The Role of Brackets in Tooth Alignment

The Role of Brackets in Tooth Alignment

Understanding brackets: Types and functions in orthodontic treatment

In the fascinating world of orthodontics, brackets play a pivotal role in achieving beautifully aligned teeth. Understanding brackets-their types and functions-is essential for appreciating their significance in orthodontic treatment.


Brackets are small, square-like devices that are bonded to the surface of each tooth. They serve as anchors for the archwire, which is the thin metal wire that applies gentle pressure to move teeth into their desired positions. Some orthodontic issues are inherited while others develop over time Braces for kids and teens medicine. The interaction between brackets and archwires is what makes tooth alignment possible.


There are several types of brackets, each with its own unique features and benefits. Traditional metal brackets are perhaps the most well-known. Made from stainless steel, these brackets are highly durable and effective. They are often preferred for their strength and ability to withstand the forces exerted by the archwire. Metal brackets are also cost-effective, making them a popular choice among patients.


Ceramic brackets offer a more aesthetically pleasing option for those who prefer a less noticeable look. These brackets are made from clear or tooth-colored ceramic material, blending seamlessly with the natural color of teeth. While they provide a cosmetic advantage, ceramic brackets can be slightly more fragile than their metal counterparts and may require more careful handling.


Lingual brackets are another innovative type, designed to be placed on the inner surface of teeth, facing the tongue. This makes them virtually invisible from the outside, providing an extremely discreet treatment option. However, lingual brackets can be more challenging to place and adjust compared to traditional braces, requiring specialized training for orthodontists.


Self-ligating brackets represent a modern advancement in orthodontics. Unlike traditional brackets that require elastic or metal ties to hold the archwire in place, self-ligating brackets have built-in clips or doors that secure the wire without additional ties. This design reduces friction and can make adjustments smoother and more comfortable for patients while potentially speeding up treatment times.


The function of brackets goes beyond merely holding wires; they facilitate precise tooth movements necessary for optimal alignment and bite correction. Each type of bracket has its strengths and considerations based on individual patient needs and preferences. The choice of bracket can significantly impact both the comfort and efficacy of orthodontic treatment.


In conclusion, brackets are indispensable components in orthodontic treatment for achieving tooth alignment. Whether metal, ceramic, lingual, or self-ligating, each type serves specific functions tailored to different patient requirements and aesthetic concerns. Understanding these variations helps both patients and practitioners make informed decisions toward achieving perfect smiles efficiently and comfortably.

The process of fitting brackets on children's teeth —

The process of fitting brackets on children's teeth is a critical aspect of orthodontic treatment, playing a pivotal role in achieving proper tooth alignment. This procedure, often initiated during the mixed dentition stage when both primary and permanent teeth are present, aims to correct malocclusions and create a harmonious bite.


The journey begins with an initial consultation where the orthodontist assesses the child's oral health and determines the necessity of brackets. Once decided, the process starts with taking impressions, X-rays, and photographs of the teeth to map out a precise treatment plan. This step is crucial as it allows the orthodontist to tailor the brackets to the unique contours of the child's mouth.


Next comes the fitting process itself. The orthodontist carefully cleans and dries each tooth before applying a special adhesive to ensure the brackets bond securely. Each bracket is then meticulously placed on its designated tooth, followed by threading an archwire through them. This wire applies gentle pressure, guiding the teeth into their desired positions over time.


Regular follow-up appointments are essential to monitor progress and make necessary adjustments. During these visits, the orthodontist may tighten or change the archwire, ensuring continuous and controlled movement of the teeth. These adjustments can sometimes cause temporary discomfort, but they are integral to achieving optimal results.


The role of brackets extends beyond mere cosmetic improvements; they address functional issues such as overbites, underbites, and crowded teeth. By realigning the teeth into a proper arch form, brackets help distribute biting forces evenly, reducing strain on individual teeth and promoting better jaw alignment. This not only improves chewing efficiency but also enhances overall oral health by making it easier to clean between straightened teeth, thus reducing the risk of cavities and gum disease.


Moreover, early intervention with brackets can prevent more complex issues from developing later in life. Correcting malocclusions during childhood can minimize future dental problems and potentially eliminate the need for more invasive treatments like extractions or jaw surgery.


