Posterior crossbite--treatment and stability

J Appl Oral Sci. 2012 Mar-Apr;20(2):286-94. doi: 10.1590/s1678-77572012000200026.

Abstract

Posterior crossbite is defined as an inadequate transversal relationship of maxillary and mandibular teeth. Even when eliminating the etiologic factors, this malocclusion does not have a spontaneous correction, and should be treated with maxillary expansion as early as possible. This treatment aims at providing a better tooth/skeletal relationship, thereby improving masticatory function, and establishing a symmetrical condyle/fossa relationship. Should posterior crossbite not be treated early, it may result in skeletal changes, demanding a more complex approach. Additionally, an overcorrection expansion protocol should be applied in order to improve the treatment stability. Although the literature has reported a high rate of relapse after maxillary expansion, the goal of this study was to demonstrate excellent stability of the posterior crossbite correction 21 years post treatment.

Publication types

  • Case Reports

MeSH terms

  • Cephalometry
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Malocclusion / diagnostic imaging
  • Malocclusion / therapy*
  • Palatal Expansion Technique*
  • Radiography, Panoramic
  • Time Factors
  • Treatment Outcome