Orthodontic management of anterior crossbite in early permanent dentition: a case report

Abstract

Anterior crossbite affects the smile and frontal aesthetic of the patient. This case report presents an orthodontic management of an adolescent girl of skeletal class I malocclusion and Angle’s class III (Right) subdivision with an anterior single tooth in crossbite. Treatment was completed in 28 months with a fixed orthodontic appliance with the extraction of four first premolars and disocclusion of anterior teeth through glass ionomer cement bite block to prevent occlusal interferences. At the end of treatment anterior crossbite was corrected with the achievement of class I molar and canine relation. The smile of the patient improved from a non-consonant smile arc to a consonant smile arc. The proper history, clinical examination, and investigations are of utmost importance to reach a clinical diagnosis and formulation of the treatment plan.