In conclusion, fitting brackets on children's teeth is a meticulous process that requires precision and ongoing care. It serves as a cornerstone in orthodontic treatment, addressing both aesthetic concerns and functional necessities to foster long-term dental health and well-being.

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How brackets contribute to the alignment and movement of teeth

Brackets play an indispensable role in orthodontic treatment , serving actively contribute actively contributing movement teeth alignment movement .

The Role of Brackets in Tooth Alignment - injury

  1. orthognathic surgery
  2. thumb sucking
  3. dental floss
Essentially ,they are small squares bonded directly onto teeth 'surface , serving act anchors .When it comes tooth alignment brackets aren merely passive attachments instead ;they work conjunction archwires ,tiny rubber bands known ligatures .Here how brackets contribute process :Firstly bracket provides slot through which archwire inserted .This archwire applies gentle forces teeth encouraging them shift desired positions over time .Brackets also offer precise control orthodontists enabling them guide each tooth accurately along best path during treatment .Each bracket carefully positioned based individual patient needs helping achieve optimal resultsAdditionally ,brackets can rotate slightly help correct minor tooth rotations without need extra appliances .Furthermore some types brackets like self ligating ones reduce friction between wire slot allowing smoother adjustments thus enhancing overall comfort patient During latter stages orthodontics once alignment significantly improved elastic chains may used connect across multiple brackets further refining alignments closing any remaining gaps Finally aesthetic aspect cannot overlooked today options available ceramic clear materials blend naturally smile making journey towards straighter teeth less conspicuous altogether In conclusion brackets lie heart orthodontic mechanisms facilitating crucial movements realign teeth creating healthier more confident smiles Patients alongside skilled professionals rely these small yet powerful devices transform oral aesthetics functionality positively impact lives .

Benefits of early orthodontic intervention with brackets for kids

Early orthodontic intervention with brackets can play a pivotal role in tooth alignment for children; offering numerous benefits that go beyond just aesthetics . Here' s why early intervention matters . Brackets , which are small devices temporarily bonded onto teeth , act as handles allowing orthodontists t o precisely control tooth movement . When introduced at an early age typically between 7 t o 10 years old brackets can guide permanent teeth into proper positions help correct bite issues ,and even prevent potential problems from developing . One significant benefit is space management .During this phase kids have mixed dentition –a combination of primary ( baby )teeth ,and permanent teeth .Primary teeth act as placeholders for permanent ones .If lost earl y due t o decay or injury space maintainers may be necessary .Bracketscan also serve this purpose helping ensure there ' s enough room f or incoming permanent teeth thereby reducing crowding . Another advantage i s bite correction Early intervention allows orthodontists t o address malocclusions like overbites crossbites ,and underbites while growth continues These conditions aren 't merely cosmetic ;they can affect chewing speaking ,and even breathing Addressing these issues early reduces risk factors for future dental problems such as worn enamel chipped teeth ,and possibly jaw pain Moreover early treatment might simplify or shorten later orthodontic work reducing overall treatment time during teenage years Additionally braces for kids enhance oral hygiene habits Early exposure t o orthodontics educates children about importance of maintaining good oral health Children learn proper brushing techniques flossing methods ,and dietary guidelines ensuring healthy habits last lifelong Lastly there ' s psychological aspect Correcting misalignment issues early boost kids ' self esteem Making positive impact on their social interactions personal growth ,and overall quality of life In conclusion early orthodontic intervention utilizing brackets provides substantial benefits f or young patients It effectively guides tooth alignment correct bite issues preserves space promotes good oral habits enhances self esteem thus setting foundation f or lifelong oral health

