A utilização de pistas diretas planas no tratamento precoce da mordida cruzada anterior: relato de caso
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Data
2023
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Editor
Universidade Brasil
Resumo
Anterior crossbite is a change in the buccolingual relationship between the upper and
lower incisors, in which all incisors or just one upper incisor occludes on the lingual
surface of the lower incisors. When this occlusopathy is diagnosed in primary and
mixed dentitions, early intervention can be employed with the use of Planas direct
track. If early treatment is not carried out, this change can lead to bone changes,
therefore requiring the use of orthodontic and/or orthopedic appliances. The objective
of the present study was to report a clinical case of anterior crossbite in a pediatric
dentistry patient, in which preventive orthodontics was performed using a Planas
direct track in order to avoid future problems in bone development, thus improving
occlusion. of the patient. Patient R.P.C.V., male, 6 years old, attended the Pediatric
Dentistry Clinic of Universidade Brasil, Campus Fernandópolis-SP for dental
treatment. During the initial clinical examination, it was noticed that teeth 52, 51, 61
and 62 were occluding on the lingual surface of the lower incisors; In this way, the
diagnosis of anterior crossbite was reached. After evaluating the case, it was decided
to carry out a direct Planas trail. For this, direct Flat tracks were made with
Composite Resin on teeth 52, 51 and 61. It was possible to notice the uncrossing of
the anterior crossbite of the patient in question. The patient is being monitored at the
Pediatric Dentistry Clinic at Universidade Brasil. The etiology of crossbite is
multifactorial. Early interventions, such as the use of the Planas direct track, can
promote harmonious development of the stomatognathic system. The technique used
in this case has shown good results. This approach is considered a neuro occlusal
rehabilitation, since the action occurs in the neural receptor centers that will result in
a response to the stomatognathic system, where occlusal interferences will be
identified and removed. The advantages of this technique are: low cost and ease of
manufacture. It can be concluded that early treatment with Planas direct track is a
minimally invasive approach that can be used to correct and prevent future problems.
As observed in this case report, this treatment presents a favorable and rapid result
and can even be carried out in children who present behavioral difficulties.
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Palavras-chave
Odontopediatria, Ortodontia preventiva, Diagnóstico, Má oclusão, Terapêutica, Pediatric dentistry, Preventive orthodontics, Diagnosis, Malocclusion, Therapeutics