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. 2024 Sep 3;16(9):e68537. doi: 10.7759/cureus.68537

Table 1. Overview of pediatric orthodontic conditions.

TMDs: temporomandibular joint disorders; OSA: obstructive sleep apnea; BAMP: bone-anchored maxillary protraction; RME: rapid maxillary expansion; SME: slow maxillary expansion; NSAIDs: nonsteroidal anti-inflammatory drugs; RPE: rapid palatal expansion

Condition Etiology Characteristics Diagnosis methods Treatment options
Class III malocclusion Hereditary, environmental Mesial relationship of the mandible/teeth to the maxilla/teeth Clinical examination, cephalometric analysis Functional appliances (FR III, Reverse Twin Block), chin cup therapy, protraction facemask, BAMP
Class II malocclusion Dental, skeletal Distal relationship of the mandible/teeth to the maxilla/teeth Clinical examination, cephalometric analysis Headgear, myofunctional appliances (activator, bionator, FR II, Twin Block), Carriere Motion 3D
Abnormal oral habits Behavioral Thumb sucking, tongue thrusting, mouth breathing, etc. Clinical observation, parental interview Behavioral modification, habit-breaking appliances, myofunctional therapy
Arch length discrepancies Genetic, environmental Insufficient or excessive arch length, crowding/spacing Clinical examination, orthodontic measurements Early diagnosis, interproximal reduction, space maintainers, lower lingual holding arch appliance
Anterior crossbite Dental, skeletal Maxillary incisors lingual to mandibular incisors Clinical examination, cephalometric analysis Removable appliances (inclined planes, Hawley's appliance), fixed appliances (2×4 or 2×6 appliance)
Posterior crossbite Dental, skeletal Abnormal buccolingual relationship of premolars/molars Clinical examination, cephalometric analysis Maxillary expansion (RME, SME), protraction headgear, FR III appliance
Open bite Genetic, oral habits Lack of vertical overlap between maxillary and mandibular teeth Clinical examination, cephalometric analysis Palatal cribs, bluegrass appliances, tongue cribs, functional appliances (open bite bionator)
Deep bite Genetic, environmental Excessive overlap of maxillary anterior teeth over mandibular anterior teeth Clinical examination, cephalometric analysis Extrusion of posterior teeth, intrusion of anterior teeth, appliances (acrylic or thermoplastic bite planes)
TMDs Predisposing, precipitating, and perpetuating factors Orofacial pain, restriction of mouth opening, dental pain Clinical examination, DC/TMD criteria, imaging Conservative measures, NSAIDs, orthodontic interventions, occlusal stabilization appliances
OSA Craniofacial deformities, oral habits Difficulty breathing during sleep, snoring Clinical examination, sleep studies, imaging Maxillary expansion, mandibular advancement, protraction facemask, RPE