Neuroclusal rehabilitation with planas direct tracks in the treatment of anterior crossbite – literature review

Abstract

Planas direct tracks (PDTs) are an alternative treatment based on neuro occlusal rehabilitation (NOR) of various occlusal changes in the primary dentition and in the beginning of mixed dentition. Anterior crossbite is a very common malocclusion during this period. The aim of the present work was to report on Planas direct tracks through a literature review based on neuro-occlusal rehabilitation as a therapy for anterior crossbite (ACB). The search for articles was performed in the databases SciELO (Scientific Electronic Library Online), MEDLINE (National Library of Medicine-USA) and Google Scholar. After searching for articles, 12 studies were listed, however, after evaluating the inclusion and exclusion criteria, only 5 articles remained. The articles found proved to be effective in resolving cases with PDTs based on NOR. PDTs were more suitable for the treatment of anterior crossbite in the primary dentition. The inclination of the tracks was variable, both in the anterior and posterior regions, between 20° and 45° degrees. Three case reports in primary dentition observed ACB correction after 30 days with PDT. As a result, two case reports reported that the treatment of ACB was resolved after 45 days with the effects of clockwise rotation of the mandible and its retropositioning. Another effect observed was the uncrossing of the anterior teeth, presenting an uncrossing of the bite and improvements in facial and postural symmetry. The NOR-based PDT for the case reports presented promoted the resolution of ACB malocclusion, promoting the correction of jaw posture, and in turn, improving the facial and postural symmetry of the mandible.