Dental open bites offer enormous challenges to orthodontists. This is a presentation of a protocol to treat anterior dental open bite patients with the extraction of second premolars, using a 7-step clinical procedure, and including an evaluation of a sample of 26 patients. The protocol allows predictable treatment of anterior open bite malocclusions with mesial movement of the molars, distal movement of the incisors and some extrusion of both. This therapy has minimal skeletal effects and favourably influences the soft tissue profile. Several clinical cases will illustrate the presentation.