Treatment Of Anterior Crossbite Research Articles

Treatment of Anterior Crossbite with Inverted Bracket Position, Case Report

Background: Anterior crossbite is an abnormality in the sagittal direction of one or more maxillary anterior teeth against the mandibular teeth. Although the incidence of this case is small, it can cause aesthetic problems, tooth abrasion, caries, gingivitis, bone resorption, and gingival recession. Case Report: A 24-year-old female patient presented with her upper front teeth positioned behind her lower teeth and a noticeable gap between her upper front teeth. She exhibited an anterior crossbite involving teeth 22 to 32, a central diastema, and crowding of the upper and lower front teeth. Treatment was carried out using a fixed orthodontic with an MBT system and the bracket placement of 22 in an inverted position to get a labial torque effect on the roots. Conclusion: The use of pre-adjusted brackets with the MBT system and the placement of the lateral incisive bracket in an inverted position successfully corrected the anterior crossbite in these teeth both at the crown and root without additional wire bending or auxiliary spring.

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

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.

Use of Balters’ Bionator in the treatment of anterior crossbite in deciduous dentition: a case report

Malocclusion is the third most important oral health issue, affecting children, adolescents, and adults. It has a multifactorial etiology, compromising aesthetics, function, and quality of life. Anterior crossbite occurs when the lower teeth occlude in front of the upper teeth. Early treatment, when correctly diagnosed, is always recommended. The purpose of this work was to describe a clinical case of facial orthopedic treatment in a five-year-old female patient, presenting a complete set of deciduous dentition along with anterior crossbite and deep bite. The treatment was carried out using a modified Bionator de Balters appliance for Class III treatment, with a duration of six months. The use of this appliance aimed at maxillary expansion, vestibularization of upper incisors, and control of mandibular growth. This approach achieved favorable results in the treatment of the condition. However, there is still a recommendation for the continuous use of the appliance due to the patient’s growth period and transition between dentitions. The appliance is cost-effective, causes minimal discomfort, and is easy to use. This study demonstrated the importance of early diagnosis, prevention, and treatment of anterior crossbite, with a successful clinical outcome in interceptive and orthopedic treatment, preventing complications, future treatments, and difficulties in subsequent interventions.

Treatment of Class III malocclusion with Balters’ bionator in pediatric and adolescent patients: a narrative review

The World Health Organization (WHO) emphasizes that malocclusion ranks third in the priorities of global public dental health issues, given its widespread prevalence, qualifying it as a matter of public health relevance. Anterior crossbite is characterized by the improper positioning of the upper anterior teeth, which overlap inside compared to the lower teeth. This specific occlusal discrepancy requires timely intervention to prevent worsening, potentially progressing to a skeletal stage in adulthood, where correction often demands orthognathic surgical procedures. In this context, the purpose of this study was to conduct a comprehensive literature review to illustrate the relevance of early treatment of anterior crossbite using an adaptation of the Bionator appliance by Balters. This method was employed to address Class III malocclusion in the mixed dentition phase. The analysis aimed to determine the effectiveness of this approach when implemented early, in order to satisfactorily address this occlusal irregularity.

Anterior crossbite treatment using functional orthopedic appliance: a case report

Anterior crossbite can affect primary, mixed, and permanent dentitions. Early treatment is recommended, as it can impact facial, aesthetic, functional, and developmental aspects. The etiology of anterior crossbite is multifactorial, including dental, skeletal, and postural origins. Treatment should be defined based on age and etiology, with various therapeutic resources available for correction. In primary dentition, direct flat tracks, different types of functional orthopedic appliances, quad-helix, and facial mask can be used. In mixed dentition, fixed segmented or continuous orthodontics, elastics, and other devices can be added to the treatment. In permanent dentition, orthognathic surgery may be indicated for adults, especially in cases of anterior crossbite associated with skeletal Class III that cannot be compensated dentally. This case report describes the treatment of early mixed dentition anterior crossbite with a functional orthopedic appliance at the Orthodontic Specialization, Postgraduate Course at Modal college, Belo Horizonte, Minas Gerais, Brazil. After correction, proper chewing functions were reestablished with ideal developmental stimuli.

