Prediction of treatment outcome following correction of anterior crossbites in the mixed dentition: orthodontic versus orthopaedic methods.
OBJECTIVE
To separate subjects with anterior crossbite and mild maxillary deficiency into two groups: those that can be treated successfully with a 2 x 4 appliance and those that should be treated with reverse headgear and maxillary expansion.


METHODS
Thirty mixed dentition subjects each with an anterior crossbite, a concave profile, a deficient maxilla, and an ANB angle between -2 and +1 degrees were used. Fifteen subjects (8 boys, 7 girls; Mean age: 9.17 +/- 1.1 years) were successfully treated with a 2 x 4 appliance (orthodontic treatment group) and remainder (5 boys, 10 girls; Mean age: 8.6 +/- 1.5 years) were successfully treated with reverse headgear and maxillary expansion after initial treatment with a 2 x 4 appliance had failed (orthopaedic treatment group). Unstandardised discriminant function coefficients and a constant were calculated for selected pretreatment cephalometric variables.


RESULTS
The NSAr angle was significantly smaller (p < 0.01) and both anterior and posterior cranial base lengths were significantly longer in the orthodontic treatment group (p < 0.001) compared with the orthopaedic group. The prediction index developed was: (PI) = -0.2 NSAr + 0.243 S-N + 0.187 S-Ar + 3.366. The critical score was 0. With positive scores a 2 x 4 appliance can be used and with negative scores reverse headgear and expansion are indicated.


CONCLUSIONS
An equation able to predict treatment success with either a 2 x 4 appliance or reverse headgear has been developed.
Gu
Yan
Y
Department of Orthodontics, School of Stomatology, Peking University, Beijing, P. R. China. guyan99@yahoo.com
D000465:Algorithms; D002508:Cephalometry; D002648:Child; D003818:Dentition, Mixed; D005115:Extraoral Traction Appliances; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008310:Malocclusion / Q000473:pathology / Q000628:therapy*; D008437:Maxilla / Q000473:pathology; D016910:Orthodontic Brackets; D009969:Orthodontic Wires; D009971:Orthodontics, Corrective / Q000379:methods; D010155:Palatal Expansion Technique; D019291:Skull Base / Q000473:pathology; D016896:Treatment Outcome