Open Bite Malocclusion is a very common malocclusion yet often difficult to treat. The skill in treating open bite malocclusion lies in correct diagnosis and addressing the etiology of the same. Open Bite should be treated following a step by step treatment approach and by eliminating the etiology. The open bite can be dental or skeletal. Open bite treatment can be done by removable appliances, fixed appliances or in some severe cases by surgical treatment approach.