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Orthodontic Management of the Developing Dentition pp 185–206Cite as

Early Management of Posterior Crossbites

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Abstract

This chapter describes current evidence regarding early management of posterior crossbites. In order to understand the treatment of posterior crossbite definitions, aetiology, epidemiology and the implications of posterior crossbites will be summarised. Current evidence suggests that there is a need for further long-term epidemiological studies to monitor the effects of a unilateral posterior crossbite (UPXB) and spontaneous correction rate as current evidence is conflicting. In addition, randomised controlled trials comparing competing interventions are justified. These should be methodologically sound, adequately powered and record outcomes that take into account participants’ views and experiences of the treatment. They should also report the proportion of cases whose UPXB is corrected and in the follow-up period, remains stable until the permanent dentition is established. Based on current evidence, there is justification for the early orthodontic treatment of UPXB with mandibular shifts. There is some weak evidence that posterior crossbites with mandibular shifts are associated with temporomandibular dysfunction and reduced bite force and that children and adolescents with UPXB show signs of some degree of mandibular asymmetry. Randomised controlled trials suggest that treatment appears to be stable if undertaken in the mixed dentition. The appliance of choice appears to be the quad-helix appliance because the evidence suggests that treatment is quicker; they are more cost-effective and tolerated better than their alternatives, i.e. expansion plate or arch.

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References

  1. Heikinheimo K, Salmi K, Myllarniemi S. Long term evaluation of orthodontic diagnosis made at the ages of 7 and 10 years. Eur J Orthod. 1987;9:151–9.

    Article  PubMed  Google Scholar 

  2. Kurol J, Berglund L. Longitudinal and cost-benefit analysis of the effect of early treatment of posterior cross-bites in the primary dentition. Eur J Orthod. 1992;14:173–9.

    Article  PubMed  Google Scholar 

  3. Leighton BC. The early development of cross-bites. Dent Pract. 1966;17:145–52.

    Google Scholar 

  4. Thilander B, Wahlund S, Lennartsson B. The effect of early interceptive treatment in children with posterior cross-bite. Eur J Orthod. 1984;6:25–34.

    Article  PubMed  Google Scholar 

  5. Melsen B, Stensgaard K, Pedersen J. Sucking habits and their influence on swallowing pattern and prevalence of malocclusion. Eur J Orthod. 1979;1(4):271–80.

    Article  PubMed  Google Scholar 

  6. Bresolin D, Shapiro PA, Shapiro GG, Chapko MK, Dassel S. Mouth breathing in allergic children: its relationship to dentofacial development. Am J Orthod. 1983;83:334–40.

    Article  PubMed  Google Scholar 

  7. Cheng M-C, Enlow DH, Papsidero M, Broardbent BH, Oyen O, Sabat M. Developmental effects of impaired breathing in the face of the growing child. Angle Orthod. 1988;58:309–20.

    PubMed  Google Scholar 

  8. Hannuksela A, Väänänen A. Predisposing factors for malocclusion in 7-year-old children with special reference to atopic diseases. Am J Orthod Dentofacial Orthop. 1987;92(4):299–303.

    Article  PubMed  Google Scholar 

  9. Linder-Aronson S. Adenoids. Their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the denition. A biometric, rhino-manometric and cephalometro-radiographic study on children with and without adenoids. Acta Otolaryngol Suppl. 1970;265:1–132.

    PubMed  Google Scholar 

  10. Subtelny JD. Oral respiration: facial maldevelopment and corrective dentofacial orthopedics. Angle Orthod. 1980;50:147–64.

    PubMed  Google Scholar 

  11. Borrie FR, Bearn DR, Innes NP, Iheozor-Ejiofor Z. Interventions for the cessation of non-nutritive sucking habits in children. Cochrane Database Syst Rev. 2015;(3):CD008694.

    Google Scholar 

  12. Doğramacı EJ, Rossi-Fedele G. Establishing the association between nonnutritive sucking behavior and malocclusions: a systematic review and meta-analysis. J Am Dent Assoc. 2016;147:926–934.e6.

