From Asymmetry to Open Bite

In this session, Dr. Yoon shared her advanced approach to managing complex orthodontic cases with MARPE and Invisalign. See how subtle adjustments in jack screw placement can influence occlusal cant, and how combining MARPE with targeted Invisalign mechanics can address challenging open bites, asymmetries, and crossbites.

The discussion included strategies for intrusion, uprighting difficult lower teeth, and using elastics effectively to optimize outcomes, all while considering the patient’s overall facial balance and smile arc. Dr. Yoon also walks through a real patient cases, highlighting her decision-making process for controlling vertical height, managing missing teeth, and planning retention for long-term stability.

Key Takeaways:

• Jack Screw Orientation and MARPE Planning  Proper direction and placement of MARPE screws can control occlusal cant and correct asymmetries, making pre-treatment virtual planning essential.
  

• Combining MARPE with Invisalign for Complex Cases Using MARPE alongside Invisalign allows for management of open bites, asymmetries, and arch coordination, enhancing predictable outcomes.
  

• Targeted Posterior Intrusion Posterior intrusion strategies, sometimes supported by TADs or elastics, are crucial for controlling vertical dimension without causing unwanted anterior extrusion.
  

• Retention and Long-Term Stability Clear retainers are critical for maintaining open bite corrections, with lifelong wear often necessary to ensure stability.
  

• Overcorrection Planning Strategically planning slight overcorrections in cant or occlusal leveling helps guarantee the final bite is properly aligned and balanced.

If you missed this session, the recording is packed with actionable insights in adult expansion, bite correction, and interdisciplinary case planning. It’s a must-watch for clinicians aiming to elevate patient outcomes with thoughtful, precision-driven orthodontic strategies.

To watch the full video, join the Advanced Implementation Course with Dr. Yoon.

Live meeting sessions are held on the last Monday of every month at 6PM PT. All sessions are recording and available for replay.