+3(4*-*+ *+ D)$ =-'&$2 ?$'6$3 +A 736$*$064- @+&- E-%'&*-*+ *+ 7*$06$&$14- *- G048+3(4*-*+ E+*+3-& *$ F4$ *+ H-0+43$2 ?4@&$A-*- @+&$ I$-3* I3-(4&+43$ *+ 736$*$064-2123!456784Pacientedosexofeminino,leucoderma,12 anosdeidade,foiencaminhadapelafonoaudi-logaparatratamentoortodnticoeapresentou-se com queixa principal de falta de contato en-tre os dentes anteriores e posio alterada dos ca-ninos superiores. Na anamnese, relatou ter sido portadora de hbito de suco de chupeta at os 5 anos de idade e ter sido submetida adenoton-silectomia aos 4 anos de idade. Apresentava bom estado de sade geral, sem relato de doenas gra-ves ou traumas.519:2; $36O$*$064%-&&M 63+-6+* @-64+06(2 Am J Orthod. 1985 Mar;87(3):175-86.2.Katsaros C, Berg R. Anterior open bite malocclusion: a follow-up study of orthodontic treatment effects. Eur J Orthod. 1993 Aug;15(4):273-80.3.Janson GRP, Valarelli FP, Beltro RTS, Freitas MR, Henriques HE,2 D6-54&46M $> -06+34$3 $@+0 546+ 0$0+:63-%64$0 63+-6A+06 40 6O+ @+3A-0+06 *+06464$02 /A H 736O$* ?+06$>-%4-& Orthop. 2003 Sep;124(3):265-76.4.Espeland L, Dowling PA, Mobarak KA, Stenvik A. Three-year stability of open-bite correction by 1-piece maxillary osteotomy. Am J Orthod Dentofacial Orthop. 2008 Aug;134(1):60-6.5.Subtenly JD, Sakuda M. Openbite: diagnosis and treatment. Am J Orthod. 1964 May;50(5):337-58.6.Nahoum HI. Vertical proportions and the palatal plane in anterior openbite. Am J Orthod. 1971 Mar;59(3):273-82.7.Spyroulus MN, Askarieh M. Vertical control: a multifatorial problem and its clinical implications. Am J Orthod. 1986 Jul; 70(1):70-80.8.Haryett RD, Hansen FC, Davidson PO, Sandilands ML. Chronic thumb-sucking. The psycologic effects and relative +>>+%648+0+(( $> 8-34$'( A+6O$*( $> 63+-6A+062 /A H 736O$* Dentofacial Orthop. 1967 Aug;53(8):569-85.9.McNamara JA. An experimental study of increased vertical *4A+0(4$0 40 6O+ 13$N401 >-%+2 /A H 736O$*2 TUVV Apr;71(4):382-95.10.Sehgal V, Chahdna A, Saini M. Use of semifxed posterior bite blocks to open a deep bite. J Clin Orthod. 2008 Jun;42(6):358-60.11. Stuani MBS, Stuani AS. Modifed Thurow appliance. A %&404%-& -&6+30-648+ >$3 %$33+%6401 (R+&+6-& $@+0 546+2 /A H Orthod Dentofacial Orthod. 2005 Jul;128(1):118-25.12.Kim YH. Anterior openbite and its treatment with multiloop edgewise archwire. Angle Orthod. 1987 Oct;57(4):290-321.13.Kkkeles N, Acar A, Dermikaya AA, Evrenoi B, Enacar A. Cephalometric evaluation of open bite treatment with NiTi -3%O N43+( -0* -06+34$3 +&-(64%(2 /A H 736O$* ?+06$>-%4-& Orthop. 1999 Nov;116(5):555-62.14.Denny JM, Weiskircher MA, Dorminey JC. Anterior open bite and overjet treated with camoufage therapy. Am J Orthod Dentofacial Orthop. 2007 May;131(5):670-8.!@F@!V2=19-%4-& 736O$@2 TUUW Nov;108(5):500-9.16.Park YC, Lee HA, Choi NC, Kim DH. Open bite correction by 4063'(4$0 $> @$(6+34$3 6++6O N46O A404(%3+N(2 /01&+ 736O$*2 2008 Jul;78(4):699-710.TV2,O'01 XFC X4A YDC Z406$0 HZC Z++ YH2 QO+ A404@&-6+ with tube for skeletal anchorage. J Clin Orthod. 2002 Jul;36(7):407-12.T[2D'1-N-3- HC I-4R GIC GA+A$34 !C Q-R-O-(O4 HC X-N-A'3- H, Mitani H. Treatment and posttreatment dentoalvelar %O-01+( >$&&$N401 4063'(4$0 $> A-0*45'&-3 A$&-3( N46O -@@&4%-64$0 $> - (R+&+6-& -0%O$3-1+ (M(6+A KD/DL >$3 $@+0 bite correction. Int J Adult Orthodon Orthognath Surg. 2002 Winter;17(4):243-53.19.Denison TF, Kokich VG, Shapiro PA. Stability of maxillary ('31+3M 40 $@+0 546+ 8+3('( 0$0$@+0 546+ A-&$%%&'(4$0(2 Angle Orthod. 1989 Mar;59(1):5-10.20.Nielsen IL. Vertical malocclusions: etiology, development, *4-10$(4( -0* ($A+ -(@+%6( $> 63+-6A+062 /01&+ 736O$*2 1991 Dec;61(4):247-60.21.Vaden JL, Pearson LE. Diagnosis of the vertical dimension. Semin Orthod. 2002 Dec;8(4):120-9.22.Epker BN, Fish LC. Surgical orthodontic corrections of openbite deformity. Am J Orthod. 1977 Mar;71(3):278-99.23.Goto S, Boyd RL, Iizuka T. Case report: nonsurgical 63+-6A+06 $> -0 -*'&6 N46O (+8+3+ -06+34$3 $@+0 546+2 /01&+ Orthod. 1994;64(4):311-8. 24.Vaden JL. The vertical dimension: The low-angle patient. World J Orthod. 2005 Summer;6(2):115-24.Enviado em: outubro de 2010Revisado e aceito: dezembro de 2010