    Article  PubMed  Google Scholar 

  13. Infante PF. An epidemiologic study of finger habits in preschool children, as related to malocclusion, socioeconomic status, race, sex, and size of community. ASDC J Dent Child. 1976;43(1):33–8.

    PubMed  Google Scholar 

  14. Modeer T, Odenrick L, Lindner A. Sucking habits and their relationship to posterior crossbites in 4-year-old children. Scand J Dent Res. 1982;90:323–8.

    PubMed  Google Scholar 

  15. Ogaard B, Larsson E, Lindsten R. The effects of sucking habits, cohort, sex, intercanine arch widths, and breast or bottle feeding on posterior crossbite in Norwegian and Swedish 3-year-old children. Am J Orthod Dentofacial Orthop. 1994;106:161–6.

    Article  Google Scholar 

  16. Abreu LG, Paiva SM, Pordeus IA, Martins CC. Breastfeeding, bottle feeding and risk of malocclusion in mixed and permanent dentitions: a systematic review. Braz Oral Res. 2016;30(1):e22.

    Google Scholar 

  17. Dimberg L, Lennartsson B, Arnrup K, Bondemark L. Prevalence and change of malocclusions from primary to early permanent dentition: a longitudinal study. Angle Orthod. 2015;85(5):728–34.

    Article  PubMed  Google Scholar 

  18. Holm AK. Oral health in 4-year-old Swedish children. Community Dent Oral Epidemiol. 1975a;3(1):25–33.

    Article  PubMed  Google Scholar 

  19. Holm AK. Oral health in 5-year-old Swedish children. Community Dent Oral Epidemiol. 1975b;3(4):184–9. PubMed PMID: 1056827.

    Article  PubMed  Google Scholar 

  20. Köhler L, Holst K. Malocclusion and sucking habits of four-year-old children. Acta Paediatr Scand. 1973 Jul;62(4):373–9.

    Article  PubMed  Google Scholar 

  21. Tschill P, Bacon W, Sonko A. Malocclusion in the deciduous dentition of Caucasian children. Eur J Orthod. 1997;19(4):361–7.

    Article  PubMed  Google Scholar 

  22. Brunelle JA, Bhat M, Lipton JA. Prevalence and distribution of selected occlusal characteristics in the US population, 1988-1991. J Dent Res. 1996;75:Spec No:706-13.

    Google Scholar 

  23. Thilander B, Myrberg N. The prevalence of malocclusion in Swedish schoolchildren. Scand J Dent Res. 1973;81(1):12–21.

    PubMed  Google Scholar 

  24. Corruccini RS. An epidemiologic transition in dental occlusion in world populations. Am J Orthod. 1984 Nov;86(5):419–26.

    Article  PubMed  Google Scholar 

  25. Foster TD, Day AJ. A survey of malocclusion and the need for orthodontic treatment in a Shropshire school population. Br J Orthod. 1974;1(3):73–8.

    Article  PubMed  Google Scholar 

  26. Infante PF. Malocclusion in the deciduous dentition in white, black, and Apache Indian children. Angle Orthod. 1975;45(3):213–8.

    PubMed  Google Scholar 

  27. Malandris M, Mahoney EK. Aetiology, diagnosis and treatment of posterior cross-bites in the primary dentition. Int J Paediatr Dent. 2004;14(3):155–66.

    Article  PubMed  Google Scholar 

  28. Kutin G, Hawes RR. Posterior cross-bites in the deciduous and mixed dentitions. Am J Orthod. 1969;56(5):491–504.

    Article  PubMed  Google Scholar 

  29. Schröder U, Schröder I. Early treatment of unilateral posterior crossbite in children with bilaterally contracted maxillae. Eur J Orthod. 1984;6(1):65–9.

    Article  PubMed  Google Scholar 

  30. Iodice G, Danzi G, Cimino R, Paduano S, Michelotti A. Association between posterior crossbite, masticatory muscle pain, and disc displacement: a systematic review. Eur J Orthod. 2013;35(6):737–44.