The role of parental support during orthodontic treatment with brackets

Parental support plays an integral role during orthodontic treatment involving brackets (commonly known as traditional metal braces) aimed at achieving proper tooth alignment . When children or teenagers embark upon orthodontic treatment , Parental involvement becomes crucial . Here ' s why : Emotional Support : Orthodontic treatment via brackets requires patience , perseverance , & adaptability due its visible appearance & initial discomfort Orthodontic treatment isn ' t merely physical ; emotional encouragement & reassurance provided by parents bolsters children ' s self - esteem boost confidence during social interactions Despite appearances friends acceptance matters hence parents role remains vital towards ensuring positive attitude progression Motivational Reinforcement : Treatment duration typically ranges months towards several years Regular checkups maintenance become necessary Parental motivation helps maintain consistency oral hygiene practices dietary restrictions ensuring desired outcomes achieved timely manner Practical Assistance : Parental involvement transcends emotional aspects tangible support required schedulings managing appointments supervising cleaning regimens addressing discomfort minor adjustments Monitor diet ensure avoided foods harmful braces Partnership Orthodontists : Parent act bridge effective communication channel orthodontists regarding concerns observations children may hesitate express Effective collaboration ensures tailored approaches enhanced results mutual satisfaction Educational Encouragement : Beyond immediate treatment phase parental guidance fortifies lifelong importance oral healthcare instills discipline hygiene routines post - treatment retention period Thus parental engagement fosters holistic approach aligner journey culminating improved dental aesthetics functionality whilst nurturing positive self - image adolescent growth phases thereby contributing overall personality development healthier happier smiles ! Making process less daunting rewardingly successful !!!

The Role of Brackets in Tooth Alignment - Dental emergency

  1. sports medicine
  2. attention deficit hyperactivity disorder
  3. smile
Hence responsibilities entails combining empathy encouragement vigilant care facilitating orthodontists achieving optimal results ultimately transformative smiles !!!!!<|VQABOT|>Conclusion: Undeniably parental figures indispensable during bracket - aligned orthodontic journey multifaceted supportive capacities !!!!!!<|VQABOT|>Notably enhancing substantially influencing end - results empower youth sport brilliant confident smiles!!!!!!<|VQABOT|>In essence concerted efforts parents orthodontists reciprocates cherished smiles transcending generations !!!!!!<|VQABOT|>So acknowledge , embrace , reinforce supportive stance witness phenomenally aligned transformations !!

Long-term effects and maintenance after bracket removal

After undergoing orthodontic treatmentwith braces , patients often enjoy beautifully aligned teethand improved dental function However ,the journey doesn 't quite end whenthose brackets come off Long -term effectsand proper maintenanceare essentialto preservethe newly achieved smileand overall oral health Following bracket removal ,patients typically wear retainersas prescribedby their orthodontist These devices ,which canbe removableor fixed ,help maintain tooth positionwhilethe surrounding periodontal fibresadaptto thernew alignment Wearing retainers diligentlyis crucialfor preventing relapse ,a tendencyfor teethto shiftbacktowards their original positions Withoutretention ,teethcanstart tomovewithinweeksor months ,potentiallyundoingsomeofthecorrectionsmade during treatment Additionally ,long -term maintenanceincludesregular dental check -upsand professional cleanings These visits helpmonitor oral health ,ensure proper retainer use ,and address any potential issues earlyUnfortunatelywithoutpropercarepatients may experience issueslike teeth crowding regression Or even changesin bitepattern Long afterbracketremovalit 'spossibletoexperience minor tooth movement Throughout lifeas apartof thenatural age processHoweverconsistent retaineruse coupledwithgoodoral hygiene habitsgoalongwayinmitigating these changes In summarywhile bracesarehighly effectiveinachieving tooth alignmentthe long -term successoftreatmentreliesheavilyon patient compliancein wearingretainersfollow -upcare And maintaininggoodoral hygiene By adheringtonightlinerecommendationspatients can fullybenefitfromtheirorthodontic treatmentAnd enjoystraighter healthierteethfora lifetime



The Role of Brackets in Tooth Alignment - injury

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  3. Dental emergency
Crossbite
Unilateral posterior crossbite
Specialty Orthodontics

In dentistry, crossbite is a form of malocclusion where a tooth (or teeth) has a more buccal or lingual position (that is, the tooth is either closer to the cheek or to the tongue) than its corresponding antagonist tooth in the upper or lower dental arch. In other words, crossbite is a lateral misalignment of the dental arches.[1][2]

Anterior crossbite

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Class 1 with anterior crossbite

An anterior crossbite can be referred as negative overjet, and is typical of class III skeletal relations (prognathism).

