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Early Diagnosis and Treatment of an Anterior Crossbite

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Early Diagnosis and Treatment of an Anterior Crossbite WWW.DENTALLEARNING.NET DENTAL LEARNING A PEER-REVIEWED PUBLICATION Knowledge for Clinical Practice Early Diagnosis and Treatment of an Anterior Crossbite Before INSIDE Earn 2 CE Credits Written for dentists, hygienists After and assistants Approved PACE Program Provider Dental Learning, LLC is a Dental Board of California CE FAGD/MAGD Credit Provider. The California Provider # is RP5062. All of the infor- mation contained on this certificate is truthful and accurate. Integrated Media Solutions Inc./DentalLearning.net is an ADA CERP Recognized Provider. Approval does not imply acceptance by a state or provincial board of dentistry Completion of this course does not constitute authorization ADA CERP is a service of the American Dental Association to assist dental profession- for the attendee to perform any services that he or she is not als in identifying quality providers of continuing dental education. ADA CERP does not or AGD endorsement. legally authorized to perform based on his or her license or approve or endorse individual courses or instructors, nor does it imply acceptance of 2/1/2012 - 1/31/2016 permit type. This course meets the Dental Board of Califor- credit hours by boards of dentistry. Concerns or complaints about a CE provider may be Provider ID: # 346890 nia’s requirements for 2 units of continuing education. CA directed to the provider or to ADA CERP at www.ada.org/cerp. Integrated Media Solutions AGD Subject Codes: 370,373 course code is 02-5062-15002. Inc./DentalLearning.net designates this activity for 2 continuing education credits. DENTAL LEARNING www.dentallearning.net Author Profiles Dr. Sawsan Tabbaa, DDS., MS is an Assis- Dr. Yogi Kothari, DMD is a Diplomate of the tant Professor, Department of Orthodontics, American Board of Orthodontics. and an Assis- School Dental Medicine, State University of tant Professor in the Department of Orthodon- New York at Buffalo. tics, School of Dental Medicine, State University of New York at Buffalo. Dr. Michelle L. Burlingame, DMD, MS has an orthodontics private practice in Ballston Spa, Dr. Wael Y. Elias, DMD is a diplomate of NY. Dr. Burlingame attended dental school at the American Board of Oral and Maxillofa- the University of Connecticut and completed cial Pathology and the American Board of her residency program in orthodontics at the Orthodontics. He is a faculty and Clinical University of Buffalo, NY. instructor in the Department of Orthodontics, School of Dental Medicine State University of New York at Buffalo, NY and the King Abdulaziz University, Dr. C. Brian Preston, BDS, PhD is a Professor and Chairman Dental School, Jeddah, Saudi Arabia. of the Department of Orthodontics, School of Dental Medi- cine, State University of New York at Buffalo. Abdulfatah A. Hanoun, DDS, G.Dip, M.Sc is a visiting research scholar and post-doctoral Rishi Kothari, DDS has a private practice in fellow in the Department of Orthodontics, orthodontics in Olean, NY. School of Dental Medicine, State University of New York at Buffalo in Buffalo, NY. AUTHOR DISCLOSURE: The clinicians listed do not have a leadership position or a commercial interest with any products that are mentioned in this article. The clinicians can be contacted by emailing [email protected] SPONSOR/PROVIDER: This is a Dental Learning, LLC continuing education activity. DESIGNATION STATEMENTS: Dental Learning, LLC is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Asso- ciation to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Dental Learning, LLC designates this activity for 2 CE credits. Dental Learning, LLC is also designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership, and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 2/1/2012 - 1/31/2016. Provider ID: # 346890. EDUCATIONAL METHODS: This course is a self-instructional journal and web activity. Information shared in this course is based on current information and evidence. REGISTRATION: The cost of this CE course is $29.00 for 2 CE credits. ORIGINAL RELEASE DATE: February 2012. REVIEW DATE: January 2015. EXPIRATION DATE: December 2017. REQUIREMENTS FOR SUCCESSFUL COMPLETION: To obtain 2 CE credits for this educational activity, participants must pay the required fee, review the material, complete the course evaluation and obtain a score of at least 70%. AUTHENTIC- ITY