PROCESSING REMOVABLE ORTHODONTIC APPLIANCE FOR SINGLE TOOTH ANTERIOR CROSSBITE USING EXPANSION SCREW

Background: Anterior crossbite is a case that when upper anterior are positioned palatally than lower anterior teeth in centric occlusion. Orthodontic appliances using expansion screw could be solution for tooth anterior crossbite treatment. Purpose: To figure out the optimal fabrication process of orthodontic appliances in single tooth anterior crossbite case using expansion screw. Case analysis: Dental laboratory provided the maxillary dental appliance with single tooth anterior crossbite on teeth 21. Dental technician also received orthodontic appliance using expansion screw. Result: Orthodontic appliance design was Adams claps on teeth 16, 26, labial bow on teeth 13, 12, 11, 21, 22, 23. Additional posterior bite plane, also expansion screw was located on maxillary left first incisor, palatal section. Conclusion: Design and making orthodontic appliances using expansion screw begins with drawing design, positioning Adams clasps and labial bow sectional screw mini mounting, then acrylic packing. Final step was finishing polishing acrylic plate.

FABRICATION OF SIMPLE SPACE REGAINER FOR SPACE LOSS CASE

Background: Anterior crossbite is a case that when upper anterior are positioned palatally than lower anterior teeth in centric occlusion. Orthodontic appliances using expansion screw could be solution for tooth anterior crossbite treatment. Purpose: To figure out the optimal fabrication process of orthodontic appliances in single tooth anterior crossbite case using expansion screw. Case analysis: Dental laboratory provided the maxillary dental appliance with single tooth anterior crossbite on teeth 21. Dental technician also received orthodontic appliance using expansion screw. Result: Orthodontic appliance design was Adams claps on teeth 16, 26, labial bow on teeth 13, 12, 11, 21, 22, 23. Additional posterior bite plane, also expansion screw was located on maxillary left first incisor, palatal section. Conclusion: Design and making orthodontic appliances using expansion screw begins with drawing design, positioning Adams clasps and labia bow sectional screw mini mounting, then acrylic packing. Final step was finishing polishing acrylic plate.

Treatment of anterior cross bite: A review of literature and case report

Treatment of anterior cross bite: A review of literature and case report

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.

Treatment of Anterior Crossbite with Skeletal Class III Malocclusion during the Growth Period

Anterior crossbite is the most common problem in Angle class III malocclusion and is aesthetically disturbing. As individuals get older, an anterior crossbite can worsen, impacting the esthetics of the face and the stomatognathic system’s function significantly and requiring immediate treatment. Due to genetics, habitual postures, ethnicity, and environmental variables, the class III malocclusion’s etiology is multifaceted. In terms of treatment, there are three options: growth modification, camouflage, and orthognathic surgical treatment. This case report aims to describe a non-surgical treatment with simple treatment mechanics in two patients who were still in their growth period. Two patients, a sibling aged 14 and 13 years, experienced an anterior crossbite with a deep overbite, diagnosed with Angle class III with skeletal class III relationships. Besides, the profile revealed a concave, with an overjet of -2mm and an overbite of 4mm. The treatments were then performed employing fixed orthodontic appliances with vertical U-loops for protraction of upper anterior teeth and class III intermaxillary elastics to correct molar relationships. The treatment was completed in two years, in which the anterior crossbite was corrected. The molar and canine relationships, which were originally class III, became class I. Loss of tooth 36 was closed, and tooth 38 has fully erupted. Treatment of anterior crossbite needed to be done as soon as possible to prevent more severe abnormalities. In conclusion, a treatment in the growth period with simple techniques resulted in significant improvements in function and aesthetics.

ANTERIOR CROSSBITE TREATMENT USING TONGUE BLADE IN EIGHT-YEARS-OLD CHILDREN VIA TELEDENTISTRY DURING PANDEMIC (PERAWATAN GIGITAN SILANG ANTERIOR MENGGUNAKAN TONGUE BLADE PADA ANAK USIA 8 TAHUN VIA TELEDENTISTRY DI MASA PANDEMI)

Anterior crossbite is a condition in which one or more of the upper front teeth are located lingually to the lower front teeth during centric occlusion. Dentistry involves close face-to-face interactions with patients, so during the COVID-19 pandemic, it has been largely suspended. Teledentistry is a solution to continue the practice of dentistry during this pandemic. This case report describes an eight-year-old insecure boy who came with a complaint that his upper left front tooth had grown behind his lower front teeth since four months ago. The patient was diagnosed with Class 1 Angle malocclusion types 1 and 3. The patient education and instructions treatment used a tongue blade via teledentistry via video call. The consideration of using this treatment is due to a not ideal condition caused by the COVID-19 pandemic. This technique was done one or two hours a day. The result was twenty-one tooth malocclusion was corrected. The result indicates by the twenty-one tooth position which has passed the mandibular incisor to the labial direction. The conclusion suggests that early treatment, in this case, is necessary to modify the growth direction to prevent further malocclusion. It is also concluded that Anterior crossbite treatment via teledentistry using a tongue blade gives significant results.