Primary/mixed dentitions

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An anterior crossbite in a child with baby teeth or mixed dentition may happen due to either dental misalignment or skeletal misalignment. Dental causes may be due to displacement of one or two teeth, where skeletal causes involve either mandibular hyperplasia, maxillary hypoplasia or combination of both.

Dental crossbite

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An anterior crossbite due to dental component involves displacement of either maxillary central or lateral incisors lingual to their original erupting positions. This may happen due to delayed eruption of the primary teeth leading to permanent teeth moving lingual to their primary predecessors. This will lead to anterior crossbite where upon biting, upper teeth are behind the lower front teeth and may involve few or all frontal incisors. In this type of crossbite, the maxillary and mandibular proportions are normal to each other and to the cranial base. Another reason that may lead to a dental crossbite is crowding in the maxillary arch. Permanent teeth will tend to erupt lingual to the primary teeth in presence of crowding. Side-effects caused by dental crossbite can be increased recession on the buccal of lower incisors and higher chance of inflammation in the same area. Another term for an anterior crossbite due to dental interferences is Pseudo Class III Crossbite or Malocclusion.

Single tooth crossbite

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Single tooth crossbites can occur due to uneruption of a primary teeth in a timely manner which causes permanent tooth to erupt in a different eruption pattern which is lingual to the primary tooth.[3] Single tooth crossbites are often fixed by using a finger-spring based appliances.[4][5] This type of spring can be attached to a removable appliance which is used by patient every day to correct the tooth position.

Skeletal crossbite

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An anterior crossbite due to skeletal reasons will involve a deficient maxilla and a more hyperplastic or overgrown mandible. People with this type of crossbite will have dental compensation which involves proclined maxillary incisors and retroclined mandibular incisors. A proper diagnosis can be made by having a person bite into their centric relation will show mandibular incisors ahead of the maxillary incisors, which will show the skeletal discrepancy between the two jaws.[6]

Posterior crossbite

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Bjork defined posterior crossbite as a malocclusion where the buccal cusps of canine, premolar and molar of upper teeth occlude lingually to the buccal cusps of canine, premolar and molar of lower teeth.[7] Posterior crossbite is often correlated to a narrow maxilla and upper dental arch. A posterior crossbite can be unilateral, bilateral, single-tooth or entire segment crossbite. Posterior crossbite has been reported to occur between 7–23% of the population.[8][9] The most common type of posterior crossbite to occur is the unilateral crossbite which occurs in 80% to 97% of the posterior crossbite cases.[10][3] Posterior crossbites also occur most commonly in primary and mixed dentition. This type of crossbite usually presents with a functional shift of the mandible towards the side of the crossbite. Posterior crossbite can occur due to either skeletal, dental or functional abnormalities. One of the common reasons for development of posterior crossbite is the size difference between maxilla and mandible, where maxilla is smaller than mandible.[11] Posterior crossbite can result due to

  • Upper Airway Obstruction where people with "adenoid faces" who have trouble breathing through their nose. They have an open bite malocclusion and present with development of posterior crossbite.[12]
  • Prolong digit or suckling habits which can lead to constriction of maxilla posteriorly[13]
  • Prolong pacifier use (beyond age 4)[13]

Connections with TMD

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Unilateral posterior crossbite

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Unilateral crossbite involves one side of the arch. The most common cause of unilateral crossbite is a narrow maxillary dental arch. This can happen due to habits such as digit sucking, prolonged use of pacifier or upper airway obstruction. Due to the discrepancy between the maxillary and mandibular arch, neuromuscular guidance of the mandible causes mandible to shift towards the side of the crossbite.[14] This is also known as Functional mandibular shift. This shift can become structural if left untreated for a long time during growth, leading to skeletal asymmetries. Unilateral crossbites can present with following features in a child

  • Lower midline deviation[15] to the crossbite side
  • Class 2 Subdivision relationships
  • Temporomandibular disorders [16]

Treatment

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A child with posterior crossbite should be treated immediately if the child shifts their mandible on closing, which is often seen in a unilateral crossbite as mentioned above. The best age to treat a child with crossbite is in their mixed dentition when their palatal sutures have not fused to each other. Palatal expansion allows more space in an arch to relieve crowding and correct posterior crossbite. The correction can include any type of palatal expanders that will expand the palate which resolves the narrow constriction of the maxilla.[9] There are several therapies that can be used to correct a posterior crossbite: braces, 'Z' spring or cantilever spring, quad helix, removable plates, clear aligner therapy, or a Delaire mask. The correct therapy should be decided by the orthodontist depending on the type and severity of the crossbite.

