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Clinical indications for the diagnosis and treatment of functional posterior crossbite in pediatric population: a narrative review with clinical description

  • Antonino Lo Giudice1,*,
  • Alessandro Polizzi1
  • Rosalia Leonardi1
  • Gaetano Isola1

1Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, Unit of Orthodontics, University of Catania, 95123 Catania, Italy

DOI: 10.22514/jocpd.2024.123 Vol.48,Issue 6,November 2024 pp.12-28

Submitted: 20 April 2024 Accepted: 04 June 2024

Published: 03 November 2024

*Corresponding Author(s): Antonino Lo Giudice E-mail: antonino.logiudice@unict.it

Abstract

The present manuscript aims to provide an updated overview of the clinical management of functional posterior crossbite (FPXB) in growing subjects which can be helpful for orthodontists and pediatric dentists in daily practice. Database searches were performed until December 2023 to evaluate the published literature on the topic. The most pertinent articles were chosen for the review from the retrieved articles. No restrictions regarding the year or language of publication were applied. Additional studies were included by manually searching the references of the included studies. The manuscript has been structured for a narrative purpose. Although there is evidence of spontaneous correction in the transition from deciduous to mixed dentition, the literature suggests initiating the treatment early to increase the success rate. Early treatment involves reducing the risk for potential temporomandibular disorders and adaptations at the level of skeletal, dental, and muscle components. Recent advancements in tridimensionali (3D) imaging systems can also help define the appropriate treatment time case-by-case. Considering the prevalence and the multiple etiological factors involved in the development of FPXB in the pediatric population, orthodontists and pediatric dentists should decide the treatment time for this condition with a careful evaluation of the risk/benefit ratio.


Keywords

Functional posterior crossbite; Mandibular shift; Maxillary expansion; Interceptive orthodontics


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Antonino Lo Giudice,Alessandro Polizzi,Rosalia Leonardi,Gaetano Isola. Clinical indications for the diagnosis and treatment of functional posterior crossbite in pediatric population: a narrative review with clinical description. Journal of Clinical Pediatric Dentistry. 2024. 48(6);12-28.

References

[1] da Silva Filho OG, Santamaria M Jr, Capelozza Filho L. Epidemiology of posterior crossbite in the primary dentition. Journal of Clinical Pediatric Dentistry. 2007; 32: 73–78.

[2] Sousa RVD, Ribeiro GLA, Firmino RT, Martins CC, Granville-Garcia AF, Paiva SM. Prevalence and associated factors for the development of anterior open bite and posterior crossbite in the primary dentition. Brazilian Dental Journal. 2014; 25: 336–342.

[3] Souki BQ, Pimenta GB, Souki MQ, Franco LP, Becker HMG, Pinto JA. Prevalence of malocclusion among mouth breathing children: do expectations meet reality? International Journal of Pediatric Otorhinolaryngology. 2009; 73: 767–773.

[4] Leonardi R, Caltabiano M, Cavallini C, Sicurezza E, Barbato E, Spampinato C, et al. Condyle fossa relationship associated with functional posterior crossbite, before and after rapid maxillary expansion. The Angle Orthodontist. 2012; 82: 1040–1046.

[5] Allen D, Rebellato J, Sheats R, Ceron AM. Skeletal and dental contributions to posterior crossbites. The Angle Orthodontist. 2003; 73: 515–524.

[6] Baka ZM, Akin M, Ucar FI, Ileri Z. Cone-beam computed tomography evaluation of dentoskeletal changes after asymmetric rapid maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics. 2015; 147: 61–71.

[7] Lo Giudice A, Barbato E, Cosentino L, Ferraro CM, Leonardi R. Alveolar bone changes after rapid maxillary expansion with tooth-born appliances: a systematic review. European Journal of Orthodontics. 2018; 40: 296–303.

[8] Fränkel R. A functional approach to orofacial orthopaedics. British Journal of Orthodontics. 1980; 7: 41–51.

[9] Owen AH. Morphologic changes in the transverse dimension using the Fränkel appliance. American Journal of Orthodontics. 1983; 83: 200–217.

