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Invisalign Treatment of a Three-Year-Old Child with Bilateral Posterior Scissor Bite and Multisite Upper Airway Obstruction: A Case Report

Overview
Journal J Clin Med
Specialty General Medicine
Date 2023 Jan 8
PMID 36615136
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Abstract

Background: Scissor bites have been reported in relatively few epidemiological studies because of their extremely low prevalence rate (below 1%). The etiology of scissor bites remains obscure, but its impact on growth and function should not be ignored.

Methods: In this case report, a novel treatment that utilizes Invisalign aligners was performed on a 3-year-old child who presented with a bilateral posterior scissor bite and anterior crossbite, accompanied by multisite obstruction in the upper airway. The aligners functioned as occlusion pads to unlock the scissor bite relationship and combined with cross-traction to narrow the maxillary arch and enlarge the mandibular arch simultaneously.

Results: The duration of orthodontic therapy was 28 weeks. A multidisciplinary consultation (orthodontics department, ENT department, and spinal surgery) was conducted and a stable result was achieved. A healthy occlusal relationship, improved dental esthetics and a better lateral profile were eventually obtained.

Conclusions: Positive treatment outcomes rely on patients' good compliance in this case. In addition, we hope that clinicians will consider our situation in terms of alternative treatments and interprofessional experience.

References
1.
Volk J, Kadivec M, Marolt Music M, Ovsenik M . Three-dimensional ultrasound diagnostics of tongue posture in children with unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 2010; 138(5):608-12. DOI: 10.1016/j.ajodo.2008.12.028. View

2.
Sullivan S, Guilleminault C . Can we avoid development of a narrow upper airway and secondary abnormal breathing during sleep?. Lancet Respir Med. 2017; 5(11):843-844. DOI: 10.1016/S2213-2600(17)30351-X. View

3.
Laskowska M, Olczak-Kowalczyk D, Zadurska M, Czubak J, Czubak-Wrzosek M, Walerzak M . Evaluation of a relationship between malocclusion and idiopathic scoliosis in children and adolescents. J Child Orthop. 2020; 13(6):600-606. PMC: 6924124. DOI: 10.1302/1863-2548.13.190100. View

4.
Maspero C, Prevedello C, Giannini L, Galbiati G, Farronato G . Atypical swallowing: a review. Minerva Stomatol. 2014; 63(6):217-27. View

5.
Primozic J, Farcnik F, Perinetti G, Richmond S, Ovsenik M . The association of tongue posture with the dentoalveolar maxillary and mandibular morphology in Class III malocclusion: a controlled study. Eur J Orthod. 2012; 35(3):388-93. DOI: 10.1093/ejo/cjs015. View