Reconstruction of the occlusal plane in the correction of open bite in von Willebrand disease. Clinical case

Sánchez Gamarra V.S.; Alarcón Olivera R.T.; Fernández Rivas A.M.; Munive Méndez A.A. · Revista de la Asociacion Odontologica Argentina (2025) · DOI: 10.52979/raoa.1130433.1253

Resumen

Aim: The correction of open bite in patients with systemic conditions, such as von Willebrand disease, requires a care-ful approach due to the elevated risk of hemorrhage during surgical procedures. This article reports on a case of anterior open bite correction through the reconstruction of the occlu-sal plane. In these cases, non-invasive treatments, such as orthodontic camouflage, are prioritized to avoid complications associated with surgical interventions. Clinical case: The patient is an 18-year-old female with a hereditary background of controlled von Willebrand disease and atypical swallowing type IV. She visited the University Health Center at the Peruvian University of Applied Scien-ces with the goal of improving her smile. Before starting the orthodontic treatment, an interconsultation with a speech the-rapist was conducted to plan a myofunctional therapy, which was carried out in parallel with fixed orthodontic treatment to retrain tongue posture. The orthodontic treatment consisted of camouflage using the multiloop edgewise archwire and Gum-metal edgewise wire arch techniques. Conclusion: This case highlights the importance of con-sidering a multidisciplinary approach, involving orthodontics and speech therapy, to achieve appropriate aesthetic and functional results for long-term stability.

Instituciones: Universidad Peruana de Ciencias Aplicadas