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case 1
CROSSBITE CORRECTION WITH
SLOW MAXILLARY EXPANSION SCREW
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• Regd.no.- 38577•Name of patient: Arunava Dutta• Age:12 years • Sex: Male• Place: Department of Pedodontics,GNIDSR.
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The patient came to the out patient
department of pedodontics, with a chief complaint of
irregular arrangement
of front teeth.
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• The patient was physically healthy and had no history of relevant medical
complications and dental trauma.
• Patient gives history of tongue thrusting habit, with duration,
intensity and frequency nonspecified by him and his parents.
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Intra-oral examination• Intraoral examination revealed patient in mixed dentition stage with an Angle's class I molar relationship bilaterally present.•Clinical examination showed : anterior single tooth crossbite narrow upper arch high arched palate deep bite
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Intra-oral view showing cross bite in respect to 11
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Lateral view
RIGHT SIDE LEFT SIDE
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TREATMENT PLANNING
•OPG and lateral cephalometric were advised.•Upper and lower impression were recorded.•Oral prophylaxis was done with ultrasonic method.•A removable orthodontic appliance with slow maxillary expansion screw along with a posterior bite plate was planned for the correction of crossbite.
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Fabrication of appliance on upper cast
Completed appliance
Placement of appliance
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FACIAL PROFILE
PRE-TREATMENT POST-TREATMENT
FRONTAL VIEW
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LATERAL VIEW-RIGHT SIDE
PRE-TREATMENT
POST-TREATMENT
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LATERAL VIEW- LEFT SIDE
PRE-TREATMENT
POST-TREATMENT
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INTRAORAL VIEW
PRE-TREATMENT
POST-TREATMENT
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LATERAL VIEW : POST-TREATMENT
RIGHT SIDE LEFT SIDE
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• Patient was advised to maintain proper oral hygiene habits, and was recalled after three months for follow up.
• At the completion of treatment , gingival recession present i.r.t lower right central incisor(41); which was observed at the pre-treatment phase can be recontoured in future with the help of periodontal therapy.