Crossbite In Mixed Dentition Research Articles

A New Approach to Diagnosis to Posterior Cross Bite: Intraoral Photography and Wala Ridge.

A posterior crossbite is an occlusion disorder that occurs in the transverse plane. It occurs when the buccal cusps of the upper premolars and molars engage lingually with the buccal cusps of the lower teeth. It can be unilateral or bilateral (involving one or more teeth) in the primary, mixed, or permanent dentition. A crossbite may appear in early dentition stages and it can be dental or functional. It can lead to skeletal crossbite in mixed dentition. Therefore, early diagnosis and treatment are crucial. Material and methods: The selected sample included 204 patients in growing stage divided into two groups: a study group of 102 patients with posterior crossbite and a control group of 102 patients without malocclusion. To analyze the pathology, intraoral frontal photographs and study models were taken, in which the bone component was measured from the Wala Ridge. Results: The use of the photographs to study the Wala Ridge was confirmed. The mean maxillary width was 57.8 mm (SD 1.7) and mandibular width was 56.4 mm (SD 1.7) for the control group, with a maxillomandibular difference of 1.4 mm (SD 0.7); and 52.7 mm (SD 3.7) and 55.5 mm (SD 3.6), respectively, with a maxillomandibular difference of −2.8 mm (SD 1.4) for the study group. A higher maxillomandibular discrepancy was observed in patients with a posterior crossbite that involved more than one tooth in addition to the permanent first molar. It was also higher in patients with bilateral posterior crossbite. Conclusions: Intraoral frontal photography can be used as a diagnostic method to measure the maxillomandibular difference using the Wala Ridge.

VERBAL MOTIVATION: OPTIONS FOR PREVENTING DENTOFACIAL MALOCCLUSIONS AT THE AGE OF GROWTH

Good communication between dentists and patients will create success in the patient care process and help patients to improve their understanding of medical information, perceptions, and expectations. Interpersonal relationships between children, parents, and operators (Dentists), are part of the basic pattern of behavior management or orthodontic treatment in children. Treatment of anterior crossbite in mixed dentition is highly recommended because this malocclusion cannot be corrected with growth or age. Case Report: A 9-year-old child came with a complaint that her right upper front tooth was growing behind her lower front teeth, so she felt insecure when smiling and uncomfortable when biting. The patient's mother and the patient want a treatment that can return the teeth into a good and normal position. The patient had no history of disease either in childhood or at present. Dental history such as normal tooth eruption, premature loss, and dental trauma was denied but the patient stated that the permanent teeth had grown before the baby teeth fell out. The patient has no bad habits. In this case, education was carried out to the patient and his mother regarding the use of a tongue blade to push tooth 11 toward the labial direction to correct the palatoverted tooth 11. Conclusion: Cases of anterior crossbite in permanent teeth are quite common in children who are growing and developing, so early treatment to stimulate growth balance and occlusal development is needed to modify the growth direction to prevent further malocclusion.

COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF FIXED VERSUS REMOVABLE ORTHODONTIC APPLIANCES IN CORRECTING ANTERIOR CROSSBITE IN MIXED DENTITION.

Background: Anterior crossbite is a common malocclusion whose prevalence vary from country to country. It is around 6-8% in India. Aim & Objective: To evaluate the effectiveness of fixed versus removable orthodontic appliances in correction of anterior crossbite in the mixed dentition. Material & Methods: A sample size of 75 subjects were selected on differential selective criteria with history of no previous orthodontic treatment, mixed dentition, anterior crossbite with moderate space discrepancy (< 3mm), non- extraction orthodontic mechanotherapy with ANB > 0°. A written consent was signed. Treatment with two parallel mode was designed, either with a removable appliance with springs or a fixed appliance with orthodontic brackets. To standardize the design for evaluation "Randomized Controlled Trials" (RCTs) were applied and parameters like rate of success, treatment duration, pre & post treatment differences in the overjet, overbite and arch length were accessed. Results: The treatment was successfully completed in all the patients by both the treatment modalities. Method Error Analysis (MEA) & Statistical Package for the Social Sciences (SPSS) were used for statistical analysis. SPSS significantly showed the average treatment time by the fixed appliance was comparatively less (1.4 months, P < 0.05). Increase in arch length and overjet in both treatment modalities were recorded, but it was significantly higher in fixed mechanotherapy (P < 0.05 and P < 0.01). Conclusion: Both, fixed and removal orthodontic appliances can successfully treat anterior crossbite in mixed dentition with short- term orthodontic treatment.