STATEMENT: The images in this course have not been altered. SCIENTIFIC INTEGRITY STATEMENT: Information shared in this continuing education activity is developed from clinical research and represents the most current information available from evidence-based dentistry. KNOWN BENEFITS AND LIMITATIONS: Information in this continuing education activity is derived from data and information obtained from the reference section. EDUCATIONAL DISCLAIMER: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise. PROVIDER DISCLOSURE: Dental Learning does not have a leadership position or a commercial interest in any products that are mentioned in this article. No manufacturer or third party has had any input into the development of course content. CE PLANNER DISCLOSURE: The planner of this course, Casey Warner, does not have a leadership or commercial interest in any products or services discussed in this educational activity. She can be reached at [email protected]. TARGET AUDIENCE: This course was written for dentists, dental hygienists, and assistants, from novice to skilled. CANCELLATION/REFUND POLICY: Any participant who is not 100% satisfied with this course can request a full refund by contactingDental Learning, LLC, in writing. Please direct all questions pertaining to Dental Learning, LLC or the administration of this course to [email protected]. Go Green, Go Online to www.dentallearning.net take your course. © 2015 Copyright 2015 by Dental Learning, LLC. No part of this publication CE Editor Creative Director may be reproduced or transmitted in any form without prewritten FIONA M. COLLINS MICHAEL HUBERT permission from the publisher. Director of Content Art Director JULIE CULLEN MICHAEL MOLFETTO DENTAL LEARNING 500 Craig Road, First Floor, Manalapan, NJ 07726 2 Early Diagnosis and Treatment of an Anterior Crossbite ABSTRACT LEARNING OBJECTIVES Early orthodontic intervention can have numerous benefits The overall objective of this article is to provide the partici- for patients. Treating an anterior crossbite with early inter- pant with information on the treatment of anterior crossbites. vention can improve function, appearance and self-esteem. In Upon completing this course, the participant will be able to: the case report included in this article, an 8-year-old girl was 1. Determine the circumstances under which early treated successfully for an anterior crossbite. In this instance, orthodontic intervention is appropriate. an acrylic bite jumper may have saved the patient from future 2. Identify a case in which early orthodontic intervention surgery while improving her occlusal function and social was used successfully to treat an anterior crossbite. interactions. 3. Identify the outcomes of orthodontic treatment, including those that affect the patient’s quality of life. Introduction • Early management of maxillary anterior crossbites in arly orthodontic intervention is appropriate in pa- order to establish a correct relationship between the tients exhibiting certain occlusal problems that could maxilla and the mandible, achieve proper function, Econtinue to worsen, while also becoming more difficult improve the child’s facial profile, and in some cases, to treat, at a later stage of dental and skeletal development. If eliminate the need for surgery at a later date. such problems are not diagnosed and treated early enough, they could hinder the normal craniofacial development of the Anterior Crossbite: An Overview and Case Study respective child. Interceptive orthodontic treatment reduces Anterior crossbite is an orthodontic problem that pres- the complexity of some malocclusions during the mixed ents with a reverse overjet of one or more of the anterior dentition phase of dental development; however, a follow-up teeth. As with many orthodontic problems, the underlying orthodontic treatment is usually required when the perma- etiology could be either skeletal or dental, or a combina- nent dentition has been established.1 tion of these two factors. The precise treatment of an an- terior crossbite would thus be directed at the predominant Examples of beneficial early interceptive orthodontic treat- etiologic factor. ment include, but are not limited to: • Early treatment of deep bites to prevent the lower Etiology anterior teeth from impinging on the palatal tissue Skeletal causes and to redirect mandibular growth to achieve a nor- The anterior posterior skeletal discrepancy is one of mal facial height; the main causes of the anterior
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