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    Anterior Crossbite

    3
    By Dr Oussama SANDID on March 5, 2014 Dental Education, Featured, Public Health

    In this article by Orthofree.com, They Explain about anterior crossbite, its prevalence, etiological factors, management, treatment and some case reports.

    Anterior Crossbite

    Screenshot 2014-03-05 19.19.32

    Definition 

    An abnormal relationship of a tooth or teeth to the opposing teeth, in which normal buccolingual or labiolingual relationships are reversed.

    Prevalence 

    The incidence in caucasieans ranges between 2% and 4%.


    Etiological Factors

    • Skeletal
      •  Genetic predisposition
      •  Embryological defective development
      • Class III malocclusionmandibular prognathia , Insuffecient maxillary
    •  Dental
      •  Lingual eruption path of maxillary anterior teeth
      •  Trauma to deciduous dentition in which there is displacement of tooth buds
      •   Retained deciduous causing lingual eruption of permanent teeth
      •   Supernumerary teeth
    • Functional
      • Habits
        • Digital or pacifer sucking habits
        • Oral respiration
        • Low tongue position
        • Stomach sleeping posture
        • Tongue trusting
      • Pseudo Class III
        •  Class I skeletal relationship
        •  Insuffecient maxillary overjet and incisor interference
        •  Multi-tooth anterior crossbite may result from a functional shift of the mandible in an effort to avoid anterior interference in centric relation and to achieve maximum inter-cuspation.

    Examples

    Screenshot 2014-03-17 23.29.07

    Screenshot 2014-03-17 23.44.28

    Screenshot 2014-03-17 23.44.42


    Managment

    The period of mixed dentition offers the greatest opportunity for occlusl guidance and interception of malocclusion. Here is a few Management care reports:

    Skeletal

    • Can be controlled during growth by growth modification appliances, such as: Protracion face masks.


    Screenshot 2014-03-05 19.02.07

    Screenshot 2014-03-05 19.02.27

    Dental

    • Dental and  Removable acrylic appliances,  functional Removable acrylic appliances , with posterior bite

      Screenshot 2014-03-05 19.01.42


    Case Reports

    Case 1

    Screenshot 2014-03-05 18.55.46
    Case 2

    Screenshot 2014-03-05 18.55.58

    Case 3

    Screenshot 2014-03-05 18.56.05


    Bibliography

    • Arvystas MG. The rationale for early orthodontic treatment. Am J Orthod Dentofacial Orthop 1998:133:15-8.
    • Adams P. The design, construction and use of removable orthodontic appliances. 5th ed. Bristol; 1984. p.111-2.
    • Graber TM, Neuman B. Removable orthodontic appliances. 2nd ed. Saunders; 1984. p. 57-9.
    • Horosilkina FJ, Maligin JM. Osnovi konstruirovanija I tehnologija izgotovlenija ortodontoticeskih aparatur. Moskva: Medicina; 1977. p. 168-9. Rus
    • Kalvelis DA. Aparatūras, kas darbojas pēc slīpās plāksnes principa. Ortodontija 1964:135-6;
    • Patti A, Perier G. Preface. In: Clinical success in early orthodontic treatment. Quintessence; 2005. p. 8.
    • Proffit WR. The timing of eraly treatment: An overview. Am J Orthod Dentofacial Orthop 2006;4:S48;
    • Sztele R. Herstellung Kieferorthop.disher apparate. Berlin; 1960. S. 53.
    • Taatz H. Kieferorthop.dische Prophylaxe und Frühbehandlung.  I. Jirgensone et al. CLINICAL CASE München,Wien: Hanser; 1976. p. 238-9.
    • Vadiakas G, Viazis AD. Anterior crossbite correction in the early deciduous dention. Am J Orthod Dentofacial Orthop 1992;102:160-2.
    • Zachrisson B, Thilander B. Treatment of Dento-alveolar anomalies. In: Introduction to orthodontics. Stockholm; 1994. p. 146-182.
    • Tausche E, Luck O, Harzer W. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod 2004;26:237-44.
    • Kiyak AH. Patients’ and parents’ expectations from early treatment. Am J Orthod Dentofacial Orthop 2006;129:S50-54.
    • Ngan P. Biomechanics of maxillary expansion and protraction in Class III patients. Am J Orthod Dentofacial Orthop 2002;121:58283.
    • Dugoni S, Aubert M, Baumrind S. Differential diagnosis and treatment planning for early mixed dentition malocclusions. Am J Orthod Dentofacial Orthop 2006; 129:S80-1.


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    Dr Oussama SANDID
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    Dr Oussama SANDID Orthodontist (D.C.D-DUO -CES.ODF Ex-charge de cours. CECSMO Paris, France) and founder of OrthoFree: The Orthodontists Online Community. A dedicated Orthodontic website created in 2006. A Dental Community with over 200 authors and over 10000 articles posted for Communication and information in orthodontics specially designed for Continuing education online.

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