A comprehensive Management of Unusual Presentation of A Supernumerary Tooth Causing Anterior Cross Bite In Mixed Dentition – Case Report

A comprehensive Management of Unusual Presentation of A Supernumerary Tooth Causing Anterior Cross Bite In Mixed Dentition – Case Report

Treatment of the Anterior Crossbite in Mixed Dentition: Case Reports

Treatment of the Anterior Crossbite in Mixed Dentition: Case Reports

Correction of an anterior crossbite in mixed dentition: a case report

Anterior crossbite is a situation in which one or more maxillary incisors occlude lingually to their antagonists. It constitutes major esthetic and functional concern during the stages of dental development. Single tooth anterior crossbite is a commonly encountered malocclusion during the development of occlusion in children. The correction of anterior crossbite requires the creation of enough space, to bring the displaced tooth or teeth across the occlusion into proper position. Early treatment in very young children prevents the establishment of maloclusion that can potentialy worsen with age. Different techniques have been used to correct anterior crossbite in mixed dentition. In this 8-year-old patient, a rapid maxillary expander with welded arm was used. This therapy combined with tonsillectomy followed by breathing exercises improved respiratory function. It is therefore essential to intervene as early as possible to achieve the anatomical and physiological conditions for optimal of growth. Keywords: anterior crossbite, rapid maxillary expansion, early treatment

Early orthodontic interception of anterior crossbite in mixed dentition

Single tooth anterior crossbite is commonly seen in the early mixed dentition period. Once identified, the treatment should ideally involve any method which is simple, noninvasive, involves little chair side time, requires minimal patient cooperation, and gives rapid correction of the crossbite without affecting the surrounding structures. In young children, compliance with a removable appliance can often be an issue. Here, we present a fixed appliance for the correction of single tooth anterior crossbite in mixed dentition using a simple appliance.

Simple removable appliances to correct anterior and posterior crossbite in mixed dentition: Case report

Different techniques have been used to correct anterior and posterior crossbites in mixed dentition. This case report illustrates the treatment of anterior and unilateral posterior crossbites during the mixed dentition. The patient was a 9-year-old boy with a crossbite of the maxillary right permanent central incisor and a unilateral right posterior crossbite, both expressed by a functional shift in the sagittal and transverse dimensions. Two upper acrylic removable appliances, each with an expansion jackscrew, were used to correct the crossbites. The total active treatment time was 4months; the treatment outcomes were successfully maintained for the subsequent 4months. General and pediatric dentists, as well as orthodontists, may find this technique useful in managing crossbite cases of the mixed dentition and utilizing the discussion and illustrations for further clinical guidance.

Hexa Helix: Modified Quad Helix Appliance to Correct Anterior and Posterior Crossbites in Mixed Dentition

Among the commonly encountered dental irregularities which constitute developing malocclusion is the crossbite. During primary and mixed dentition phase, the crossbite is seen very often and if left untreated during these phases then a simple problem may be transformed into a more complex problem. Different techniques have been used to correct anterior and posterior crossbites in mixed dentition. This case report describes the use of hexa helix, a modified version of quad helix for the management of anterior crossbite and bilateral posterior crossbite in early mixed dentition. Correction was achieved within 15 weeks with no damage to the tooth or the marginal periodontal tissue. The procedure is a simple and effective method for treating anterior and bilateral posterior crossbites simultaneously.

Interrelation between Occlusal Findings and Orofacial Myofunctional Status in Primary and Mixed Dentition

It was the purpose of this study to analyze the relationship between selected types of malocclusion and specific types of static and dynamic orofacial dysfunction and to compare the results with subjects presenting regular occlusion. We aimed to identify which orthodontic and functional symptoms in early dentition would lead to malocclusion later on. Occlusal relations and myofunctional status were evaluated in 3,041 children. We diagnosed dynamic and static myofunctional disorders as well as oral habits by means of functional examinations. No orofacial dysfunctions were found in 11.2% of the children with primary dentition and in 10.2% of the children with early mixed dentition. We observed no correlation between the existence of distoclusion and functional disorders. Lateral crossbite in mixed dentition, as well as increased overjet and frontal open bite in primary and early mixed dentitions appeared significantly more frequently in children with orofacial dysfunctions. Individuals with frontal open bite, lateral crossbite, reduced and increased overjet presented static dysfunctions significantly more frequently than those in dentitions with normal occlusion. Dynamic dysfunctions were significantly more prevalent in subjects with frontal open bite and lateral crossbite than in those with normal occlusion. Our results enable us to prognosticate which children risk future orthodontic problems. Any child presenting one of the four occlusal disorders plus one static or two dynamic dysfunctions is a child more likely to develop orthodontic problems later on. Orthodontic prevention and early treatment must include functional rehabilitation so as to eliminate or at least diminish those factors causing undesirable developments.