Tratamiento precoz de la mordida cruzada posterior unilateral en el paciente infantil. Revisión bibliográfica

Abstract

The objective of this review is to highlight the importance of early treatment of posterior cross-bite in children because it is frequently seen in dental practice. It is important to establish an adequate diagnosis in order to opt for the correct treatment, which depends on whether the etiology is skeletal, dental, or functional. To this end it has conducted a literature search through Pubmed, Medline, and Google Scholar (2000-2015). Muscular alterations, temporomandibular joint disorders, bruxism, and/or aesthetic disorders may appear if the condition is not treated early on. The patient’s age and cooperation as well as the gravity of the condition should be considered when choosing a treatment. Various treatment options exist such as: planas direct tracks, selective oclclusal adjustment, removable plates and fixed appliances. The majority of authors agree that the ideal age for treatment is during the primary and early-mixed dentition phases. Treatment during this age range avoids any worsening of the malocclusion. Fixed appliances are the most widely used treatments, with a range of different appliances that can be used for rapid of slow maxillary expansion.