In this article by Orthofree.com, They Explain about anterior crossbite, its prevalence, etiological factors, management, treatment and some case reports.
Anterior Crossbite
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.
- Habits
Examples
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.
Dental
- Dental and Removable acrylic appliances, functional Removable acrylic appliances , with posterior bite
Case Reports
Case 1
Case 3
Bibliography
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- 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.
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