Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지

EARLY TREATMENT OF THE POSTERIOR CROSS-BITE: A CASE REPORT

구치부 반대교합의 조기치료에 대한 치험례

  • Lee, Eun-Mi (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kang, Dong-Kyun (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Tae-Wan (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Young-Jin (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Nam, Sun-Hyun (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Hyun-Jung (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University)
  • 이은미 (경북대학교 치과대학 소아치과학교실) ;
  • 강동균 (경북대학교 치과대학 소아치과학교실) ;
  • 김태완 (경북대학교 치과대학 소아치과학교실) ;
  • 김영진 (경북대학교 치과대학 소아치과학교실) ;
  • 남순현 (경북대학교 치과대학 소아치과학교실) ;
  • 김현정 (경북대학교 치과대학 소아치과학교실)
  • Published : 2008.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Posterior cross-bite is a relatively frequent malocclusion in primary and early mixed dentition and the reported prevalence of posterior cross-bite varies from 7% to 23%. It has been defined as a transverse discrepancy in arch relationship which the palatal cusp of the upper posterior teeth do not occlude in the central fossa of the opposing lower teeth, and can be manifested in a single tooth or in a group of teeth. Posterior cross-bite does not often self-correct and therefore immediate treatment is recommended. Occlusal adjustment to eliminate premature contact that causes mandibular deviation, expansion of narrow maxillary arch, arrangement of the individual teeth to treat asymmetry within the dental arch are the methods of treating cross-bite. In the present case, functional posterior cross-bite was observed in the primary and the early mixed dentition children. The children were treated by the slow maxillary expansion and occlusal adjustment. The outcome of periodic examinations after the correction of cross-bite was favorable.

구치부 반대교합은 유치열기와 혼합치열기에서 종종 나타나는 부정교합으로서, 유병율은 $7{\sim}23%$로 다양하게 나타난다. 이는 상악 치아의 협측 교두가 대합되는 하악 치아의 협측 교두의 설측에 교합하는 상태이며, 하나의 치아 또는 한 치아군에서 나타날 수 있다. 구치부 반대교합의 경우, 보통 자발적 교정이 이루어지지 않으므로, 발견되는 즉시 치료해주는 것이 추천된다. 치성이나 기능성의 경우 성장함에 따라 골격성으로 이행하여 악골의 변형을 초래하고 교정적인 수단으로 개선이 불가능한 상태로 악화될 가능성도 있으므로 조기에 치료하는 것이 효과적이며, 이러한 반대교합의 치료 방법으로는 하악의 변위를 유발하는 조기접촉을 제거하기 위한 교합조정, 협소한 상악궁의 확장, 치열궁내 비대칭을 치료하기 위한 개개 치아의 배열 등의 방법이 있다. 본 증례에서는 유치열기와 초기 혼합치열기 아동에서 구치부 반대교합이 관찰되어 치아의 선택적 삭제와 상악궁의 확장으로 반대교합을 교정한 후 정기적 검진시 양호한 결과가 관찰되기에 이를 보고하는 바이다.