[10] Leonardi R, Lo Giudice A, Rugeri M, Muraglie S, Cordasco G, Barbato E. Three-dimensional evaluation on digital casts of maxillary palatal size and morphology in patients with functional posterior crossbite. European Journal of Orthodontics. 2018; 40: 556–562.

[11] Lo Giudice A, Ronsivalle V, Santonocito S, Lucchese A, Venezia P, Marzo G, et al. Digital analysis of the occlusal changes and palatal morphology using elastodontic devices. A prospective clinical study including Class II subjects in mixed dentition. European Journal of Paediatric Dentistry. 2022; 23: 275–280.

[12] Petrén S, Bondemark L, Söderfeldt B. A systematic review concerning early orthodontic treatment of unilateral posterior crossbite. The Angle Orthodontist. 2003; 73: 588–596.

[13] Primozic J, Baccetti T, Franchi L, Richmond S, Farcnik F, Ovsenik M. Three-dimensional assessment of palatal change in a controlled study of unilateral posterior crossbite correction in the primary dentition. The European Journal of Orthodontics. 2013; 35: 199–204.

[14] Kurol J, Berglund L. Longitudinal study and cost-benefit analysis of the effect of early treatment of posterior cross-bites in the primary dentition. The European Journal of Orthodontics. 1992; 14: 173–179.

[15] Thilander B, Lennartsson B. A study of children with unilateral posterior crossbite, treated and untreated, in the deciduous dentition—occlusal and skeletal characteristics of significance in predicting the long-term outcome. Journal of Orofacial Orthopedics. 2002; 63: 371–383.

[16] 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. Progress in Orthodontics. 2022; 23: 5.

[17] Tsanidis N, Antonarakis GS, Kiliaridis S. Functional changes after early treatment of unilateral posterior cross‐bite associated with mandibular shift: a systematic review. Journal of Oral Rehabilitation. 2016; 43: 59–68.

[18] Alshammari A, Almotairy N, Kumar A, Grigoriadis A. Effect of malocclusion on jaw motor function and chewing in children: a systematic review. Clinical Oral Investigations. 2022; 26: 2335–2351.

[19] Malandris M, Mahoney EK. Aetiology, diagnosis and treatment of posterior cross-bites in the primary dentition. International Journal of Paediatric Dentistry. 2004; 14: 155–166.

[20] Kennedy DB, Osepchook M. Unilateral posterior crossbite with mandibular shift: a review. Journal of the Canadian Dental Association. 2005; 71: 569–573.

[21] Góis EGO, Ribeiro-Júnior HC, Vale MPP, Paiva SM, Serra-Negra JMC, Ramos-Jorge ML, et al. Influence of nonnutritive sucking habits, breathing pattern and adenoid size on the development of malocclusion. The Angle Orthodontist. 2008; 78: 647–654.

[22] Melink S, Vagner MV, Hocevar-Boltezar I, Ovsenik M. Posterior crossbite in the deciduous dentition period, its relation with sucking habits, irregular orofacial functions, and otolaryngological findings. American Journal of Orthodontics and Dentofacial Orthopedics. 2010; 138: 32–40.

[23] Rodríguez-Olivos LHG, Chacón-Uscamaita PR, Quinto-Argote AG, Pumahualcca G, Pérez-Vargas LF. Deleterious oral habits related to vertical, transverse and sagittal dental malocclusion in pediatric patients. BMC Oral Health. 2022; 22: 88.

[24] Borrie FR, Bearn DR, Innes NP, Iheozor-Ejiofor Z. Interventions for the cessation of non-nutritive sucking habits in children. Cochrane Database of Systematic Reviews. 2015; 2015: CD008694.

[25] Schmid KM, Kugler R, Nalabothu P, Bosch C, Verna C. The effect of pacifier sucking on orofacial structures: a systematic literature review. Progress in Orthodontics. 2018; 19: 8.

[26] Guilleminault C, Huang Y. From oral facial dysfunction to dysmorphism and the onset of pediatric OSA. Sleep Medicine Reviews. 2018; 40: 203–214.

