Correction of an anterior and posterior crossbite case with a modified McNamara appliance: A case report

Case Report

Contemp Pediatr Dent 2021:2(1):64-71


Correction of an anterior and posterior crossbite case with a modified McNamara appliance: A case report

OrcidWendes Dias Mendes1 ✉, OrcidLuciane Macedo de Menezes2, OrcidFábio Romano3, OrcidMírian Aiko Nakame Matsumoto4, OrcidMaria Bernadete Sasso Stuani5

Affiliations

1. Master Student, Department of Basic and Oral Biology, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirao Preto-SP, Brazil. ( Correspondence: wendesorto@usp.br)

2. Full Professor, School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre- RS, Brazil.

3. Associate Professor, Department of Pediatric Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirao Preto-SP, Brazil.

4. Associate Professor, Department of Pediatric Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirao Preto-SP, Brazil.

5. Associate Professor, Department of Pediatric Dentistry, School of Dentistry of Ribeirao Preto, University of São Paulo, Ribeirao Preto-SP, Brazil.


Highlights

Crossbites are frequent malocclusions in dental routine and their management by pediatric dentistry extends his/her field of work.

Based on the correct diagnosis of crossbites, the clinician can manage more effective and less time-consuming treatments, leading to patient satisfaction and increasing their self-esteem.

This work allows thepediatric dentist to be familiarized with the smart treatment of combined posterior and anterior crossbite and encourages him/her to treat them.


Abstract

Anterior and posterior crossbites are malocclusions in the sagittal and transversal dimensions, respectively. As self-correction is rare in these alterations, early interception is recommended to allow normal occlusion and facial development. This case report aimed to discuss the treatment of an eight-year-old boy with an increased inferior facial third, who was submitted for rapid maxillary expansion with a modified bonded appliance to solve both transversal and anteroposterior deficiencies. The correctionof both malocclusions was achieved within 21 days. The advantages of this procedure were to gain space in both arches, enlarge the maxillary arch, and improve nasal breathing. The interceptive therapy, as well as a well-planned appliance, proved to be effective and important for retrieving the patient ́s normal condition and quality of life.

Keywords: Interceptive Orthodontics; Crossbites; Malocclusions; Treatment


Copyright © 2021 Contemporary Pediatric Dentistry

References

1. Kerosuo H. The Role of Prevention and Simple Interceptive Measures in Reducing the Need for Orthodontic Treatment. Med Princ Pract 2002;11:16-21

2. Andrade AS, Gameiro GH, De Rossi M, Gavião MBD. Posterior Crossbite and Functional Changes: A Systematic Review. Angle Orthod 2008;79:380–386

3. Khalaf K and Mando M. Removable appliances to correct anterior crossbites in the mixed dentition: a systematic review. Acta Odontol Scand 2020;78:118-125

4. Lippold C, Stamm T, Meyer U, Végh A, Moiseenko T, Danesh G. Early treatment of posterior crossbite – A randomized clinical trial. Trials 2013;14:1-10

5. Tanaka O, Fornazari I, Parra A, Castilhos B, Franco A. Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment. Case Rep Dent 2016; 2016:1-6

6. Weinberg R. The anterior crossbite: report of cases. J Am Dent Assoc 1975;90:621-624

7. Miamoto C, Marques L, Abreu L, Paiva S. Comparison of two early treatment protocols for anterior dental crossbite in the mixed dentition: A randomized trial. Angle Orthod 2018;88:144-150

8. Borrie F, Bearn D. Early correction of anterior crossbites: A systematic review. J Orthod 2011; 38:175–184

9. McNamara J, Sigler L, Franchi L, Guest S, Baccetti T. Changes in occlusal relationships in mixed dentition patients treated with rapid maxillary expansion. Angle Orthod 2010;80:230-238