One of the keys in diagnosing the anterior crossbite due to skeletal vs dental causes is diagnosing a CR-CO shift in a patient. An adolescent presenting with anterior crossbite may be positioning their mandible forward into centric occlusion (CO) due to the dental interferences. Thus finding their occlusion in centric relation (CR) is key in diagnosis. For anterior crossbite, if their CO matches their CR then the patient truly has a skeletal component to their crossbite. If the CR shows a less severe class 3 malocclusion or teeth not in anterior crossbite, this may mean that their anterior crossbite results due to dental interferences.[17]

Goal to treat unilateral crossbites should definitely include removal of occlusal interferences and elimination of the functional shift. Treating posterior crossbites early may help prevent the occurrence of Temporomandibular joint pathology.[18]

Unilateral crossbites can also be diagnosed and treated properly by using a Deprogramming splint. This splint has flat occlusal surface which causes the muscles to deprogram themselves and establish new sensory engrams. When the splint is removed, a proper centric relation bite can be diagnosed from the bite.[19]

Self-correction

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Literature states that very few crossbites tend to self-correct which often justify the treatment approach of correcting these bites as early as possible.[9] Only 0–9% of crossbites self-correct. Lindner et al. reported that 50% of crossbites were corrected in 76 four-year-old children.[20]

See also

[edit]
  • List of palatal expanders
  • Palatal expansion
  • Malocclusion

References

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  1. ^ "Elsevier: Proffit: Contemporary Orthodontics · Welcome". www.contemporaryorthodontics.com. Retrieved 2016-12-11.
  2. ^ Borzabadi-Farahani A, Borzabadi-Farahani A, Eslamipour F (October 2009). "Malocclusion and occlusal traits in an urban Iranian population. An epidemiological study of 11- to 14-year-old children". European Journal of Orthodontics. 31 (5): 477–84. doi:10.1093/ejo/cjp031. PMID 19477970.
  3. ^ a b Kutin, George; Hawes, Roland R. (1969-11-01). "Posterior cross-bites in the deciduous and mixed dentitions". American Journal of Orthodontics. 56 (5): 491–504. doi:10.1016/0002-9416(69)90210-3. PMID 5261162.
  4. ^ Zietsman, S. T.; Visagé, W.; Coetzee, W. J. (2000-11-01). "Palatal finger springs in removable orthodontic appliances--an in vitro study". South African Dental Journal. 55 (11): 621–627. ISSN 1029-4864. PMID 12608226.
  5. ^ Ulusoy, Ayca Tuba; Bodrumlu, Ebru Hazar (2013-01-01). "Management of anterior dental crossbite with removable appliances". Contemporary Clinical Dentistry. 4 (2): 223–226. doi:10.4103/0976-237X.114855. ISSN 0976-237X. PMC 3757887. PMID 24015014.
  6. ^ Al-Hummayani, Fadia M. (2017-03-05). "Pseudo Class III malocclusion". Saudi Medical Journal. 37 (4): 450–456. doi:10.15537/smj.2016.4.13685. ISSN 0379-5284. PMC 4852025. PMID 27052290.
  7. ^ Bjoerk, A.; Krebs, A.; Solow, B. (1964-02-01). "A Method for Epidemiological Registration of Malocculusion". Acta Odontologica Scandinavica. 22: 27–41. doi:10.3109/00016356408993963. ISSN 0001-6357. PMID 14158468.
  8. ^ Moyers, Robert E. (1988-01-01). Handbook of orthodontics. Year Book Medical Publishers. ISBN 9780815160038.