    Article  PubMed  Google Scholar 

  31. Egermark-Eriksson I, Carlsson GE, Magnusson T, Thilander B. A longitudinal study on malocclusion in relation to signs and symptoms of cranio-mandibular disorders in children and adolescents. Eur J Orthod. 1990;12:399–407.

    Article  PubMed  Google Scholar 

  32. McNamara JA Jr, Turp JC. Orthodontic treatment and temporomandibular disorders: is there a relationship? J Orofac Orthop. 1997;58:74–89.

    PubMed  Google Scholar 

  33. Ninou S, Stephens C. The early treatment of posterior crossbites: a review of continuing controversies. Dent Update. 1994;21:420–6.

    PubMed  Google Scholar 

  34. O’Bryn BL, Sadowsky C, Schneider B, BeGole EA. An evaluation of mandibular asymmetry in adults with unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 1995;107:394–400.

    Article  Google Scholar 

  35. Pullinger AG, Seligman DA, Gornbein JA. A multiple logistic regression analysis of the risk and relative odds of temperomandibular disorders as a function of common occlusal factors. J Dent Res. 1993;72:968–79.

    Article  PubMed  Google Scholar 

  36. Gesch D, Bernhardt O, Kirbschus A. Association of malocclusion and functional occlusion with temporomandibular disorders (TMD) in adults: a systematic review of population-based studies. Quintessence Int. 2004;35(3):211–21.

    PubMed  Google Scholar 

  37. Thilander B, Bjerklin K. Posterior crossbite and temporomandibular disorders (TMDs): need for orthodontic treatment? Eur J Orthod. 2012;34(6):667–73.

    Article  PubMed  Google Scholar 

  38. Thilander B, Rubio G, Pena L, de Mayorga C. Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development. Angle Orthod. 2002;72(2):146–54.

    PubMed  Google Scholar 

  39. Andrade Ada S, Gameiro GH, Derossi M, Gavião MB. Posterior crossbite and functional changes. A systematic review. Angle Orthod. 2009;79(2):380–6.

    Article  PubMed  Google Scholar 

  40. Talapaneni AK, Nuvvula S. The association between posterior unilateral crossbite and craniomandibular asymmetry: a systematic review. J Orthod. 2012;39:279–91.

    Article  PubMed  Google Scholar 

  41. Iodice G, Danzi G, Cimino R, Paduano S, Michelotti A. Association between posterior crossbite, skeletal, and muscle asymmetry: a systematic review. Eur J Orthod. 2016;38:638–51.

    Article  PubMed  Google Scholar 

  42. Hesse KL, Artun J, Joondeph DR, Kennedy DB. Changes in condylar position and occlusion associated with maxillary expansion for correction of functional unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 1997;111:410–8.

    Article  PubMed  Google Scholar 

  43. Kilic N, Kiki A, Oktay H. Condylar asymmetry in unilateral posterior crossbite patients. Am J Orthod Dentofacial Orthop. 2008a;133:382–7.

    Article  PubMed  Google Scholar 

  44. Langberg BJ, Arai K, Miner RM. Transverse skeletal and dental asymmetry in adults with unilateral lingual posterior crossbite. Am J Orthod Dentofacial Orthop. 2005;127:6–15.

    Article  PubMed  Google Scholar 

  45. Uysal T, Sisman Y, Kurt G, Romoglu S. Condylar and Ramal vertical asymmetry in unilateral and bilateral posterior crossbite patients and normal occlusion sample. Am J Orthod Dentofacial Orthop. 2009;136:37–43.

    Article  PubMed  Google Scholar 

  46. Veli I, Uysal T, Ozer T, Ucar F. Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography. Angle Orthod. 2011;81:966–74.

    Article  PubMed  Google Scholar 

  47. Pirttiniemi P, Kantomaa T, Lahtela P. Relationship between craniofacial and condyle path asymmetry in unilateral cross bite patients. Eur J Orthod. 1990;12:408–13.

