Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment

This case report presents the interceptive orthodontic treatment of a boy, aged 8 years 4 months with a Class I malocclusion with severe transverse maxillary deficiency and complete maxillary crossbite and correction using Haas expansion and fixed appliance. The treatment goals were to correct the p...

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Main Authors: Orlando Motohiro Tanaka, Isabelle Adad Fornazari, Ariane Ximenes Graciano Parra, Bruno Borges de Castilhos, Ademir Franco
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/8306397
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author Orlando Motohiro Tanaka
Isabelle Adad Fornazari
Ariane Ximenes Graciano Parra
Bruno Borges de Castilhos
Ademir Franco
author_facet Orlando Motohiro Tanaka
Isabelle Adad Fornazari
Ariane Ximenes Graciano Parra
Bruno Borges de Castilhos
Ademir Franco
author_sort Orlando Motohiro Tanaka
collection DOAJ
description This case report presents the interceptive orthodontic treatment of a boy, aged 8 years 4 months with a Class I malocclusion with severe transverse maxillary deficiency and complete maxillary crossbite and correction using Haas expansion and fixed appliance. The treatment goals were to correct the posterior crossbite and anterior crossbite and restore the normality of the dentition and occlusion. In phase I, the patient was treated with a modified Haas-type palatal expander, which provided a clinically significant palatal expansion and increased the maxillary arch perimeter with favorable conditions for orthodontic treatment with fixed appliances in phase II. The optimization of E-space and the use of intermaxillary Class III elastics helped to maintain the mandibular incisors upright. A removable wraparound type appliance and a bonded lingual canine-to-canine retainer were used as retention. Although the literature has reported a high rate of relapse after palatal expansion, after 2 years 9 months of posttreatment follow-up, the occlusal result was stable and no skeletal reversals could be detected.
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issn 2090-6447
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publishDate 2016-01-01
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series Case Reports in Dentistry
spelling doaj-art-f8198518402245ea96c6ea5c9cc56dad2025-02-03T01:00:32ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/83063978306397Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic TreatmentOrlando Motohiro Tanaka0Isabelle Adad Fornazari1Ariane Ximenes Graciano Parra2Bruno Borges de Castilhos3Ademir Franco4Graduate Dentistry Program in Orthodontics, Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, 80215-901 Curitiba, PR, BrazilDentistry, Pontifícia Universidade Católica do Paraná, Curitiba, PR, BrazilOrthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, PR, BrazilOrthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, PR, BrazilDepartment of Oral Health Sciences, Forensic Dentistry, KU Leuven and Dentistry, University Hospitals Leuven, Leuven, BelgiumThis case report presents the interceptive orthodontic treatment of a boy, aged 8 years 4 months with a Class I malocclusion with severe transverse maxillary deficiency and complete maxillary crossbite and correction using Haas expansion and fixed appliance. The treatment goals were to correct the posterior crossbite and anterior crossbite and restore the normality of the dentition and occlusion. In phase I, the patient was treated with a modified Haas-type palatal expander, which provided a clinically significant palatal expansion and increased the maxillary arch perimeter with favorable conditions for orthodontic treatment with fixed appliances in phase II. The optimization of E-space and the use of intermaxillary Class III elastics helped to maintain the mandibular incisors upright. A removable wraparound type appliance and a bonded lingual canine-to-canine retainer were used as retention. Although the literature has reported a high rate of relapse after palatal expansion, after 2 years 9 months of posttreatment follow-up, the occlusal result was stable and no skeletal reversals could be detected.http://dx.doi.org/10.1155/2016/8306397
spellingShingle Orlando Motohiro Tanaka
Isabelle Adad Fornazari
Ariane Ximenes Graciano Parra
Bruno Borges de Castilhos
Ademir Franco
Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment
Case Reports in Dentistry
title Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment
title_full Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment
title_fullStr Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment
title_full_unstemmed Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment
title_short Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment
title_sort complete maxillary crossbite correction with a rapid palatal expansion in mixed dentition followed by a corrective orthodontic treatment
url http://dx.doi.org/10.1155/2016/8306397
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