JCO Journal of Clinical Orthodontics
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An Appliance for Treatment of Anterior Crossbite in an Epileptic Patient

VOLUME 46 : NUMBER 12 : PAGES (730-733) 2012

MATHEUS MELO PITHON, DDS, MSC, PHD

MAIANNA GONÇALVES SANTOS, MS

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This article is freely available for a limited time. Click here to download a PDF.

Malocclusion and other orofacial problems are more prevalent in children and adolescents with developmental disorders than in the general population, according to Waldman and colleagues.[1]

Patients with special needs frequently require alteration or customization of orthodontic procedures or appliances for reasons including safety, comfort, and compliance. For example, although removable appliances are normally used in cases requiring early orthodontic intervention, such as anterior crossbite,[2] an alternative approach may be required if patient cooperation is a concern.

We were confronted with such a situation when a 13-year-old male presented at our clinic with the chief complaint that his "top teeth bite behind those at the bottom" (Fig. 1). The patient's medical history included frequent epileptic seizures with loss of consciousness. Clinically, he was in the mixed dentition, with a Class I malocclusion and anterior crossbite of the maxillary central and lateral incisors. . . .

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