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

2020 ◽  
Vol 25 (4) ◽  
pp. 33-43
Author(s):  
Edoardo Staderini ◽  
Romeo Patini ◽  
Simonetta Meuli ◽  
Andrea Camodeca ◽  
Federica Guglielmi ◽  
...  
Keyword(s):  
Early Treatment ◽  
Present Report ◽  
Alternative Therapy ◽  
Young Patients ◽  
Case Series ◽  
Mixed Dentition ◽  
Class Iii ◽  
Speech Impairment ◽  
Fixed Appliances ◽  
Alternative Approaches

ABSTRACT Introduction: 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.

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
Keyword(s):  
Growth Pattern ◽  
Early Treatment ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Night Time ◽  
Therapy Strategy ◽  
Aesthetic Results ◽  
Mandibular Protrusion

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.

scholarly journals Early treatment of anterior cross bite. A literature review

2017 ◽  
Vol 19 (2) ◽  
Author(s):  
Jesús Hernández ◽  
Margarita Padilla
Keyword(s):  
Early Treatment ◽  
Treatment Options ◽  
Permanent Tooth ◽  
Growth Potential ◽  
Mixed Dentition ◽  
Occlusal Plane ◽  
Class Iii ◽  
Psychological Benefits ◽  
Stomatognathic System ◽  
Craniofacial Complex

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.  

Use of intermaxillary forces in early treatment of maxillary deficient Class III patients: Results of a case series

2012 ◽  
Vol 40 (8) ◽  
pp. e350-e354 ◽  
Author(s):  
Giuseppe Coscia ◽  
Francesco Addabbo ◽  
Vincenzo Peluso ◽  
Emma D’Ambrosio
Keyword(s):  
Early Treatment ◽  
Case Series ◽  
Class Iii

scholarly journals The Use of Invisalign® System in the Management of the Orthodontic Treatment before and after Class III Surgical Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Renato Pagani ◽  
Fabrizio Signorino ◽  
Pier Paolo Poli ◽  
Pietro Manzini ◽  
Irene Panisi
Keyword(s):  
Orthodontic Treatment ◽  
Present Report ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Lateral Deviation ◽  
Functional Balance ◽  
Before And After ◽  
Fixed Appliances ◽  
The Stability

The approach to skeletal dysmorphisms in the maxillofacial area usually requires an orthodontic treatment by means of fixed appliances, both before and after the surgical phase. Since its introduction, Invisalign system has become a popular treatment choice for the clinicians because of the aesthetics and comfort of the removable clear aligners compared with the traditional appliances. Therefore, the aim of the present report was to illustrate the management of a malocclusion by means of Invisalign system associated with the traditional surgical technique. The present paper shows a case of a 23-year-old male patient characterized by a Class III malocclusion with lateral deviation of the mandible to the left side and cross-bite on teeth 2.2, 2.3, and 2.4. Invisalign system was used during the pre- and postsurgical phases rather than fixed appliances. The posttreatment cephalometric analysis emphasized the stability of the dental and skeletal symmetry corrections, occlusion and functional balance, over a 6-year follow-up. The results achieved at the end of the treatment showed how Invisalign can be effective in the management of the orthodontic phases in orthognathic surgery. The follow-up after 6 years emphasizes the stability of the treatment over time.

scholarly journals Class III treatment using facial mask: Stability after 10 years

2014 ◽  
Vol 19 (5) ◽  
pp. 123-135 ◽  
Author(s):  
Adilson Luiz Ramos
Keyword(s):  
Face Mask ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Mandibular Growth ◽  
Long Term Stability ◽  
Fixed Appliances ◽  
Dentofacial Orthopedics ◽  
Class Iii Treatment

Early Class III malocclusion treatment may not have long-term stability due to mandibular growth. Although some features of this malocclusion point to a better prognosis, it is practically impossible for the orthodontist to foresee cases that require new intervention. Many patients need retreatment, whether compensatory or orthodontic-surgical. The present study reports the case of a Class III patient treated at the end of the mixed dentition with the use of a face mask followed by conventional fixed appliances. The case remains stable 10 years after treatment completion. It was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the title of certified by the BBO.

scholarly journals Treatment of Class III with Facemask Therapy

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Snigdha Pattanaik ◽  
Sumita Mishra
Keyword(s):  
Young Patient ◽  
Early Treatment ◽  
Permanent Dentition ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Skeletal Effects ◽  
Environmental Causes ◽  
Maxilla And Mandible

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.

scholarly journals Early class III treatment decision-making

2019 ◽  
Vol 9 ◽  
pp. 68-72
Author(s):  
Peter Ngan ◽  
David Musich
Keyword(s):  
Decision Making ◽  
Early Treatment ◽  
Good Reason ◽  
Treatment Decision ◽  
Reference Points ◽  
Mixed Dentition ◽  
Class Iii ◽  
Treatment Decision Making ◽  
Patient Will ◽  
Functional Shift

Clinicians make decisions for their patients everyday. Ryan Hamilton, in his course guidebook, How You Decide: The Science of Human Decision Making, summarized the current research on the 4 R's of decision-making that matter: reference points, reasons, resources, and replacement. The authors will apply this principle in the decision- making necessary for the growing Class III patients. First, the decision on whether to treat or not to treat Class III patients in the mixed dentition rely on a thorough diagnosis and objectives for early treatment. For example, elimination of a functional shift of the mandible may be a good reason to institute early treatment. Second, the decision on when to start Phase II treatment relies on the follow-up observation after Phase I treatment. The authors suggested the use of a “checklist” to decide whether patient will be benefited from surgical intervention or nonsurgical orthodontic treatment. If the checklist review has several negative checkpoints, it will help the clinicians to decide on an aggressive stage of 4–8 months therapeutic re-diagnosis to confirm the surgical or nonsurgical decision.

scholarly journals Early Treatment of Anterior Crossbite with Eruption Guidance Appliance: A Case Report

2020 ◽  
Vol 17 (10) ◽  
pp. 3587 ◽  
Author(s):  
Marianna Pellegrino ◽  
Silvia Caruso ◽  
Tiziana Cantile ◽  
Gioacchino Pellegrino ◽  
Gianmaria Fabrizio Ferrazzano
Keyword(s):  
Time Use ◽  
Growth Pattern ◽  
Early Treatment ◽  
Psychological Impact ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Night Time ◽  
Horizontal Growth ◽  
Dental Malocclusion

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.

Timing of Class III Treatment with Unfavorable Growth Pattern

2014 ◽  
Vol 38 (4) ◽  
pp. 370-379 ◽  
Author(s):  
K Tai ◽  
JH Park ◽  
S Ohmura ◽  
S Okadakage-Hayashi
Keyword(s):  
Case Report ◽  
Growth Pattern ◽  
Early Treatment ◽  
Orthognathic Surgery ◽  
Young Patients ◽  
Adolescent Female ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Mandibular Prognathism ◽  
Class Iii Treatment

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.

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