TCS is associated with anterior open bite, Class II skeletal
pattern, high mandibular plane angle, and downward-slanting
palpebral fissures .
The target of orthodontic treatment is to correct an anterior open
bite, eliminate canting, and reestablish occlusal contact at the
mandibular occlusal plane.
Orthodontic treatment can involve permanent tooth extraction to
relieve severe crowding, and Class III mechanics employed to
increase overjet. Correction of mandibular hypoplasia by increasing
ramal height and the mandibular length was done by intraoral
mandibular distraction osteogenesis.
(Jenny Y. Chung,a Thomas J. Cangialosi,b and Sidney B.
Eisig,2014)