[27] Soxman JA. Ectopic eruption of maxillary permanent canines. Handbook of Clinical Techniques in Pediatric Dentistry. 2021; 68: 217–222.

[28] Bjerklin K, Kurol J, Valentin J. Ectopic eruption of maxillary first permanent molars and association with other tooth and developmental disturbances. The European Journal of Orthodontics. 1992; 14: 369–375.

[29] Proffit WR, Fields H. Contemporary orthodontics. 5th edn. Elsevier Health Sciences: St. Louis. 2012.

[30] de Boer M, Steenks MH. Functional unilateral posterior crossbite. Orthodontic and functional aspects. Journal of Oral Rehabilitation. 1997; 24: 614–623.

[31] Pinto AS, Buschang PH, Throckmorton GS, Chen P. Morphological and positional asymmetries of young children with functional unilateral posterior crossbite. American Journal of Orthodontics and Dentofacial Orthopedics. 2001; 120: 513–520.

[32] Jaju PP, Jaju SP. Cone-beam computed tomography: time to move from ALARA to ALADA. Imaging Science in Dentistry. 2015; 45: 263–265.

[33] De Grauwe A, Ayaz I, Shujaat S, Dimitrov S, Gbadegbegnon L, Vande Vannet B, et al. CBCT in orthodontics: a systematic review on justification of CBCT in a paediatric population prior to orthodontic treatment. European Journal of Orthodontics. 2019; 41: 381–389.

[34] Michelotti A, Iodice G. The role of orthodontics in temporomandibular disorders. Journal of Oral Rehabilitation. 2010; 37: 411–429.

[35] Manfredini D, Perinetti G, Guarda-Nardini L. Dental malocclusion is not related to temporomandibular joint clicking: a logistic regression analysis in a patient population. The Angle Orthodontist. 2014; 84: 310–315.

[36] Manfredini D, Stellini E, Marchese-Ragona R, Guarda-Nardini L. Are occlusal features associated with different temporomandibular disorder diagnoses in bruxers? CRANIO®. 2014; 32: 283–288.

[37] Thilander B, Rubio G, Pena L, de Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. The Angle Orthodontist. 2002; 72: 146–154.

[38] Grünheid T, Langenbach GE, Korfage JA, Zentner A, van Eijden TM. The adaptive response of jaw muscles to varying functional demands. European Journal of Orthodontics. 2009; 31: 596–612.

[39] Myers DR, Barenie JT, Bell RA, Williamson EH. Condylar position in children with functional posterior crossbites: before and after crossbite correction. Pediatric Dentistry. 1980; 2: 190–194.

[40] Wang Z, Spoon ME, Khan J, Barmak AB, Rossouw PE, Michelogiannakis D. Cone beam computed tomographic evaluation of the changes in condylar position in growing patients with unilateral posterior crossbite undergoing rapid maxillary expansion followed by fixed orthodontic therapy. European Archives of Paediatric Dentistry. 2021; 22: 959–967.

[41] Leonardi RM, Aboulazm K, Giudice AL, Ronsivalle V, D’Antò V, Lagravère M, et al. Evaluation of mandibular changes after rapid maxillary expansion: a CBCT study in youngsters with unilateral posterior crossbite using a surface-to-surface matching technique. Clinical Oral Investigations. 2021; 25: 1775–1785.

[42] Leonardi R, Muraglie S, Lo Giudice A, Aboulazm KS, Nucera R. Evaluation of mandibular symmetry and morphology in adult patients with unilateral posterior crossbite: a CBCT study using a surface-to-surface matching technique. European Journal of Orthodontics. 2020; 42: 650–657.

[43] Almaqrami BS, Alhammadi MS, Tang B, ALyafrusee ES, Hua F, He H. Three-dimensional morphological and positional analysis of the temporomandibular joint in adults with posterior crossbite: a cross-sectional comparative study. Journal of Oral Rehabilitation. 2021; 48: 666–677.

[44] Evangelista K, Valladares-Neto J, Garcia Silva MA, Soares Cevidanes LH, de Oliveira Ruellas AC. Three-dimensional assessment of mandibular asymmetry in skeletal Class I and unilateral crossbite malocclusion in 3 different age groups. American Journal of Orthodontics and Dentofacial Orthopedics. 2020; 158: 209–220.

