scholarly journals Myofunctional Treatment of Anterior Crossbite in a Growing Patient

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Marianna Pellegrino ◽  
Maria Laura Cuzzocrea ◽  
Walter Rao ◽  
Gioacchino Pellegrino ◽  
Sergio Paduano

The purpose of this case report is to add another means of treatment for the anterior crossbite malocclusion in early mixed dentition. The selected functional device is an eruption guidance appliance (EGA). The analysed patient had a functional anterior crossbite, a mandibular protrusion tendency, and a normodivergent growth pattern. The early treatment was suggested to correct the malocclusion and avoid unfavourable occlusal conditions that could end in a class III malocclusion growth pattern. After 18 months of treatment, with night-time use, the malocclusion was completely resolved. This therapy strategy allowed the correction of the sagittal jaws’ relationship and maximum control of the vertical dimension. After 2 years of follow-up, the results were preserved. The peculiarity of this kind of intraoral orthodontic tools is the use of the erupting forces rather than the active forces. This early treatment of anterior crossbites with EGA may be considered an effective treatment approach for achieving good functional and aesthetic results.

Author(s):  
Marianna Pellegrino ◽  
Silvia Caruso ◽  
Tiziana Cantile ◽  
Gioacchino Pellegrino ◽  
Gianmaria Fabrizio Ferrazzano

The purpose of this investigation was to show how to manage an anterior crossbite in early mixed dentition with an eruption guidance appliance (EGA). The analyzed clinical case reported an anterior crossbite, a bimaxillary retrusion tendency, and a horizontal growth pattern. The anterior crossbite was an unfavorable occlusal condition that could lead to a class III malocclusion growth pattern. An early treatment approach was suggested to reach a correct sagittal jaw relationship. Hence, the selected approach acted on the dentoalveolar sector, aiming to have effects on the posterior vertical dimension and to improve the sagittal jaw’s relation. An EGA was selected to treat the patient in early mixed dentition. After 7 months of therapy with night-time use, the dental malocclusion was completely resolved. The patient continued to be treated with the same device, used as active retention. With the EGA treatment, the erupting forces, rather than the active forces, were used to resolve the dental malocclusion. This approach allowed a low compliance requirement and had a minimum psychosocial and psychological impact on the patient. The early treatment was essential to give a functional occlusion and a good balance of the soft perioral tissues and muscles.


2017 ◽  
Vol 14 (2) ◽  
Author(s):  
Jesús Alberto Hernández ◽  
Libia Soto

Summary: Treatment of mild to moderate maloclussion class III with protraction facial maskcould reduce the need of orthognatic surgery at all or reduce the size of the orthognatic surgicalintervention. Objetive: To evaluate the effect of early treatment with facial mask in angle classIII patients. Methods: Two class III patientes were estudied beinf treated with facial masthe firstpatient used the facial mask 12 hours at day 3 months periods then the patient was switched todental orthopedic treatment controlled by Rx lateral perfilogram . The second patient used facialmask 6 months ,then switched to dental orthopedic treatment 3 years.The patients were controleduntil patients were 14 years old. Discussion: This serie of 2 case reports reveal that the use of aprotactil facial mask is favourable ro treat patients suffering class III maloclussions. Theskeletal facial changes were positively significant in those patients according to the datadetectable changes of maxillar and mandibular bone size and the cefalometric points a and b thatoclussal plane. In follow up studies ,it and determend that even after reach the patients 18 yearsof age, 67% of the patients were in normal oclussion even longer than 8 years after treatment.Thisresuet indicates that only on third of the ortonagte surgeris may be truly needed to the treatmentof ,class III dental. Key words: Class III maloclussion. Facial mask. Early dentaltreatment.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Snigdha Pattanaik ◽  
Sumita Mishra

Class III malocclusion is one of the most difficult problems to treat in the mixed dentition. It has a multifactorial etiology involving both genetic and environmental causes. The dental and skeletal effects of maxillary protraction with a facemask are well documented in several studies. Although treatment in the late mixed or early permanent dentition can be successful, results are generally better in the deciduous or early mixed dentition. The following case shows early treatment of a young patient with severe sagittal and transverse discrepancy of the maxilla and mandible, using a facemask.


2011 ◽  
Vol 19 (4) ◽  
pp. 431-439 ◽  
Author(s):  
Marcio Rodrigues de Almeida ◽  
Renato Rodrigues de Almeida ◽  
Paula Vanessa Pedron Oltramari-Navarro ◽  
Ana Cláudia de Castro Ferreira Conti ◽  
Ricardo de Lima Navarro ◽  
...  

2014 ◽  
Vol 38 (4) ◽  
pp. 370-379 ◽  
Author(s):  
K Tai ◽  
JH Park ◽  
S Ohmura ◽  
S Okadakage-Hayashi

When treating young patients with Class III malocclusion, factors such as timing and an accurate prediction of growth of the mandible are very important. Even though early interceptive treatment of Class III might often be successful, clinicians should be careful to not initiate early treatment with premolar extractions which will compromise the success of orthognathic surgery later due to mandibular prognathism. This case report presents an adolescent female patient who developed a severe Class III skeletal discrepancy during growth and was treated with surgery after her growth had finished.


Author(s):  
Tiziano Baccetti ◽  
Jean S. McGill ◽  
Lorenzo Franchi ◽  
James A. McNamara ◽  
Isabella Tollaro

2016 ◽  
Vol 21 (4) ◽  
pp. 89-98 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret ◽  
Alessandro Marchiori Farret

ABSTRACT Introduction: Skeletal Class III malocclusion is often referred for orthodontic treatment combined with orthognathic surgery. However, with the aid of miniplates, some moderate discrepancies become feasible to be treated without surgery. Objective: To report the case of a 24-year-old man with severe skeletal Angle Class III malocclusion with anterior crossbite and a consequent concave facial profile. Methods: The patient refused to undergo orthognathic surgery; therefore, orthodontic camouflage treatment with the aid of miniplates placed on the mandibular arch was proposed. Results: After 18 months of treatment, a Class I molar and canine relationship was achieved, while anterior crossbite was corrected by retraction of mandibular teeth. The consequent decrease in lower lip fullness and increased exposure of maxillary incisors at smiling resulted in a remarkable improvement of patient's facial profile, in addition to an esthetically pleasing smile, respectively. One year later, follow-up revealed good stability of results.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Echeverry Juan Carlos ◽  
Barbosa-Liz Diana

The prevalence of class III malocclusion ranged from 0 to 26% in different populations. Many types of treatments have been described in dental literature. The results of early treatment have been positive. The purpose of this report is to describe the case of a four-year-old patient with class III malocclusion who received an innovative treatment using direct anterior tracks. This therapy efficiently obtained immediate improvement of profile and occlusal relationships.


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