Abstract
INTRODUCTION: Friedreich's ataxia is an inherited disease affecting the nervous system and presents huge orthodontic challenges affecting the patient's coordination and muscular function. OBSERVATION: Based on the rarity of this condition, the aim of this case report is to describe an unusual orthodontic treatment employed to manage a severe open bite in a 14-year-old male patient suffering from Friedreich's ataxia, by highlighting the clinical decisions and treatment outcomes. CONCLUSION: Managing a severe anterior open bite in patients suffering from Friedreich's ataxia by skeletal anchorage mechanics for posterior teeth intrusion is advantageous considering their health condition.