{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T17:41:13Z","timestamp":1775842873093,"version":"3.50.1"},"reference-count":15,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Adult patients with severe vertical growth pattern, skeletal class III malocclusion and open bite anteriorly are difficult orthodontic cases to treat. An orthognathic surgical treatment plan may benefit adult patients with such types of complex malocclusions, however in certain cases, the patient\u2019s medical history may contraindicate the surgical treatment plan. A male patient aged 17 years presented with a prognathic mandible, Angle\u2019s class III malocclusion on a class III skeletal base with proclination in upper incisors, retroclination of lower incisors, and reduced facial convexity. Patient gave history of asthma and complex cardiac diseases including arrhythmia, irregular heartbeat, and pacemaker. This case report describes a non-surgical approach of distalization of mandibular and maxillary arches performed with the help of miniplates to achieve an improvement in the facial balance without surgery.<\/jats:p>","DOI":"10.3390\/children9111666","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T23:26:32Z","timestamp":1667258792000},"page":"1666","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Bimaxillary Distalization with Skeletal Anchorage for Management of Severe Skeletal Class III Open Bite Malocclusion"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2114-7090","authenticated-orcid":false,"given":"Abdulrahman","family":"Alshehri","sequence":"first","affiliation":[{"name":"Division of Orthodontics, Department of Preventive Dental Sciences, Faculty of Dentistry, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.ajodo.2007.10.061","article-title":"Different Skeletal Types Underlying Class III Malocclusion in a Random Population","volume":"136","author":"Staudt","year":"2009","journal-title":"Am. 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(2007). Contemporary Orthodontics, Mosby. [4th ed.]."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.ajodo.2012.11.027","article-title":"Distal Movement of the Mandibular Dentition with Temporary Skeletal Anchorage Devices to Correct a Class III Malocclusion","volume":"144","author":"Tai","year":"2013","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.ajodo.2003.02.003","article-title":"Distal Movement of Mandibular Molars in Adult Patients with the Skeletal Anchorage System","volume":"125","author":"Sugawara","year":"2004","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.ajodo.2012.05.016","article-title":"Failure Rates and Associated Risk Factors of Orthodontic Miniscrew Implants: A Meta-Analysis","volume":"142","author":"Papageorgiou","year":"2012","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.ejrad.2018.03.012","article-title":"Is the cervical vertebral maturation (CVM) method effective enough to replace the hand-wrist maturation (HWM) method in determining skeletal maturation?\u2014A systematic review","volume":"102","author":"Szemraj","year":"2018","journal-title":"Eur. J. Radiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"925","DOI":"10.3233\/BMR-210003","article-title":"Reliability of cervical vertebral maturation compared to hand-wrist for skeletal maturation assessment in growing subjects: A systematic review","volume":"34","author":"Ferrilloa","year":"2021","journal-title":"J. Back Musculoskelet Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1111\/ocr.12452","article-title":"Clinical Applications of Miniscrews That Broaden the Scope of Non\u2014Surgical Orthodontic Treatment","volume":"24","author":"Choi","year":"2021","journal-title":"Orthod. Craniofac. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s10006-013-0430-5","article-title":"Orthodontic Treatment of Anterior Open Bite: A Review Article\u2014Is Surgery Always Necessary?","volume":"18","author":"Reichert","year":"2014","journal-title":"Oral Maxillofac. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/j.ajodo.2015.10.002","article-title":"Biology of Biomechanics: Finite Element Analysis of a Statically Determinate System to Rotate the Occlusal Plane for Correction of a Skeletal Class III Open-Bite Malocclusion","volume":"148","author":"Roberts","year":"2015","journal-title":"Am. J. 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