Management of Canine Crossbite
with Combination of Expansion Screw
and Labial Button: A Case Report
Puspitarini Nindya Wardana
1(B )
, Maula Almira
2
, and Hanisa Juliawati
2
1
Professional Program, School of Dentistry, Faculty of Medicine and Health Sciences,
Universityof Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
puspitarini@umy.ac.id
2
School of Dentistry, Faculty of Medicine and Health Sciences, University of Muhammadiyah
Yogyakarta, Yogyakarta, Indonesia
Abstract. Anterior crossbite is a malrelation in which one or more anterior teeth
are malpositioned palatally or lingually in a centric occlusion with the mandibular
anterior teeth. An alternative treatment to correct the anterior crossbite is by using a
removable orthodontic appliance. This case report aims to report the management
of canine crossbite using removable orthodontic appliances for a 25-year-old male
patient with class I Angle’s dental malocclusion with canine crossbite and deep
overbite malrelation. The treatment used a removable orthodontic appliance in the
form of an expansion screw combined with a labial button. Within 7 months, the
canine crossbite was corrected and the deep overbite was reduced. Proper case
selection and patient compliance are needed to achieve a successful removable
orthodontic treatment.
Keywords: Canine crossbite · labial button · expansion screw
1 Introduction
Malocclusion is an abnormal relationship between the teeth of the arch outside the nor-
mal acceptable range. Malocclusion is not a life-threatening disorder, but it can cause
problems with self-confidence, speech, chewing and swallowing disorders and peri-
odontal disease [1]. Malocclusion can be caused by several factors, including hereditary
factors, trauma, and bad habits [2]. Hereditary is the main factor in the causation of
malocclusion, for example a difference between the shape, size, number of teeth and the
arch which cause crowding of teeth [3].
Deep overbite is a common malrelation in both children and adults. Deep overbite
is a condition in which the crowns of the mandibular incisors overlap vertically with the
maxillary incisors when the teeth are in centric occlusion [4]. Anterior crossbite or single
tooth crossbite is a malposition towards the palate or lingually one or more anterior teeth
in a centric relationship with the mandibular anterior teeth [5].
© The Author(s) 2022
I. Permana and E. Rochmawati (Eds.): ICOSI-HSN 2022, 55, pp. 350–357, 2022.
https://doi.org/10.2991/978-94-6463-070-1_43