Research Information System
29th Congress of the Balkan Stomatological Society, Belgrade, Serbia, 24 - 26 April 2025, pp.343, (Summary Text)
Treatment of Anterior Crossbite with Removable Appliances: Two Case Reports
Simge ÇEVİK1, Merve ULUAKAY1, Beyza Ecem ALKAÇ EKİCİ1 1Kutahya Health Science University, Faculty of Dentistry, Department of Pediatric Dentistry, Kutahya
Introduction: Crossbite, which results from the disharmony between the mandible and maxilla in sagittal and transversal discrepancies. Anterior crossbite is characterized by the palatal positioning of one or more maxillary anterior teeth compared to the mandibular anterior teeth. The aim of these case reports is to present the treatment approaches using screw-removable appliances in patients with anterior crossbite during the mixed dentition period.
Case Reports: Two systemically healthy patients, aged seven and nine, in the mixed dentition period, applied to our clinic with aesthetic complaints. Clinical examination revealed that the patients had an Angle Class I molar relationship and anterior crossbite. The treatment plan for the patients included a screwed-removable appliance with a posterior bite block. Both patients has been informed that the appliances should be used for at least 21 hours a day, removed during meals, and used with attention to oral hygiene. During the first two weeks of appliance use, no active treatment protocol was initiated to allow for adaptation. In the subsequent period, a treatment protocol of two turns per week was started. After three months of active treatment, retention therapy was applied following the correction of the crossbite and achievement of overcorrection.
Conclusion: Unless anterior crossbite is treated, it can lead to aesthetic and functional complications. Early diagnosis and intervention are of great importance in preventing these complications. When the appropriate indications and proper patient motivation are provided, removable appliances are considered effective, low-cost, and short-term treatment options for correcting anterior crossbite in the early stages.