hey it's dr amanda with straightsmilesolutionstraightsmilesolutions.com
wishing you a merry christmas 2020. actually i'm not talking about christmas today i'm gonna be
talking about jumping an anterior crossbite just so happen to be convenient it's also christmas eve
but i've been hesitating on making this video because sometimes when i make videos i feel
like they go to the wrong people then i intend to use them so i'm going to speak intentionally at a
very high level when i use the verbiage for this video because it's really meant only for dentists
teaching them how to use a trick to teach their patients i don't necessarily want consumers
using these tricks and tips um unwatched unverified so the power of youtube is that
you put something out there and you hope the right people use it and use it the right way
so docs i'm going to be making this video for you this is going to be a specific
trick and tip that you can use on interceptive patients intercepted patients meaning patients
prior to phase 1 treatment if you see something happening you see an anterior crossbite developing
and you want to try to mitigate it you want to try to do something that's free to fix it
so that hopefully you do not have to do like a spring retainer um invisalign first or anything
like that because you can do it for free believe it or not if you catch it early you can fix these
things for free assuming that the issue is a dental anterior crossbite and not a skeletal
anterior crossbite and if you don't know the difference you need to watch my other videos
or read my book at straightsmilesolutions.com again this trick only works if it's a single tooth
dental anterior crossbite not a skeletal anterior crossback that means if your maxilla is set back
posterior this is not going to work you're going to need to do an expander open the sutures and do
a protraction face mask how are you going to know the difference well you're going to have to take a
ceph so unless you take a step and get the numbers that's something we'll be glad to help you analyze
if you do that you don't know so this isn't meant to be for someone just to wing it and if you do
this incorrectly or you put too much pressure on it you do this unsupervised you might lose the
tooth so this isn't something that you should be doing unsupervised willy-nilly or anything
like that so what do you need in order to fix this first of all again this is pre-interceptive
five six seven eight-year-old who maybe is starting to get number eight and nine it could be
ten or seven or ten as well but it's usually eight or nine when it comes in and it's starting to hit
the lower teeth which have already erupted as an interference and it's colliding it's not really
meant for something that's in a full crossfit it's meant for something when it comes down and
it bangs on the lower tooth and it just stops erupting you know so maybe it's like 50 in and
it just stops there and eventually it's gonna go one of two ways it's either gonna slide forward
or it's interrupt or slide back and erupt and most likely it usually slides back and erupts and then
once it does that interrupts fully you are going to need phase one braces or you're going to need
phase one aligners invisalign first and that gets a lot more expensive so if you can catch it at an
early stage when it starts to happen and jump it in a freeway then you don't have to pay for
all these lab fees so cool awesome right so i mean i always like worry about doing this
with my patients because i mean i want to teach them this trick you know but then again there's
i can't really bill for it right because it's not an appliance it's not racist so this has got to be
on someone that you're cool to help out but it's not official treatment so it's a little bit of a
gray area so you got to watch out in terms of paperwork liability and all that stuff so best
to be using this on your friends and family or things like that and maybe not a patient that
you don't know that well just because it could go wrong right so all you need in order to do this is
a tongue depressor actually my favorite is a waxing stick they're plastic because tongue
depressors taste disgusting if you've ever like sucked a popsicle stick a regular popsicle stick
is too narrow so you need a nice wide tongue depressor this is a waxing one you can buy them
unfortunately you can only pretty much buy them in bulk from amazon or ebay that i found um you
might have them in your office i always had them in my office just you know to do a quick retract
if i didn't want to sterilize something and throw it away i know it's not sustainable but
we always had them but this is just a waxing one it comes with any like microwavable wax or
you buy from amazon so um get it obviously you want one-time use and patient needs to again this
is for interference cross by dental cross bite non-skeletal crossbite patient let's say it's on
number nine this is nine i'm backwards so i don't even know what tooth that is is it eight i don't
know one of these front teeth and let's say that as a kid i was like this right it's right down
right down that's all you go have them bite down and hold they can't just rest it there they have
to bite down and hold for about five ten minutes at a time three to four times a day for a couple
weeks until it jumps so they need to bite and hold and they'll you know kids are hard cause
they're gonna bite but they're not gonna hold right there's gonna rest so they need to bite
and hold squeeze you know they can squeeze relax squeeze relax but 10 minutes at a time
put on an egg timer or something like that let them watch a game let's watch a movie
um and bite and hold and bite and hold it will work if they do it as long as it's the right
kind of case selection that i mentioned and it should come forward and as long as
that's the only problem it should resolve you know but of course if you've got crowning and
underdeveloped arches you're still going to have other issues so you need to pick your case wisely
anyways hopefully that was helpful i hope it was really really helpful for you
as always you can reach out to us at straightsmilesolutions.com take care aloha