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Friday, August 2, 2013

A Note on Anterior cross bite

A Note on Anterior cross bite

Anterior cross bite


Possible causes
Class III skeletal pattern




               Crowding




Retained primary teeth and roots  


Presence of supernumerary teeth

Clinical features
  • Instanding maxillary incisor occluding behind the corresponding lower incisors.
  • Over bite which can vary from nothing to excessive depth.
  • Gingival recession of the lower incisor involved.
  • Forward displacement of the  mandible-  instanding tooth comes into premature contact along the normal path of closure.
  •      mobility of the lower incisor involved in the cross bite
Methods available for correction
Spoon handle biting.
Removable appliance with either cantilever spring or screw.
Lower inclined bite plane.

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