    Article  PubMed  Google Scholar 

  48. Schmid W, Mongini F, Felisio A. A computer based assessment of structural and displacement asymmetries of the mandible. Am J Orthod Dentofacial Orthop. 1991;100:19–34.

    Article  PubMed  Google Scholar 

  49. Kecik D, Kocadereli I, Saatci I. Evaluation of the treatment changes of functional posterior crossbite in the mixed dentition. Am J Orthod Dentofacial Orthop. 2007;131:202–15.

    Article  PubMed  Google Scholar 

  50. Lam PH, Sadowsky C, Omerza F. Mandibular asymmetry and condylar position in children with unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 1999;115:569–75.

    Article  PubMed  Google Scholar 

  51. Lippold C, Hoppe G, Moiseenko T, Ehmer U. Analysis of condylar differences in functional unilateral posterior crossbite during early treatment – a randomized clinical study. J Orofac Orthop. 2008;69:283–96.

    Article  PubMed  Google Scholar 

  52. Castelo PM, Pereira LJ, Andrade AS, Marquezin MC, Gavião MB. Evaluation of facial asymmetry and masticatory muscle thickness in children with normal occlusion and functional posterior crossbite. Minerva Stomatol. 2010;59:423–30.

    PubMed  Google Scholar 

  53. Ferro F, Spinella P, Lama N. Transverse maxillary arch form and mandibular asymmetry in patients with posterior unilateral crossbite. Am J Orthod Dentofacial Orthop. 2011;140:828–38.

    Article  PubMed  Google Scholar 

  54. Kasimoglu Y, Tuna EB, Rahimi B, Marsan G, Gencay K. Condylar asymmetry in different malocclusion types. Cranio. 2015;33:10–4.

    Article  PubMed  Google Scholar 

  55. Kiki A, Kiliç N, Oktay H. Condylar asymmetry in bilateral posterior crossbite patients. Angle Orthod. 2007;77:77–81.

    Article  PubMed  Google Scholar 

  56. Kusayama M, Motohashi N, Kuroda T. Relationship between transverse dental anomalies and skeletal asymmetry. Am J Orthod Dentofacial Orthop. 2003;123:329–37.

    Article  PubMed  Google Scholar 

  57. Pirttiniemi P, Raustia A, Kantomaa T, Pyhtinen J. Relationships of bicondylar position to occlusal asymmetry. Eur J Orthod. 1991;13:441–5.

    Article  PubMed  Google Scholar 

  58. Primozic J, Ovsenik M, Richmond S, Kau CH, Zhurov A. Early crossbite correction: a three-dimensional evaluation. Eur J Orthod. 2009;31:352–6.

    Article  PubMed  Google Scholar 

  59. Primozic J, Perinetti G, Richmond S, Ovsenik M. Three-dimensional evaluation of facial asymmetry in association with unilateral functional crossbite in the primary, early, and late mixed dentition phases. Angle Orthod. 2013;83:253–8.

    Article  PubMed  Google Scholar 

  60. Takada J, Miyamoto JJ, Yokota T, Ono T, Moriyama K. Comparison of the mandibular hinge axis in adult patients with facial asymmetry with and without posterior unilateral crossbite. Eur J Orthod. 2015;37:22–7.

    Article  PubMed  Google Scholar 

  61. Abad-Santamaría L, López-de-Andrés A, Jiménez-Trujillo I, Ruíz C, Romero M. Effect of unilateral posterior crossbite and unilateral cleft lip and palate on vertical mandibular asymmetry. Ir J Med Sci. 2014;183:357–62.

    Article  PubMed  Google Scholar 

  62. Cohlmia JT, Ghosh J, Sinha PK, Nanda RS, Currier GF. Tomographic assessment of temporomandibular joints in patients with malocclusion. Angle Orthod. 1996;66:27–35.

    PubMed  Google Scholar 

  63. Halicioglu K, Celikoglu M, Yavuz I, Sekerci AE, Buyuk SK. An evaluation of condylar and ramal vertical asymmetry in adolescents with unilateral and bilateral posterior crossbite using cone beam computed tomography (CBCT). Aust Orthod J. 2014;30:11–8.

