Skeletal open bite is known to be one of the most difficult malocclusions to treat in orthodontics. Recently, molar intrusion with skeletal anchorage has become a new strategy for treating anterior open bite patients. I will present comparison of orthodontic treatment outcomes in severe adult skeletal open bite cases between conventional edgewise treatment and implant-anchored orthodontics, and also between treatment with implant-anchored orthodontics and orthognathic surgery. Molar intrusion with implant anchorage is simpler and more advantage for achieving ideal occlusion, function and esthetic improvement in severe open bite patients. Successful vertical correction with skeletal anchorage will be discussed.