Anterior skeletal open bites are generally treated with ortognatic surgery where the patient has been orthodotically treated . There are patients that for many reasons don't want the surgery, patients with anterior skeletal open bites of 4-6 mm can be orthodontically treated with good and stables outcomes, although aesthetics may not be achieved completely in all cases.
In the orthodontic therapy we must first analyze the placement of orthodontic appliances (braces) combined with a maxillary expansion and the use of anterior intermaxillary elastics in almost every case, a posterior intrusion in some cases in order to achieve good occlusion with cuspid and insicor guides.