Keywords

References

  1. Kecik D, Kocadereli I, Saatci I : Evaluation of the treatment changes of functional posterior crossbite in the mixed dentition. Am J Orthod Dentofacial Orthop, 131:202-215, 2007. https://doi.org/10.1016/j.ajodo.2005.03.030
  2. Bjork A, Krebs A, Solow B : A method for epidemiologic registration of malocclusion. Acta Odontol Scand, 22:27-41, 1964 https://doi.org/10.3109/00016356408993963
  3. Melsen B, Stensgaard K, Pedersen J : Sucking habits and their influence on swallowing pattern and prevalence of malocclusion. Eur J Orthod, 1:271- 280, 1979. https://doi.org/10.1093/ejo/1.4.271
  4. Kutin G, Hawes RR : Posterior crossbites in the deciduous and mixed dentitions. Am J Orthod, 56:491-504, 1969. https://doi.org/10.1016/0002-9416(69)90210-3
  5. Day AJ, Foster TD : An investigation into the prevalence of molar crossbite and some associated aethiological conditions. Dent Pract, 21:402-410, 1971.
  6. Thilander B, Wahlund S, Lennartson B : The effect of early interceptive treatment in children with posterior cross-bite. Eur J Orthod, 6:25-34, 1984. https://doi.org/10.1093/ejo/6.1.25
  7. Ben-Bassat Y, Aviniam Y, Brin I, et al. : Functional and morphological occlusal aspects in children treated for unilateral posterior crossbite. Eur J Orthod, 15:57-63, 1993. https://doi.org/10.1093/ejo/15.1.57
  8. Myers DR, Barenie JT, Bell RA, et al. : Condylar position in children with functional posterior crossbite: before and after crossbite correction. Pediatr Dent, 2:190-194, 1980.
  9. Petre S, Bondemark L, Odont D, et al. : A systematic review concerning ealry orthodontic treatment of unilateral posterior crossbite. Angle Orthod, 73:588- 596, 2003.
  10. Lindner A : Longitudinal study of the effect of early interceptive treatment in 4-year-old children with unilateral cross-bite. Scand J Dent Res, 97:432- 438, 1989.
  11. Ngan P, Fields H : Orthodontic diagnosis and treatment planning in the primary dentition. J Dent Child, 62:25-33, 1995,
  12. Ninou S, Stephens C : The early treatment of posterior cross-bite: a review of continuing controversies. Dent Update, 420-426, 1994.
  13. Proffit WR : Treatment in preadolescent children(section V). Contemporary Orthodontics. 4th edition. Mosby, St Louis, 436-439, 2007.
  14. O^Bryn BL, Sadowsky C, Schneider B, et al. : An evaluation of mandibular asymmetry in adults with unilateral posterior crossbite. Am J Orthod Dentofacial Orthop, 107:394-400, 1995. https://doi.org/10.1016/S0889-5406(95)70092-7
  15. Schroder U, Schroder I : Early treatment of unilateral posterior crossbite in children with bilaterally contracted maxillae. Eur J Orthod, 6:65-69, 1984. https://doi.org/10.1093/ejo/6.1.65
  16. Moyers RE : Handbook of orthodontics. Yearbook Medical Publishers. 4th edition, 1988.
  17. 서주희, 이광희, 김대업 등 : Face mask를 이용한 유치열기 골격성 반대교합의 치료. 대한소아치과학회지, 29:100-106, 2002.
  18. Cambell PM : The dilemma of class III treatment. Early or late? Angle Orthod, 53:175-191, 1983.
  19. 이창주, 김종수, 권순원 : 초기 혼합치열기에서의 face mask의 임상적 적용. 대한소아치과학회지, 28:643-648, 2001.
  20. Malandris M, Mahoney EK : Aetiology, diagnosis and treatment of posterior cross-bites in the primary dentition. Int J Paediatr Dent, 14:155-166, 2004. https://doi.org/10.1111/j.1365-263X.2004.00546.x
  21. Fushima K, Akimoto S, Takamoto K, et al. : Morphologial feature and incidence of TMJ disorders in mandibular lateral diaplacement cases. Nippon Kyosei Shika Gakkai Zasshi, 48:322-328, 1989.
  22. Pirttiniemi P, Kantoma T, Lahtela P : Relationship between craniofacial and condyle path assymetry in unilateral cross-bite patients. Eur J Orthod, 12:408- 413, 1990. https://doi.org/10.1093/ejo/12.4.408
  23. Bell RA : A review of maxillary expansion in relation to rate of expansion and patient's age. Am J Orthod, 81:32-37, 1982. https://doi.org/10.1016/0002-9416(82)90285-8
  24. Kennedy DB, Osepchook M : Unilateral posterior crossbite with mandibular shift: a review. J Can Dent Assoc, 71:569-573, 2005.
  25. Manuel OL, Paul WM, Carlos F : Skeletal and dental changes with fixed slow maxillary expansion treatment: a systematic review. J Am Dent Assoc, 136:194-199, 2005. https://doi.org/10.14219/jada.archive.2005.0141
  26. Akkaya S, Lorenzon S, Ucem TT : Comparison of dental arch and arch perimeter changes between bonded rapid and slow maxillary expansion procedures. Eur J Orthod, 20:255-261, 1998. https://doi.org/10.1093/ejo/20.3.255
  27. Bell RA, LeCompte EJ : The effects of maxillary expansion using a quad-helix during the deciduous and mixed dentitions. Am J Orthod, 79:152-161, 1981. https://doi.org/10.1016/0002-9416(81)90313-4