Correction of anterior crossbite with inclined bite plane: a literature review

Anterior crossbite is a condition that occurs due to discrepancy between the maxillary and mandibular anterior teeth in occlusion which the maxillary teeth are more lingual than the mandibular teeth. Anterior crossbite often occurs in children in the mixed dentition phase, so treatment is needed as early as possible to eliminate the causes of malocclusion and the need for more com-plex orthodontic treatment. There are various treatments for anterior crossbite, one of them is the inclined bite plane. This litera-ture review aims to determine the treatment of anterior crossbite with inclined bite plane and the factors that influence the duration of treatment. The method used is to collect literature from search engines such as Pubmed, Scielo, Google Scholar, Science Di-rect, Elsevier, Ajodo.org which discusses the treatment of anterior crossbite with inclined bite plane, then reviewed. From the results of the journal search, 7 literatures relevant to the topic were obtained. From the results of the literature review, it can be concluded that the treatment of anterior crossbite with inclined bite plane is quite effective. The factors that influence the du-ration of treatment are motivation, cooperation, and the type of inclined bite plane that used by the patient.

Anterior crossbite treatment in the transitional period of mixed dentition: a case report

Anterior crossbite refers to the abnormal vestibulolingual relationship in the sagittal dimension between one or more anterior superior and inferior anterior teeth. It can be classified as dental, functional or skeletal. Each has its own diagnostic criteria and specific treatment, and it is up to the dentist to know how to distinguish between these different natures of malocclusion. In this sense, the aim of this study is to show a case report about an ACM. Patient HCA, female, 7 years old, attending the Preventive Orthodontics Clinic of the Faculty of Dentistry of Araçatuba - UNESP, having as main complaint “untidy front tooth”. The patient has no history of systemic diseases or medication use. The patient was in the first transitional period of mixed dentition with her right maxillary central incisor in crossbite relationship with its antagonists mandibular central incisor. On both sides, the patient had the first permanent molars in Class I relationship, the deciduous second molars with mesial step and the deciduous canines in a Class I. Initially, an acrylic appliance with an expander was installed. Due to lack of cooperation, the treatment plan was changed and the patient received a fixed appliance with a 2x2 configuration, with brackets on maxillary central incisors and edgewise tubes on maxillary deciduous molars. In the lower arch, a bite lift was performed on the occlusal surface of mandibular deciduous molars to unblock the occlusion and facilitate the movement of right maxillary central incisor. The total treatment time was 60 days.

The application of a new clear removable appliance with an occlusal splint in early anterior crossbite

BackgroundThe effectiveness of anterior crossbite treatment in preschool-aged children depends on the treatment design and patient compliance. Common early treatment appliances with steel wires and acrylic resin can bring about numerous problems, such as toothache, sore gums and mucous membrane injury. The aim of this study was to propose a new clear removable appliance to provide preschool-age children with an improved experience of early occlusal interference treatment.MethodsAppliances were designed with the help of 3-dimensional (3D) digital reconstruction oral models and fabricated using 3D printing technology and the pressed film method. Then, the mechanical properties of the original dental coping sheet and thermoformed aligners were assessed in a simulated intraoral environment. Preschool-age participants who displayed anterior crossbite were recruited in this study. Records (photographs and impressions) were taken before the treatment (T1), during the treatment (T2) and at the end of the treatment (T3). The effects of treatment were evaluated by clinical examination and questionnaires.ResultsNormal degrees of overbite and overjet in the primary dentition were achieved using this new appliance. Dental and soft tissue relationships were improved. Questionnaires showed that the safety evaluation, degree of comfort and convenience grades of the appliance were all relatively high.ConclusionThis explorative study demonstrates that our new clear removable appliance is able to correct early-stage anterior crossbite in a safe, comfortable, convenient and efficient way. Thus, it is a promising method to correct a certain type of malocclusion, and its clinical use should be promoted in the future.

Early treatment of anterior crossbite with eschler appliance: Two case reports

Anterior Crossbite (AC) originates from skeletal alterations, functional, dental or their association, and may have genetic and/or environmental influences.

