Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 10-09-2023

Main clinical and surgical outcomes of crossbite treatment: a concise systematic review

UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
Crossbite Malocclusion Early expansion Rapid expansion

Abstract

Introduction: In the crossbite scenario, the prevalence of malocclusion is 56%, with 10% of crossbites in the primary dentition, 11% in the mixed dentition, and 5% in the permanent dentition. The etiology is multifactorial and early diagnosis of crossbite is essential to reduce the risk of dental, alveolar, and skeletal malocclusions. In this sense, malocclusions are a disorder that is increasingly present in the population. Objective: It was to carry out a concise systematic review of the main considerations of crossbite and malocclusions. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from June to September 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total 117 articles were found, and 22 articles were evaluated in full and 13 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 7 studies with a high risk of bias and 43 studies that did not meet GRADE. Early bite correction will provide benefits, restoring the normal redirection of the eruption of permanent teeth, providing correction of asymmetries in condylar positioning, and favoring ideal occlusion. Furthermore, early expansion with a removable expansion plate is a successful method for correcting crossbites and increasing intermolar width in the early phase of mixed dentition. Results remain stable until comprehensive treatment of the permanent dentition begins. Rapid maxillary expansion is a resource of great value to the orthodontist that can be used to treat maxillary transverse deficiencies.

Metrics

Metrics Loading ...

References

  1. Urzal V, Iunes T, Pinhão-Ferreira A. A new challenge for crossbite treatment. Front Oral Health. 2023 Jul 6;4:1235134. doi: 10.3389/froh.2023.1235134.
  2. Alsawaf DH, Almaasarani SG, Hajeer MY, Rajeh N. The effectiveness of the early orthodontic correction of functional unilateral posterior crossbite in the mixed dentition period: a systematic review and meta-analysis. Prog Orthod. 2022 Feb 14;23(1):5. doi: 10.1186/s40510-022-00398-4.
  3. Zhang J, Yang Y, Han X, Lan T, Bi F, Qiao X, Guo W. The application of a new clear removable appliance with an occlusal splint in early anterior crossbite. BMC Oral Health. 2021 Jan 21;21(1):36. doi: 10.1186/s12903-021-01393-7.
  4. Iodice G, Danzi G, Cimino R, Paduano S, Michelotti A. Association between posterior crossbite, skeletal, and muscle asymmetry: a systematic review. Eur J Orthod. 2016 Dec;38(6):638-651. doi: 10.1093/ejo/cjw003.
  5. Agostino P, Uggolini A, Signori A, Silvestrini-Biavati A, Harrison JE, Ortho RP. Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev. 2014, 8:CD000979. 10.1002/14651858.CD000979.pub2.
  6. Kutin G, Hawes RR, Rochester NY. Posterior cross-bites in the deciduous and mixed dentitions. Am J Orthod. 1969, 56:491–504. 10.1016/00029416(69)90210-3.
  7. Lombardo G, Vena F, Negri P, Pagano S, Barilotti C, Paglia L, et al. Worldwide prevalence of malocclusion in the different stages of dentition: a systematic review and meta-analysis. Eur J Paediatr Dent. 2020, 21:115–22. 10.23804/ejpd.2020.21.02.05.
  8. Katz CR, Rosenblatt A, Gondim PP. Nonnutritive sucking habits in Brazilian children: effects on deciduous dentition and relationship with facial morphology. Am J Orthod Dentofacial Orthop. 2004, 126:53–7. 10.1016/j.ajodo.2003.06.011.
  9. Melki-Frèrejouand C, Naulin-Ifi C. Endoalveolia/endognathia: how can transverse abnormalities be treated? Rev Odont Stomat. 2018, 47:223–40.
  10. Van de Velde AS, De Boodt L, Cadenas de Llano-Pérula M, Laenen A, Willems G. Long-term effects of orthodontic interceptive expansion treatment : A retrospective study. J Orofac Orthop. 2023 Apr 28. English. doi: 10.1007/s00056-023-00467-1.
  11. Urzal V, Braga AC, Ferreira AP. Oral habits as risk factors for anterior open bite in the deciduous and mixed dentition - cross-sectional study. Eur J Paediatr Dent. 2013, 14:299-302.
  12. Borrie F, Bearn D. Early correction of anterior crossbites: a systematic review. J Orthod. 2011, 38:175-84. 10.1179/14653121141443.
  13. Tung AW, Kiyak HA. Psychological influences on the timing of orthodontic treatment. Am J Orthod Dentofacial Orthop. (1998) 113:29-Bishara SE, Khadivi P, Jakobsen JR. Changes in tooth size-arch length relationships from the deciduous to the permanent dentition: a longitudinal study. Am J Orthod Dentofacial Orthop. 1995, 108:607–13. 10.1016/S0889-5406(95)70006-4.

How to Cite

Da Silva, G. N. C., Freitas, V. C., Quarezemin, D. F., & Buchala, C. A. C. N. (2023). Main clinical and surgical outcomes of crossbite treatment: a concise systematic review. MedNEXT Journal of Medical and Health Sciences, 4(4). https://doi.org/10.54448/mdnt23401