Indication of clear aligners in the early treatment of anterior crossbite: a case series

Abstract

INTRODUCTION: Anterior crossbite (AC) is defined as a reverse sagittal relationship between maxillary and mandibular incisors. According to an evidence-based orthodontic triage, the treatment need of AC is indicated if any occlusal interference is forcing the mandible towards a Class III growth pattern. Removable and fixed appliances have been suggested to correct AC. OBJECTIVE: The present report aims at presenting the benefits of an alternative therapy for the early treatment of anterior crossbite using clear aligners. METHODS: Two cases of anterior crossbite corrected using clear aligners in 8-years-old children are presented. RESULTS: In both cases, AC was successfully corrected within 5 months. At the end of the treatment, overjet and overbite were corrected. No major discomfort or speech impairment was noticed by the parents. CONCLUSIONS: Due to the perceived shortcomings of alternative approaches, the use of clear aligners for correcting AC in mixed dentition should be considered as a comfortable and well tolerated appliance for young patients.