Académique Documents
Professionnel Documents
Culture Documents
CROSSBITE
INTRODUCTION
Crossbites are term used to describe abnormal occlusion in transverse plane.
The term is also used to describe reverse overjet of one or more anterior teeth.
CROSSBITE
NORMAL
DEFINITION
GRABER has defined cross bites
as a condition where one or more teeth may be abnormally malposed buccally or lingually or labially with reference to opposing tooth or teeth.
CLASSIFICATION
Based on their location as: ANTERIOR CROSSBITE and
POSTERIOR CROSSBITE
CLASSIFICATION
According to number of teeth involved Anterior crossbite is again classified as
CLASSIFICATION
Based on the location of etiologic factors as DENTAL CROSSBITE
Usually result from arch length discrepancy or an abnormal path of eruption
SKELETAL CROSSBITE
Due to malpositioning or malformation of jaws.This can be inherited(as in ClassIII skeletal pattern), congenital(Cleft lip and palate) or due to trauma at the time of birth(unilateral ankylosis of TMJ)
FUNCTIONAL CROSSBITE
Due to presence of occlusal interferences
ETIOLOGY
Persistence of a deciduous tooth Crowding or abnormal displacement of one or more teeth Retarded development of maxilla in sagittal as well as transverse direction Narrow upper arch Collapse of the upper arch Unilateral hypo or hyper plastic growth of any jaws Sagittal discrepancies of the jaws such as forwardly positioned mandible. Presence of habits such as thumb sucking and mouth breathing.
Little possibility for self-correction A crossbite in the primary dentition is believed to transfer to the permanent dentition. Postponing treatment results in prolonged treatment of greater complexity If left untreated, it can cause growth modifications and dental compensations May eventually lead to a permanent deviation and craniofacial asymmetry. Associated with an increase in condylar deviation and temporomandibular joint sounds
Interference with growth of the middle third of the face Abnormal speech patterns Loss of arch integrity Periodontal disease Undesirable esthetics Root resorption of central incisors
The acrylic can be extended to create posterior bite plates to reduce the overbite and raise the bite.
SCREW APPLIANCES
Acrylic appliances incorporating various size screws can be used to correct either individual tooth or segmental cross bites.MICRO SCREWS, MINI SCREWS OR MEDIUM SCREWS can be used for the purpose.
FIXED APPLIANCE
Fixed appliance can deliver slow light continuous forces to correct single tooth or segmental anterior teeth cross bite at practically any age.
COFFIN SPRING
In1875 Coffin found the coffin spring
SCREW APPLIANCES
Various types of screws can be used to correct single tooth or segmental posterior tooth cross bites
Apply light continuous pressure on the mid palatal suture. Self activated
Requires no adjustments
More flexible than Haas expander.This again is of two types BANDED and BONDED
More tissue irritation. Haas expander uses acrylic pads and heavy lingual wires to apply pressure to both the teeth and the palatal tissue
THANKYOU