    PubMed  Google Scholar 

  64. Pellizoni SE, Salioni MA, Juliano Y, Guimarães AS, Alonso LG. Temporomandibular joint disc position and configuration in children with functional unilateral posterior crossbite: a magnetic resonance imaging evaluation. Am J Orthod Dentofacial Orthop. 2006;129:785–93.

    Article  PubMed  Google Scholar 

  65. van Keulen C, Martens G, Dermaut L. Unilateral posterior crossbite and chin deviation: is there a correlation? Eur J Orthod. 2004;26:283–8.

    Article  PubMed  Google Scholar 

  66. Sonnesen L, Bakke M, Solow B. Bite force in pre-orthodontic children with unilateral crossbite. Eur J Orthod. 2001;23(6):741–9.

    Article  PubMed  Google Scholar 

  67. Alarcón JA, Martín C, Palma JC. Effect of unilateral posterior crossbite on the electromyographic activity of human masticatory muscles. Am J Orthod Dentofacial Orthop. 2000;118(3):328–34.

    Article  PubMed  Google Scholar 

  68. Sonnesen L, Bakke M. Bite force in children with unilateral crossbite before and after orthodontic treatment. A prospective longitudinal study. Eur J Orthod. 2007;29(3):310–3.

    Article  PubMed  Google Scholar 

  69. Magalhães IB, Pereira LJ, Marques LS, Gameiro GH. The influence of malocclusion on masticatory performance. A systematic review. Angle Orthod. 2010;80(5):981–7.

    Article  PubMed  Google Scholar 

  70. Antczak AA, Tang J, Chalmers TC. Quality assessment of randomized control trials in dental research. I Methods. J Periodontal Res. 1986;21(4):305–14.

    Article  PubMed  Google Scholar 

  71. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996 Feb;17(1):1–12.

    Article  PubMed  Google Scholar 

  72. Castelo PM, Gavião MB, Pereira LJ, Bonjardim LR. Masticatory muscle thickness, bite force, and occlusal contacts in young children with unilateral posterior crossbite. Eur J Orthod. 2007;29(2):149–56.

    Article  PubMed  Google Scholar 

  73. Rentes AM, Gavião MB, Amaral JR. Bite force determination in children with primary dentition. J Oral Rehabil. 2002;29(12):1174–80.

    Article  PubMed  Google Scholar 

  74. Vanderas AP, Papagiannoulis L. Multifactorial analysis of the aetiology of craniomandibular dysfunction in children. Int J Paediatr Dent. 2002;12(5):336–46.

    Article  PubMed  Google Scholar 

  75. Sonnesen L, Bakke M, Solow B. Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion. Eur J Orthod. 1998;20(5):543–59.

    Article  PubMed  Google Scholar 

  76. Alarcon JA, Martín C, Palma JC, Menéndez-Núñez M. Activity of jaw muscles in unilateral cross-bite without mandibular shift. Arch Oral Biol. 2009;54:108–14.

    Article  PubMed  Google Scholar 

  77. Andrade Ada S, Gavião MB, Gameiro GH, De Rossi M. Characteristics of masticatory muscles in children with unilateral posterior crossbite. Braz Oral Res. 2010;24:204–10.

    Article  PubMed  Google Scholar 

  78. Ciavarella D, Monsurrò A, Padricelli G, Battista G, Laino L, Perillo L. Unilateral posterior crossbite in adolescents: surface electromyographic evaluation. Eur J Paediatr Dent. 2012;13:25–8.

    PubMed  Google Scholar 

  79. Ferrario VF, Sforza C, Serrao G. The influence of crossbite on the coordinated electromyographic activity of human masticatory muscles during mastication. J Oral Rehabil. 1999;26:575–81.

    Article  PubMed  Google Scholar 

  80. Ingervall B, Thilander B. Activity of temporal and masseter muscles in children with a lateral forced bite. Angle Orthod. 1975;45:249–58.

