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 |