The application of skeletal anchorage in the correction of anterior open bite and skeletal Class III malocclusion: a paradigm shift.

In recent years orthodontic treatment has been revolutionized by the introduction of skeletal anchorage or temporary anchorage devices (TADs). Many malocclusions, which have been previously only treatable through orthognathic surgery, such as skeletal open-bites, can now be managed non-surgically with less biological cost to the patient. Furthermore the recent application of TADs in the treatment of growing skeletal Class III patients is not only minimizing the need for obtrusive appliances, such as head gear and face masks, but it is also proving to deliver better and superior results to conventional growth modification protocols with more patient acceptance and less need for compliance. This overview covers the applications of TADs in the treatment of skeletal open bites and skeletal Class III malocclusions with reference to current evidence and clinical case presentations.