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Cross bite Definition: failure of the two dental arches to occlude normally in bucco-lingual or labiolingual direction due to: 1- Localized problem of tooth position or alveolar growth 2- Gross disharmony between maxilla and mandible Anterior cross bite: = can be present in primary as well as permanent dentition = it may involve one or more teeth = it is one of the most common malocclusion present in children = it should be treated immediately because it is very rarely to self-correcting = it can be predisposing to the development of class III malocclusion if two or more teeth are involved Causes: = over retained deciduous teeth = crowding = cleft palate Posterior cross bite: Caused by prolonged retention of deciduous molar = the most common type of posterior cross bite is usually when the buccal cusps of maxillary posterior teeth occlude lingual to the buccal cusp of opposing mandibular teeth = in a majority of posterior cross bite cases, both the opposing teeth are out of position Therefore, the treatment consists of reciprocal movement of both teeth The cross bite may involve one or more than one tooth and it may be unilateral or bilateral The cross bite may originate in: dentition, craniofacial skeleton, and temporomandibular musculature Types of cross bite: 1- Dental: This condition involves only the localized tipping of a tooth or teeth and does not affect the size or shape of the basal bone Muscular adjustment is always being made to provide an adequate accommodative occlusion The midline coincides when the jaws are a part and diverge as the teeth come into occlusion The most important diagnostic single point will be a symmetry of the dentoalveolar arch 2- Muscular: This group includes all problems in malfunction of the dentofacial musculature Any persistent alteration in the normal synchrony of the mandibular movement or muscle contraction may result in distorted growth of facial bones or abnormal position of the teeth A simple lip sucking habit may give raise to class II dentition and profile. The sucking habit itself is a complicated neuromuscular reflex involving many muscles of the face, temporomandibular articulation and tongue N: B: = continued sucking may narrow the maxillary dental arch, this contraction of the maxillary arch give raise to another complicated neuromuscular habit pattern, mandibular retraction = the narrowing of the maxillary arch results in tooth interference, and the mandible is then shifted posteriorly by the muscles to position of better occlusal function which is called compulsive disto-occlusion (Hotz) = there is no clear cut differentiation between the dental and muscular type except for treatment, that for dental, teeth must be moved but in muscular, the adjustment often be gained by occlusal equilibration, which permits changes in the muscular reflexes governing mandibular positioning 3- Osseous: = Aberrations in bony growth may give raise to cross bite in two ways: 1- A symmetric growth of maxill
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class1 malocclusion ppt
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