    PubMed  Google Scholar 

  81. Moreno I, Sánchez T, Ardizone I, Aneiros F, Celemin A. Electromyographic comparisons between clenching, swallowing and chewing in jaw muscles with varying occlusal parameters. Med Oral Patol Oral Cir Bucal. 2008;13:E207–13.

    PubMed  Google Scholar 

  82. Piancino MG, Farina D, Talpone F, Merlo A, Bracco P. Muscular activation during reverse and non-reverse chewing cycles in unilateral posterior crossbite. Eur J Oral Sci. 2009;117:122–8.

    Article  PubMed  Google Scholar 

  83. Tecco S, Tetè S, Festa F. Electromyographic evaluation of masticatory, neck, and trunk muscle activity in patients with posterior crossbites. Eur J Orthod. 2010;32:747–52.

    Article  PubMed  Google Scholar 

  84. Woźniak K, Szyszka-Sommerfeld L, Lichota D. The electrical activity of the temporal and masseter muscles in patients with TMD and unilateral posterior crossbite. Biomed Res Int. 2015;2015:1–7.

    Google Scholar 

  85. Godoy F, Godoy-Bezerra J, Rosenblatt A. Treatment of posterior crossbite comparing 2 appliances: a communitybased trial. Am J Orthod Dentofacial Orthop. 2011;139:e45–52.

    Article  PubMed  Google Scholar 

  86. McNally MR, Spary DJ, Rock WP. Randomized controlled trial comparing the quad-helix and the expansion arch for the correction of crossbite. J Orthod. 2005;32(1):29–35.

    Article  PubMed  Google Scholar 

  87. Petrén S, Bondemark L. Correction of unilateral posterior crossbite in the mixed dentition: a randomized controlled trial. Am J Orthod Dentofacial Orthop. 2008;133:790.e7–13.

    Article  Google Scholar 

  88. Petrén S, Bjerklin K, Bondemark L. Stability of unilateral posterior crossbite correction in the mixed dentition: a randomised clinical trial with a 3-year follow-up. Am J Orthod Dentofacial Orthop. 2011;139:e73–81.

    Article  PubMed  Google Scholar 

  89. Sandikçioğlu M, Hazar S. Skeletal and dental changes after maxillary expansion in the mixed dentition. Am J Orthod Dentofacial Orthop. 1997;111(3):321–7.

    Article  PubMed  Google Scholar 

  90. Oshagh M, Momeni Danaei S, Hematiyan MR, Hajian K, Shokoohi Z. Comparison of dental arch changes and patients’ discomforts between newly designed maxillary expansion screw and slow expansion procedures. J Denti Shiraz Univ Med Sci. 2012;13(3):110–9.

    Google Scholar 

  91. Asanza S. Comparison of Hyrax and bonded expansion appliances. Angle Orthod. 1997;67(1):15–22.

    PubMed  Google Scholar 

  92. Garib DG, Henriques JF, Janson G, Freitas MR, Coelho RA. Rapid maxillary expansion – tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects. Angle Orthod. 2005;75(4):548–57.

    PubMed  Google Scholar 

  93. Kilic N, Kiki A, Oktay H. A comparison of dentoalveolar inclination treated by two palatal expanders. Eur J Orthod. 2008b;30(1):67–72.

    Article  PubMed  Google Scholar 

  94. Oliveira NL, Da Silveira AC, Kusnoto B, Viana G. Three dimensional assessment of morphologic changes of the maxilla: a comparison of 2 kinds of palatal expanders. Am J Orthod Dentofacial Orthop. 2004;126(3):354–62.

    Article  PubMed  Google Scholar 

  95. Schneidman E, Wilson S, Erkis R. Two-point rapid palatal expansion: an alternate approach to traditional treatment. Pediatr Dent. 1990;12(2):92–7.

    PubMed  Google Scholar 

  96. Lamparski DG Jr, Rinchuse DJ, Close JM, Sciote JJ. Comparison of skeletal and dental changes between 2-point and 4-point rapid palatal expanders. Am J Orthod Dentofacial Orthop. 2003;123(3):321–8.

