Implant-Supported Bite Blocks for Open Bite Correction in Adults

Altering the vertical dimension of the face remains one of the greatest clinical challenges with a multitude of orthodontic, orthopedic and surgical interventions recommended for the correction of associated skeletal, dental and neuromuscular abnormalities. Along with treatment, long-term stability of open bite corrections remains questionable, mainly because of weak musculature. Use of posterior bite blocks has been advocated to stretch the muscles and in turn increases the muscle strength. Muscle stretching also assists in posterior teeth intrusion. In adult patients, implants have been shown to be quite effective for active intrusion. This article highlights an innovative approach which essentially incorporates posterior bite block with active intruding component, i.e. implants. A specific protocol of treatment and retention with this approach is described.