Case report of 2-year-old child with congenital torticollis and crossbite treated with functional orthopedics of the jaws

Satisfactory chewing is performed by an alternating bilateral pattern that depends on occlusal balance, the absence of occlusal interference or premature contacts, stability, good functioning of the temporomandibular joints (TMJs) and neuromuscular maturation. If mandibular functional imbalances occur, discrepancies in maxillomandibular development and future facial asymmetries may occur. The objective of this work was to remove dental interferences that cause anterior and posterior crossbite, as well as those that prevent the good execution of symmetrical lateroprotrusive movements (right side/left side), through occlusal adjustment and subsequent correction of maxillary asymmetry using the device; encapsulated. Clinical case report of a two-year-old female patient, with unilateral crossbite on the right side (anterior/posterior), diagnosed with congenital torticollis, difficulty breastfeeding and difficulty performing alternating lateral movements. with follow-up until the complete deciduous dentition. The treatment was divided into three stages. The first step was to correct the unilateral crossbite (anterior and posterior), on the right side, by making occlusal adjustment using a grid, and later with the addition of Planas Direct Tracks resin. The second stage used an encapsulated device to correct maxillary asymmetry. The third stage was completed after the eruption of the deciduous second molars with the functional analysis of lateral movements plus occlusal adjustments using a grid. Correction of unilateral crossbite (anterior and posterior) on the right side, symmetrization of the maxilla and better execution of lateroprotrusive movements. The results obtained in this case report suggest that the occlusal adjustment removed the dental interferences that caused the anterior/posterior crossbite on the right side; the maxilla was symmetrized with the distalization of sector 63-65, and the removal of dental interferences that prevented lateral movements made it possible to perform lateroprotrusive movements (right/left side) after the complete eruption of the primary teeth.