Transverse Malocclusions Flashcards
Professor Vaid
Examples of Transverse Malocclusions
- Facial asymmetry
- Crossbites (Maxillary lingual or maxillary buccal)
- Midline deviation
- Lateral functional shift
Aetiology of Facial Asymmetry
- Skeletal
- Soft tissue
- Combination
Features of Facial Asymmetry
- Max and mand OR only mand asymmetry
- Localise problem to condyle, body, ramus or combination
- Transverse cant in occlusal plane
- Midline deviation
Types of Skeletal Asymmetry
Unilateral Excess Growth
- Unilateral Condylar Hyperplasia
- Hemimandibular elongation
- Hemimandibular hyperplasia
Unilateral Deficiency
- Unilateral deficient condylar growth
- Unilateral deficient condylar resorption
- Hemifacial microsomia
Definition of Crossbite
Discrepancy in buccolingual relationship of upper and lower teeth
Skeletal Causes of Mandibular Buccal Crossbite
Absolute Transverse Discrepancy
- Maxillary constriction
- Wide mandible
- Combination
Relative Transverse Discrepancy
- AP relationship between maxilla and mandible
Skeletal Asymmetry
Soft Tissue Causes of Mandibular Buccal Crossbite
- NNS which constrict maxillary arch due to increased lingual pressure from buccinators and decreased buccal pressure from lowered tongue
- Macroglossia
- Mouth breathing?
Dental Causes of Mandibular Buccal Crossbite
Displacement/rotation/inclination of tooth
Other Causes of Mandibular Buccal Crossbite
- Cleft palate
- Lateral functional shift due to single tooth interference or arch width discrepancy
Skeletal Causes of Scissors Bite
- Absolute transverse discrepancy
- Relative transverse discrepancy
- Skeletal asymmetry
Dental Causes of Scissors Bite
Displacement/rotation/inclination
Causes of Facial Midline Deviation
- Skeletal asymmetry
- Lateral functional shift
Causes of Dental Midline Deviation
- Crowding, misalignment, tooth displacement (early loss of C caused drifting of incisors)
- Missing teeth
- Irregularly sized teeth (peg laterals)
Management not done yet