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  • Tongue posture and function should be primary consideration.
  • Differentiation between primary causal and secondary adaptive or compensatory dysfunction is essential.
  • Functional analysis also must bassess the magnitude of force ( i,e simple pressing versus strong protractive action).
  • Cephalometric analysis can localise the nature of open bite – Skeletal/Dental.
  • Therapy depends on the localization and the etiology of the malocclusion.
  • Habit control and the elimination of the abnormal perioral muscle function are therapeutic approaches in the treatment of dentoalveolar open-bite problems.
  • In skeletal open-bite problems a redirection of growth is possible during the active growth period.
  • Later, only compensatory therapy with extraction and tooth movement or orthognathic surgery is possible.

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