Skeletal open-bite cases are considered difficult to treat. Since open bite generally occurs with vertical overgrowth of the maxilla or mandible, temporary skeletal
anchorage devices has been used for intrusion of the molar region recently. Also distalization of all molars has become possible. En-masse molar distalization (EMD) is effective for open bite as extrusion can be avoided. The use of temporary skeletal
anchorage in extraction cases, or distal movement of one side of the jaw has been reported.
We would like to report one case of skeletal open bite using miniplates on the maxilla, miniscrews on the mandible and EMD. Results were esthetically and functionally satisfying without molar extraction.