Correction of anterior crossbite using eight different treatment modalities: A case series

Amita Rai1 image, Bhawana Sigdel Bastola2 image, Yogendra Prasad Raut3 image, Mahalaxmi Shah Kalwar4 image, Bandana Koirala5 image, Sunanda Sundas6 image

Highlights

Anterior crossbite may result from trauma, delayed exfoliation of primary teeth, supernumerary teeth, eruption pathway deviation, maxillary arch deficiency, or repaired cleft lip/palate.

Timely correction of anterior crossbite is essential to guide skeletal growth, improve occlusal relationships, prevent periodontal damage and tooth wear, and enhance facial esthetics.

Early anterior crossbite can be corrected with tongue blade therapy, inclined planes, composite slopes, Z-springs, Jackscrew variants, 2×4 appliances, or rapid palatal expansion.

Abstract

Crossbite is defined as any abnormal buccolingual relationship between opposing incisors, premolars, or molars in centric relation. Anterior crossbite requires timely correction to redirect skeletal growth, improve the tooth–alveolus relationship, increase arch perimeter, prevent potential periodontal damage and dental attrition, reduce the risk of temporomandibular disorders, and enhance esthetics. This case series highlights the correction of anterior crossbite in children using eight different treatment modalities, including Z-spring, bonded resin composite slope, modified removable Jackscrew, modified fixed Jackscrew, anterior inclined plane, tongue blade therapy, hygienic rapid expander (HYRAX), and the 2×4 appliance. When initiated early, anterior crossbite correction can be achieved using simple, cost-effective methods with relatively short treatment durations.

Keywords: Anterior Crossbite; Anterior Inclined Plane;  Children; Crossbite;  Orthodontic Appliances; Tongue Blade Therapy

Author Affiliations

  1. Assistant Professor, Department of Pediatric and Preventive Dentistry, People’s Dental College and Hospital, Nepal (Correspondence:mitarai2013@gmail.com)
  2. Assistant Professor, Department of Dentistry, Pokhara Academy of Health Sciences, Nepal
  3. Consultant Orthodontist, Maa Rajdevi Multispecialty Dental Care, Nepal
  4. Senior Resident, Department of Pedodontics and Preventive Dentistry, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Nepal
  5. Professor, Department of Pedodontics and Preventive Dentistry, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Nepal
  6. Professor, Department of Pediatric and Preventive  Dentistry, People’s Dental College and Hospital, Nepal
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Article Info

Contemp Pediatr Dent 2025:6(3):270-280

Received: 22 September 2025

Accepted: 04 December 2025

Online First: 28 December 2025

DOI: 10.51463/cpd.2025.61

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					Amita Rai, Bhawana Sigdel Bastola, Yogendra Prasad Raut, Mahalaxmi Shah Kalwar, Bandana Koirala, Sunanda Sundas. Correction of anterior crossbite using eight different treatment modalities: A case series. Contemp Pediatr Dent 2025:6(3):270-280

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