Compomer Crown
Compomer Crown
clinical section
it easier to recognize the resin material for removal after treatment. The slope is designed to elongate the incisor such that
some overbite is created in centric occlusion. The posterior
teeth typically do not contact after slope placement, but normal posterior occlusion is re-established as soon as the maxillary
incisor is displaced labially. The bonded slope can be formed
using a cut down acetate (strip) crown form or by freehand
sculpting. Crossbite correction is usually completed in two to
four weeks. The resin can be removed incrementally with burs
and disks over several months so that sufficient overbite relationship remains to prevent relapse.
Technique
Using usual acid etching and light-curing procedures,
compomer material, formed into an inclined slope, is bonded
to the incisal half of the maxillary tooth in crossbite. It is best
to use a shade of compomer material that is easily differentiated from the shade of the tooth. The difference in shade makes
Discussion
Case 1
An eight-year-old boy had crossbite of the permanent left central incisors (Fig 2). The right maxillary central incisor was
not yet erupted. A compomer (Hytac, ESPE) slope was bonded
to the maxillary left central incisor and remained in place for
five weeks. Treatment is documented in Figures 2-4.
Case II
A seven-year-old boy had bilateral permanent central incisor
crossbite (Fig 5). A compomer (F2000, 3M Dental Products)
slope was bonded to the left central incisor only (Fig 6). The
single slope functioned to correct crossbite of both incisors, as
evidenced by the 16 month postoperative photograph (Fig 7).
When considering anterior crossbite correction using bonded
resin-based composite or compomer material, one must rule
out skeletal class III malocclusion. In a classic demonstration
of Newtons third law of motion, the resin slope functions to
tip an anterior tooth labially while the mandibular tooth is
References
tipped slightly in the lingual direction. If crossbite exists because of mandibular prognathism or a posteriorly positioned
maxilla (or both), bonded resin slopes are not useful for
crossbite correction. In questionable cases, cephalometric
studies and/or orthodontic consultation may be indicated.
The patient and parents (or guardian) should be told that
the childs bite will feel unusual for awhile, but the child will
adjust to it. A softer diet than usual may be helpful for the
first few days after slope placement.
clinical section