Treatment of anterior dental crossbite in adult Libyan patient

AbstractObjective: Anterior crossbite presents when one or more of the upper incisors occlude lingual to lower incisors. Several techniques were used to correct anterior crossbite. The aim of this article was to present the treatment of anterior crossbite under skeletal Class I relationship using multilooped archwire. Methods: A 24-year-old female has a complaint of anterior crossbite. She has concave profile, all her teeth present except the maxillary canines, 4 mm reverse overjet, 4 mm crowding in the lower anterior and 25% overbite. The treatment was started in the lower arch by the extraction of the lower first premolars. Different arch sequences of nickel–titanium alloys, followed by different sequences of stainless steel archwires were used. Results: The correction of crossbite was achieved successfully within 18 months. Normal overjet and overbite and orthognathic profile were accomplished. Conclusion: The treatment of anterior crossbite was achieved using retraction multilooping arch to achieve normal overjet and overbite.

Indication of clear aligners in the early treatment of anterior crossbite: a case series.

ABSTRACTIntroduction: Anterior crossbite (AC) is defined as a reverse sagittal relationship between maxillary and mandibular incisors. According to an evidence-based orthodontic triage, the treatment need of AC is indicated if any occlusal interference is forcing the mandible towards a Class III growth pattern. Removable and fixed appliances have been suggested to correct AC. Objective: The present report aims at presenting the benefits of an alternative therapy for the early treatment of anterior crossbite using clear aligners. Methods: Two cases of anterior crossbite corrected using clear aligners in 8-years-old children are presented. Results: In both cases, AC was successfully corrected within 5 months. At the end of the treatment, overjet and overbite were corrected. No major discomfort or speech impairment was noticed by the parents. Conclusions: Due to the perceived shortcomings of alternative approaches, the use of clear aligners for correcting AC in mixed dentition should be considered as a comfortable and well tolerated appliance for young patients.

Anterior crossbite treatment in the primary dentition: Three case reports

Anterior crossbite is characterized by negative horizontal overjet between the jaws, and occurs due to skeletal, functional, and/or dental imbalances. It is often found in primary and mixed dentition stages and causes severe aesthetic, functional, and psychosocial impairment. We report the facial and occlusal effects of maxillary protraction associated with rapid maxillary expansion in three young patients with primary dentition. The proposed treatment plan consisted of protraction and rapid maxillary expansion. The mechanical device chosen was the facial mask combined with a McNamara rapid palatal expander. The anterior crossbite was corrected, and significant facial and cephalometric benefits were obtained. The treatment of maxillary protraction during the deciduous dentition stage, in cases where there is good acceptance and collaboration by patients, provides excellent clinical results and constitutes a viable treatment option.

Interceptive Treatment of Anterior Crossbite: Case series

The aim of this paper was to assess changes of the lower cervical-facial proportion for child patients with anterior crossbites (AXB) in interceptive treatment using composite ramps. Intra-oral and facial lateral profile of seven children (4.5–9 years old) during interceptive treatment of anterior dental (ADXB), functional (AFXB) and skeletal crossbites (ASXB) were used. For ADXB/AFXB, a composite ramp was used; posterior bite composite or sectional fixed braces were added when necessary. In ASXB a facemask and/or composite ramp and brackets were used. AXB of all patients was improved. ADXB/AFXB (cases 1–4) were associated with an increased cervical-facial portion (posterior rotation of the mandible), while ASXB/AFXB (cases 5–7) were associated with a reduced proportion (anterior mandible rotation). Regardless of AXB type, a ramp composite promoted an increase in the vertical dimension and consequently posterior rotation of the mandible, thus worsening the cervicalfacial proportion in ADXB/AFXB and improving it in ASXB/AFXB.

Early treatment of anterior cross bite. A literature review

Nowadays, it is widely accepted the importance of treating early occlusal abnormalities of clinical significance for the development of the stomatognathic system. An early treatment would restore the harmony and the functionality of the craniofacial complex, it simplifies the corrective procedures, reduces the need for permanent tooth extractions and brings psychological benefits to patients, to name a few. The presence of malocclusions should intervene early to restore proper neural excitation in the craniofacial complex and provide the conditions necessary for each patient to receive their growth potential. The anterior cross bite (MCA) should be treated early to prevent harmful effects on growth and, the development of the maxilla and mandible, to avoid traumatic occlusal forces and restore proper muscle contraction patterns in the patient. This article shows some of the early treatment options for the MCA in primary and mixed dentition after an accurate diagnosis. Key words: Anterior cross bite, early treatment, class III malocclusion, occlusal plane. Periodontitis, microbiology, transmission, Aggregatibacter actinomycetemcomitans.