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Posterior crossbites in children

J F Zhu1, R Crevoisier, D L King

  • 1Pediatric Dental Service, Children's Hospital of Pittsburgh, Pennsylvania, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|November 1, 1996
PubMed
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Posterior crossbite in children, a common issue affecting maxillary arch width, requires timely intervention. Early treatment is crucial to prevent adverse skeletal growth changes and ensure proper oral development.

Area of Science:

  • Pediatric Dentistry
  • Orthodontics
  • Craniofacial Growth

Background:

  • Posterior crossbite is the most prevalent malocclusion in young children.
  • It stems from skeletal, muscular, or dental factors leading to reduced maxillary arch width.
  • Oral habits and postural issues often contribute to this condition.

Purpose of the Study:

  • To review the causes and consequences of posterior crossbite in pediatric patients.
  • To discuss the available mechanical treatment options for maxillary arch expansion.
  • To emphasize the importance of individualized treatment based on patient factors.

Main Methods:

  • Literature review of studies on posterior crossbite etiology and management.
  • Analysis of various mechanical appliances used for maxillary arch expansion.

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  • Discussion of factors influencing treatment selection, including age and cooperation.
  • Main Results:

    • Posterior crossbite can lead to significant maxillary arch constriction.
    • Untreated cases may result in detrimental skeletal growth alterations.
    • Effective mechanical treatments exist for maxillary arch expansion.

    Conclusions:

    • Early diagnosis and intervention for posterior crossbite are essential in pediatric dental care.
    • Treatment selection should be tailored to the child's specific needs and the etiological factors.
    • Addressing posterior crossbite can prevent long-term craniofacial and occlusal problems.