    Article  PubMed  Google Scholar 

  97. Lindner A. Longitudinal study on the effect of early interceptive treatment in 4-year-old children with unilateral cross-bite. Scand J Dent Res. 1989;97(5):432–8.

    PubMed  Google Scholar 

  98. Agostino P, Ugolini A, Signori A, Silvestrini-Biavati A, Harrison JE, Riley P. Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev. 2014;(8):CD000979.

    Google Scholar 

  99. Petrén S, Bondemark L, Söderfeldt B. A systematic review concerning early orthodontic treatment of unilateral posterior crossbite. Angle Orthod. 2003;73(5):588–96.

    PubMed  Google Scholar 

  100. Zhou Y, Long H, Ye N, Xue J, Yang X, Liao L, Lai W. The effectiveness of non-surgical maxillary expansion: a meta-analysis. Eur J Orthod. 2014;36(2):233–42.

    Article  PubMed  Google Scholar 

  101. Zuccati G, Casci S, Doldo T, Clauser C. Expansion of maxillary arches with crossbite: a systematic review of RCTs in the last 12 years. Eur J Orthod. 2013;35(1):29–37.

    Article  PubMed  Google Scholar 

  102. Birnie DJ, McNamara TG. The quadhelix appliance. Br J Orthod. 1980;7(3):115–20.

    Google Scholar 

  103. Tullberg M, Tsarapatsani P, Huggare J, Kopp S. Long-term follow-up of early treatment of unilateral forced posterior crossbite with regard to temporomandibular disorders and associated symptoms. Acta Odontologica Scandinavica, 2011;59(5):280–284.

    Google Scholar 

  104. Tsarapatsani P, Tullberg M, Lindner A, Huggare J. Long-term follow-up of early treatment of unilateral forced posterior cross-bite. Orofacial status,. Acta Odontologica Scandinavica, 1999;57(20):97–104,

    Google Scholar 

  105. Lagravere MO, Carey J, Heo G, Toogood RW, Major PW. Transverse, vertical, and anteroposterior changes from boneanchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2010;137(3):304.

    Article  PubMed  Google Scholar 

  106. Lippold C, Stamm T, Meyer U, Végh A, Moiseenko T, Danesh G. Early treatment of posterior crossbite – a randomised clinical trial. Trials. 2013;14:20.

    Article  PubMed  PubMed Central  Google Scholar 

  107. Martina R, Cioffi I, Farella M, Leone P, Manzo P, Matarese G, et al. Transverse changes determined by rapid and slow maxillary expansion. A low-dose CT-based randomised controlled trial. Orthod Craniofac Res. 2012;15:159–68.

    Article  PubMed  Google Scholar 

  108. Mossaz-Joelson K, Mossaz C. Slow maxillary expansion: a comparison between bonded and banded appliances. Eur J Orthod. 1989;11:67–76.

    Article  PubMed  Google Scholar 

  109. Ramoglu SI, Sari Z. Maxillary expansion in the mixed dentition: rapid or semi-rapid? Eur J Orthod. 2010;32:11–8.

    Article  PubMed  Google Scholar 

  110. Weissheimer A, de Menezes LM, Mezomo M, Dias DM, de Lima EM, Rizzatto SM. Immediate effects of rapidmaxillary expansion with Haas-type and hyrax-type expanders: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2011;140(3):366–76.

    Article  PubMed  Google Scholar 

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  1. University of Liverpool Dental Hospital, Liverpool, UK

    Jayne E. Harrison

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  1. Department of Orthodontics Centre for Craniofacial Development and Regeneration, King’s College London Dental Institute, London, United Kingdom

    Martyn T. Cobourne

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Harrison, J.E. (2017). Early Management of Posterior Crossbites. In: Cobourne, M. (eds) Orthodontic Management of the Developing Dentition. Springer, Cham. https://doi.org/10.1007/978-3-319-54637-7_11

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