Crossbite: how to identify, treat and when to use braces

The cross bite is a misalignment of the teeth that causes, when the mouth is closed, one or more teeth of the upper jaw not to align with the lower ones, getting closer to the cheek or tongue, and leaving the smile crooked.

There are two main types of crossbite:

• Posterior: it is when the upper and rear teeth close inside the lower teeth; Anterior: it is when the upper front teeth close behind the lower teeth.

In addition to the aesthetic problem, the cross bite can also have other negative effects such as increased risk of cavities and gum disease that happen, mainly, due to the greater difficulty in brushing your teeth correctly.

The crossbite usually appears soon during childhood, but it does not disappear on its own, being necessary to do the treatment with the use of braces, surgery, or removal of teeth, for example. Thus, if this alteration is suspected, even in children, it is important to see a dentist to confirm the diagnosis and start treatment.

Main forms of treatment

Ideally, treatment for the crossbite should be started during childhood or adolescence, when the definitive teeth are still growing. However, there are several forms of treatment, which can also be used in adults:

1. Use of a palate expander

The palate expander is a device that is attached to the roof of the mouth, between the molars, and widens it, pushing the teeth outward. For it to work correctly, regular dentist appointments are required to gradually increase the size.

This method works best in children, as the roof of the mouth is still developing, it is possible to better control its size, however, it can also be used in some adults.

2. Removal of teeth

This technique is more used in cases where the bite is altered by the influence of the lower teeth. This is because after removing one or more teeth, the dentist creates enough space so that the teeth can grow properly, without affecting alignment.

3. Use of dental braces

This is one of the most used forms of treatment, especially during adolescence and adulthood, as it helps to pull the teeth into the correct place and align them. For this, a device is applied over the teeth that make constant pressure to "pull" or "push" the teeth, aligning the bite.

Depending on the degree of alteration of the bite and age, this type of device can be used from a few months to several years, varying widely from person to person.

Watch the following video and learn more about dental appliances:

4. Surgery

Surgery is the best treatment for adults with a cross bite because, although it is a more invasive technique, it produces the results with better aesthetics. To perform this type of surgery, the surgeon breaks the jaw in several parts and then uses small screws and dental braces to replace them in the correct place.

How to prevent cavities during treatment

Since most treatments for crossbite use some type of appliance fixed on the teeth it is very important to maintain adequate oral hygiene, to prevent the appearance of cavities and even gum disease.

For this, it is advisable to wash your teeth thoroughly, especially close to the places where the appliance attaches to the tooth, as well as flossing between the teeth. In addition, you should also avoid eating foods that are too sweet or that stick easily to your teeth, as they can leave residues that are more difficult to eliminate and that facilitate the growth of bacteria.

Check out how to properly brush your teeth, even using a dental braces.

Possible causes for crossbite

There are 3 main types of causes for crossbite, which include:

• Hereditary factors: this happens when there is genetics to have the jaw bone wider than the upper one, causing the teeth to become misaligned; Delayed tooth growth: causes the upper and lower teeth to grow at different times, which may cause them to be further apart; Sucking on the finger: this activity can cause the roof of the mouth to develop less, becoming smaller than normal and misaligning the teeth;

In addition, when there is an anatomical problem in the nose or throat, such as enlarged tonsils, for example, the child can start breathing through the mouth and, when this happens, the tongue is constantly raised and resting on the roof of the mouth, which can harm the development of the jaw, causing misalignment of the teeth.

What are the possible complications

When appropriate treatment for the crossbite is not performed, there may be several complications, which vary according to the degree of alteration of the dental alignment:

• Excessive wear of teeth and gums; Frequent accidental cheek bites; Increased risk of cavities and gum disease; Pain in the neck and shoulders;

In some cases, the cross bite can even cause the appearance of frequent headache, which happens especially due to the constant contraction of the jaw muscle, which can also be known as bruxism, and which ends up getting very tense and painful, radiating the pain to the head. Learn more about bruxism and how to relieve it.