EC Dental Science

Introduction: One of the commonest orthodontic problems encountered in dental practice is anterior crossbite which is often seen in growing children. The most common causes are skeletal and functional class III malocclusion. Among these two, the functional class III malocclusion presents a major imbalance in jaw size, which is a result of a mesial thrust of the mandible. The origin for such malocclusion is multifactorial, starting from abnormal eruption of primary or permanent incisors to low position of the tongue, which is lingual dysfunction. Therefore, anterior crossbite poses a major functional and esthetic concern to the patient as well as parents during the growing stage of a child. Its one of the major challenges for an orthodontist and pediatric dentist since it requires an appropriate diagnosis and treatment plan, especially in the developing dentition stage, to establish proper oral-facial growth and development.

Aim of the Study: The aim of the present review is to understand various causative factors and interventions for the same in anterior crossbite.

Methodology: The review is a comprehensive research of PUBMED since the year 1978 to 2015.

Conclusion: There are various treatment options available for anterior crossbite depending on the timing of intervention, among which interceptive orthodontic treatment aims to recognize in early-stage and eliminate malpositions and irregularities of a develop- ing oro-facial complex. The treatment should begin as early as possible so as to allow normal growth and improve the facial charac- teristics, attractiveness and psychosocial well-being of children. Treatment of class III malocclusion in the early phases is one of the most challenging problems faced by orthodontists. There is less prevalence of functional class III, but despite its less prevalence, it must be detected and treated early to prevent future skeletal anomalies. A prompt clinical and radiographic examination showing skeletal class I allows the clinician to make appropriate treatment choices. The time for treatment intervention and various treatment modalities influence therapy.

Keywords: Anterior Crossbite; Class III Malocclusion; Pseudo-Prognathism

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