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.  

Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

2021 ◽  
Vol 11 (1) ◽  
pp. 55-60
Author(s):  
Barun Kumar Sah ◽  
Jamal Giri ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Self Esteem ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Dental Practice ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Multiple Treatment ◽  
Maxillary Incisors

Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management

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 SOLUÇÕES ESTÉTICAS PARA PRÓTESES PARCIAIS REMOVÍVEIS RETIDAS POR GRAMPOS METÁLICOS

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Guilherme Andrade Meyer ◽  
Francisco Oliveira Júnior ◽  
Luciana Valadares Oliveira ◽  
Bruno Peixoto de Souza ◽  
Felipe Vilasboas Rodrigues ◽  
...  
Keyword(s):  
Treatment Options ◽  
Metal Structure ◽  
Anterior Region ◽  
Class Iii ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Stomatognathic System ◽  
Anterior Teeth ◽  
Edentulous Patients ◽  
Clinical Cases

The construction of a removable partial denture (RPD) aims the replacement of lost dental units, incorporating them into the stomatognathic system, without harming the biomechanical balance. Besides, there is a great challenge today, of combining function and esthetics. The difficulty in achieving esthetic harmony by the presence of metal clasps on labial surfaces of anterior teeth justify studies aimed at solving this problem in the RPDs. There is still the fact that this procedure is simpler and less costly for the patient compared to other treatment options. Therefore, this study presents esthetic solutions for RPD and suggests the comparison among conventional metal clasps on buccal retainers with clips in the palatal area, through three clinical cases of patients with partial absence of anterior dental units. Two prosthetic pieces for each patient were made: 1) prioritizing only the biomechanical principles and 2) considering both the biomechanical and cosmetic principles. It was observed that MDL and Quereilhac clasps are viable alternatives to get esthetics in RPDs of anterior edentulous patients with Class III and IV of Kennedy. Therefore, it can be concluded that there was an improvement in smile of individuals partially edentulous in the anterior region, by not viewing the metal structure on the buccal area of the teeth.

scholarly journals The Treatment of Class III Malocclusion in Early Mixed Dentition: Two Case Reports/ Terapija malokluzija III klase u ranoj mešovitoj denticiji – prikaz dva slučaja

2015 ◽  
Vol 62 (2) ◽  
pp. 80-88
Author(s):  
Marija Živković Sandić ◽  
Jovana Juloski ◽  
Neda Stefanović ◽  
Ivana Šćepan ◽  
Branislav Glišić
Keyword(s):  
Case Reports ◽  
Mixed Dentition ◽  
Occlusal Plane ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Mandibular Prognathism ◽  
Present Treatment ◽  
Facial Esthetics ◽  
Type 3 ◽  
Future Growth

SUMMARY Class III malocclusion is orthodontic anomaly where mandibular arch is in mesial position to maxillary arch. Reasons for Class III malocclusion can be found in mandibular prognathism, maxillar retrognathism or combination of these two. In most cases of mandibular prognathism, it is necessary to postpone the treatment until the growth ceases. However, if certain conditions are accomplished it is possible to start early treatment of class III malocclusion to improve occlusal relations and provide more favorable environment for future growth. The aim of this study was to present treatment of two patients with Class III maloclussion in early mixed dentition, using two different appliances: Delaire mask and Frankel functional regulator type 3. The treatment with Delaire mask resulted in rotation of maxilla downward and forward due to the angle of extraoral part of the mask to the occlusal plane that was modified to be almost 45°. At the end of the treatment facial esthetics was significantly improved. Moving maxilla forward resulted in straight profile, whereas moving maxilla downward lead to coordination of upper, middle and lower facial third. The result of the treatment in patient who used Frankel functional regulator was correction of anterior crossbite by premaxilla development and incisors protrusion. Significant differences in SNA, SNB and ANB angle values at the beginning and at the end of the treatment were not found suggesting that most changes were dental but not skeletal

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 Treatment Options for Class III Malocclusion in Growing Patients with Emphasis on Maxillary Protraction

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Zeinab Azamian ◽  
Farinaz Shirban
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Cochrane Collaboration ◽  
Good Choice ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Health Group ◽  
The Cochrane Collaboration

It is very difficult to diagnose and treat Class III malocclusion. This type of malocclusion involves a number of cranial base and maxillary and mandibular skeletal and dental compensation components. In Class III malocclusion originating from mandibular prognathism, orthodontic treatment in growing patients is not a good choice and in most cases orthognathic surgery is recommended after the end of growth. Approximately 30–40% of Class III patients exhibit some degree of maxillary deficiency; therefore, devices can be used for maxillary protraction for orthodontic treatment in early mixed dentition. In cases in which dental components are primarily responsible for Class III malocclusion, early therapeutic intervention is recommended. An electronic search was conducted using the Medline database (Entrez PubMed), the Cochrane Collaboration Oral Health Group Database of Clinical Trials, Science Direct, and Scopus. In this review article, we described the treatment options for Class III malocclusion in growing patient with an emphasis on maxillary protraction. It seems that the most important factor for treatment of Class III malocclusion in growing patient is case selection.

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 with a Maxillary Lip Bumper-Bite Plateau Combination

2008 ◽  
Vol 78 (5) ◽  
pp. 838-846 ◽  
Author(s):  
Marcel Korn ◽  
Birte Melsen
Keyword(s):  
Early Treatment ◽  
Three Dimensional ◽  
Cost Benefit ◽  
Point Of View ◽  
Mixed Dentition ◽  
Occlusal Plane ◽  
Before And After ◽  
Bite Plate ◽  
Full Class ◽  
Lip Bumper

Abstract Objective: To evaluate the intra-arch displacements of the molars and the change in molar relationship following the use of a maxillary lip bumper combined with a bite plate. Materials and Methods: The material comprised study casts taken before and after the treatment of 40 consecutive patients with mixed dentition. The sagittal and transversal displacements were evaluated by a three-dimensional digitizer using the palatal rugae as an indirect fixed reference. The displacements were expressed as translation mesiodistally and buccolingually and rotation around the long axis and tipping mesiodistally. The change in molar relationship was measured to the nearest millimeter at the level of the occlusal plane. Results: The tooth movements were predominantly of distal rotation (mean, 9.7°; range, 6.5° to 26°) and distal tipping (mean, 5°; range, 5.8° to 18°). The distal displacement was a modest mean (mean, 0.3 mm; SD, 1.6 mm) and more pronounced to the buccal (mean 1.6 mm; SD, 1.5 mm). The molar relationship improved in all but four sites, and a full Class I was obtained in 65 of 80 sites. Conclusions: The early treatment with the lip bumper and bite plate can be recommended from a cost-benefit point of view.

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