10. Jorge JO, Corradi-Dias L, Flores-Mir C, Pordeus IA, Paiva SM, Abreu LG. Comparison Between Removable and Fixed Devices for Nonskeletal Anterior Crossbite Correction in Children and Adolescents: A Systematic Review. J Evid Based Dent Pract 2020;20:1-10

11. Galvão M, Dominguez GC, Tormin ST, Akamine A, Tortamano A, de Fantini SM. Applicability of Moyers analysis in mixed dentition: A systematic review. Dental Press J Orthod 2013;18:100-105

12. Haas AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthod 1961; 31:73–90

13. Lagravère MO, Carey J, Heo G, Toogood RW, Major PW. Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial. Am J Orthod Dentofacial Orthop 2010;137:304.e1-312e1

14. Aldrees A, Tashkandi N, AlWanis A, AlSanouni M, Al-Hamlan N. Orthodontic treatment and referral patterns: A survey of pediatric dentists, general practitioners, and orthodontists. Saudi Dent J 2015; 27:30-39

15. Burhan A, Nawaya F. Preventive and interceptive orthodontic needs among Syrian children. J Egyptian Public Health Assoc 2016; 91:90-94

16. Geran R, McNamara J, Baccetti T, Franchi L, Shapiro L. A prospective long-term study on the effects of rapid maxillary expansion in the early mixed dentition. Am J Orthod Dentofacial Orthop 2006;129:631-640

17. Behrents R, Shelgikar A, Conley R, Flores-Mir C, Hans M, Levine M, McNamara J, Palomo J, Pliska B, Stockstill J, Wise J, Murphy S, Nagel N, Hittner J. Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper. Am J Orthod Dentofacial Orthop 2019; 156:13-28

18. De Rossi M, De Rossi A, Abrão J. Skeletal Alterations Associated with the Use of Bonded Rapid Maxillary Expansion Appliance. Braz Dent J 2011;22: 334-339

19. Wendling L, Mcnamara J, Franchi L, Baccetti T. A Prospective Study of the Short-term Treatment Effects of the Acrylic-splint Rapid Maxillary Expander Combined with the Lower Schwarz Appliance. Angle Orthod 2005;75:7-14

20. McNamara Jr, Brudon WL. Orthodontic and orthopedic treatment in the mixed dentition. 5th ed. Ann Arbor: Needham Press; 1995

21. Wiedel A, Norlund A, Petrén S, Bondemark L. A cost minimization analysis of early correction of anterior crossbite – A randomized controlled trial. Eur J Orthod 2016;38:140-145

22. Bhardwaj P, Verma SK, Rastogi K, Bhushan R. An efficient method for correction of anterior crossbite without using bite plates. BMJ Case Rep 2013:1-3

23. White TC, Gardiner JH, Leighton BC. Orthodontics for Dental Students. 3rd ed. New Delhi: Macmillan India Ltd; 1976

24. Agarwal DK, Razdan A, Agarwal A, Bhattacharya P, Gupta A, Kapoor DN. A Comparative Study of Orthodontic Coil Springs. J Ind Orthod Soc. 2011; 45:160-168    

25. Melgaço C, Neto J, Jurach E, da Nojima M, Sant’Anna E, Nojima L. Rapid maxillary expansion effects: An alternative assessment method by means of cone-beam tomography. Dental Press J Orthod 2014;19:88-96

26. Lagravere M, Major P, Flores-Mir C, Orth C. Long-Term Dental Arch Changes After Rapid Maxillary Expansion Treatment: A Systematic Review. Angle Orthod 2005;75:155–161

27. O’Grady P, McNamara J, Baccetti T, Franchi L. A long-term evaluation of the mandibular Schwarz appliance and the acrylic splint expander in early mixed dentition patients. Am J Orthod Dentofacial Orthop 2006;130:202-213

Full Text


DOI

10.51463/cpd.2021.39


Views

228 views

Article Info

Received:

31 January 2021

Accepted:

2 March 2021

Online First:

22 March 2021