[45] Veli I, Uysal T, Ozer T, Ucar FI, Eruz M. Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography. The Angle Orthodontist. 2011; 81: 966–974.

[46] Ferro F, Spinella P, Lama N. Transverse maxillary arch form and mandibular asymmetry in patients with posterior unilateral crossbite. American Journal of Orthodontics and Dentofacial Orthopedics. 2011; 140: 828–838.

[47] Evangelista K, Ferrari-Piloni C, Barros LAN, Avelino MAG, Helena Soares Cevidanes L, Ruellas ACDO, et al. Three-dimensional assessment of craniofacial asymmetry in children with transverse maxillary deficiency after rapid maxillary expansion: a prospective study. Orthodontics & Craniofacial Research. 2020; 23: 300–312.

[48] Seekis V, Barker G. Does #beauty have a dark side? Testing mediating pathways between engagement with beauty content on social media and cosmetic surgery consideration. Body Image. 2022; 42: 268–275.

[49] Akpasa IO, Yemitan TA, Ogunbanjo BO, Oyapero A. Impact of severity of malocclusion and self-perceived smile and dental aesthetics on self-esteem among adolescents. Journal of the World federation of orthodontists. 2022; 11: 120–124.

[50] Gomes MC, Perazzo MF, Neves ÉT, Martins CC, Paiva SM, Granville-Garcia AF. Oral problems and self-confidence in preschool children. Brazilian Dental Journal. 2017; 28: 523–530.

[51] Khda M, Kiliaridis S, Antonarakis GS. Spontaneous correction and new development of posterior crossbite from the deciduous to the mixed dentition. European Journal of Orthodontics. 2023; 45: 266–270.

[52] Primozic J, Perinetti G, Richmond S, Ovsenik M. Three-dimensional evaluation of facial asymmetry in association with unilateral functional crossbite in the primary, early, and late mixed dentition phases. The Angle Orthodontist. 2013; 83: 253–258.

[53] Planas P. Rehabilitación neuro-oclusal (RNO). 2nd edn. Ediciones Científicas y Técnicas S.A.: Bacrcelona. 1994.

[54] Ramirez-Yañez GO. Planas direct tracks for early crossbite correction. Journal of Clinical Orthodontics. 2003; 37: 294–298.

[55] Rabah N, Al-Ibrahim HM, Hajeer MY, Ajaj MA, Mahmoud G. Assessment of patient-centered outcomes when treating maxillary constriction using a slow removable versus a rapid fixed expansion appliance in the adolescence period: a randomized controlled trial. Cureus. 2022; 14: e22793.

[56] Angelieri F, Cevidanes LHS, Franchi L, Gonçalves JR, Benavides E, McNamara Jr JA. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics. 2013; 144: 759–769.

[57] Gurel HG, Memili B, Erkan M, Sukurica Y. Long-term effects of rapid maxillary expansion followed by fixed appliances. The Angle Orthodontist. 2010; 80: 5–9.

[58] Ronsivalle V, Isola G, Lo Re G, Boato M, Leonardi R, Lo Giudice A. Analysis of maxillary asymmetry before and after treatment of functional posterior cross-bite: a retrospective study using 3D imaging system and deviation analysis. Progress in Orthodontics. 2023; 24: 41.

[59] Khosravi M, Ugolini A, Miresmaeili A, Mirzaei H, Shahidi-Zandi V, Soheilifar S, et al. Tooth-borne versus bone-borne rapid maxillary expansion for transverse maxillary deficiency: a systematic review. International Orthodontics. 2019; 17: 425–436.

[60] Inchingolo AM, Patano A, De Santis M, Del Vecchio G, Ferrante L, Morolla R, et al. Comparison of different types of palatal expanders: scoping review. Children. 2023; 10: 1258.

[61] Mutinelli S, Cozzani M. Rapid maxillary expansion in early-mixed dentition: effectiveness of increasing arch dimension with anchorage on deciduous teeth. European Journal of Paediatric Dentistry. 2015; 16: 115–122.


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