  9. ^ a b c Thilander, Birgit; Lennartsson, Bertil (2002-09-01). "A study of children with unilateral posterior crossbite, treated and untreated, in the deciduous dentition--occlusal and skeletal characteristics of significance in predicting the long-term outcome". Journal of Orofacial Orthopedics. 63 (5): 371–383. doi:10.1007/s00056-002-0210-6. ISSN 1434-5293. PMID 12297966. S2CID 21857769.
  10. ^ Thilander, Birgit; Wahlund, Sonja; Lennartsson, Bertil (1984-01-01). "The effect of early interceptive treatment in children with posterior cross-bite". The European Journal of Orthodontics. 6 (1): 25–34. doi:10.1093/ejo/6.1.25. ISSN 0141-5387. PMID 6583062.
  11. ^ Allen, David; Rebellato, Joe; Sheats, Rose; Ceron, Ana M. (2003-10-01). "Skeletal and dental contributions to posterior crossbites". The Angle Orthodontist. 73 (5): 515–524. ISSN 0003-3219. PMID 14580018.
  12. ^ Bresolin, D.; Shapiro, P. A.; Shapiro, G. G.; Chapko, M. K.; Dassel, S. (1983-04-01). "Mouth breathing in allergic children: its relationship to dentofacial development". American Journal of Orthodontics. 83 (4): 334–340. doi:10.1016/0002-9416(83)90229-4. ISSN 0002-9416. PMID 6573147.
  13. ^ a b Ogaard, B.; Larsson, E.; Lindsten, R. (1994-08-01). "The effect of sucking habits, cohort, sex, intercanine arch widths, and breast or bottle feeding on posterior crossbite in Norwegian and Swedish 3-year-old children". American Journal of Orthodontics and Dentofacial Orthopedics. 106 (2): 161–166. doi:10.1016/S0889-5406(94)70034-6. ISSN 0889-5406. PMID 8059752.
  14. ^ Piancino, Maria Grazia; Kyrkanides, Stephanos (2016-04-18). Understanding Masticatory Function in Unilateral Crossbites. John Wiley & Sons. ISBN 9781118971871.
  15. ^ Brin, Ilana; Ben-Bassat, Yocheved; Blustein, Yoel; Ehrlich, Jacob; Hochman, Nira; Marmary, Yitzhak; Yaffe, Avinoam (1996-02-01). "Skeletal and functional effects of treatment for unilateral posterior crossbite". American Journal of Orthodontics and Dentofacial Orthopedics. 109 (2): 173–179. doi:10.1016/S0889-5406(96)70178-6. PMID 8638566.
  16. ^ Pullinger, A. G.; Seligman, D. A.; Gornbein, J. A. (1993-06-01). "A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features". Journal of Dental Research. 72 (6): 968–979. doi:10.1177/00220345930720061301. ISSN 0022-0345. PMID 8496480. S2CID 25351006.
  17. ^ COSTEA, CARMEN MARIA; BADEA, MÎNDRA EUGENIA; VASILACHE, SORIN; MESAROÅž, MICHAELA (2016-01-01). "Effects of CO-CR discrepancy in daily orthodontic treatment planning". Clujul Medical. 89 (2): 279–286. doi:10.15386/cjmed-538. ISSN 1222-2119. PMC 4849388. PMID 27152081.
  18. ^ Kennedy, David B.; Osepchook, Matthew (2005-09-01). "Unilateral posterior crossbite with mandibular shift: a review". Journal (Canadian Dental Association). 71 (8): 569–573. ISSN 1488-2159. PMID 16202196.
  19. ^ Nielsen, H. J.; Bakke, M.; Blixencrone-Møller, T. (1991-12-01). "[Functional and orthodontic treatment of a patient with an open bite craniomandibular disorder]". Tandlaegebladet. 95 (18): 877–881. ISSN 0039-9353. PMID 1817382.
  20. ^ Lindner, A. (1989-10-01). "Longitudinal study on the effect of early interceptive treatment in 4-year-old children with unilateral cross-bite". Scandinavian Journal of Dental Research. 97 (5): 432–438. doi:10.1111/j.1600-0722.1989.tb01457.x. ISSN 0029-845X. PMID 2617141.
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