Resolution of Severe Lateral Open Bite with Surgically Enhanced Orthodontic and Myofunctional Therapies

Authors

• Daniel Kuncio D.D.S., Private practice, New York CityFollow
• Maria Karpov D.M.D., Private practice, New York CityFollow

Keywords

surgically assisted rapid palatal expansion, surgically facilitated orthodontic therapy, segmental corticotomies, myofunctional therapist

Abstract

Patients often present to our practices with dental relapse of previous orthodontic treatment. Many times, the underlying skeletal and/or functional problems leading to the malocclusion were not addressed, causing the teeth to revert to their initial positions, even with good retainer wear. This patient presented with a severe lateral open bite and complained of problems chewing on his right side.

Previous orthodontic treatment with fixed orthodontics appliances and vertical elastics proved to be unstable. We recommended a treatment plan with surgically assisted rapid palatal expansion (SARPE) to correct the skeletal maxillary constriction and provide more tongue space, followed by surgically facilitated orthodontic therapy (SFOT), with myofunctional therapy to address the lateral tongue thrust most likely contributing to relapse.

Recommended Citation

Kuncio, Daniel D.D.S. and Karpov, Maria D.M.D. (2026) "Resolution of Severe Lateral Open Bite with Surgically Enhanced Orthodontic and Myofunctional Therapies," The New York State Dental Journal: Vol. 92: No. 3, Article 3.
Available at: https://commons.ada.org/nysdj/vol92/iss3/3