Periodontal abscess in the anterior mandible due to anterior crossbite mistaken for sports trauma:

Iki Nopalia Syam T; Zia Nurul  Zahbia; Syakriani  Syahrir

doi:10.35856/mdj.v14i1.938

Iki Nopalia Syam T Departemen Kedokteran Gigi Anak, Fakultas Kedokteran Gigi, Universitas Hasanuddin, Makassar, Indonesia
Zia Nurul Zahbia Departemen Kedokteran Gigi Anak, Fakultas Kedokteran Gigi, Universitas Hasanuddin, Makassar, Indonesia
Syakriani Syahrir Departemen Kedokteran Gigi Anak, Fakultas Kedokteran Gigi, Universitas Hasanuddin, Makassar, Indonesia

DOI: https://doi.org/10.35856/mdj.v14i1.938

Keywords: anterior crossbite, periodontal abscess, misdiagnosis, paediatric, pedodontic triangle

Abstract

Anterior crossbite can cause pathological conditions in the periodontal tissues, such as tooth mobility similar to dentoalveolar post-traumatic conditions. An 8-year-old boy presented with complaints of mobility in the mandibular anterior teeth. Dental trauma treatment using splints worsened the patient's condition. Through communication and pedodontic triangle principle, it was diag-nosed as periodontal abscess due to anterior crossbite. Treatment was carried out using a bite elevation on the posterior teeth as it did not increase the occlusal pressure load received on the mandibular anterior teeth. The crossbite was corrected and the periodontal status improved within 7 days. It was concluded that diagnosis in children is challenging due to frequent misdiag-nosis. Treatment of periodontal abscess due to anterior crossbite using bite elevation on posterior teeth as it is considered as an emergency treatment to reduce occlusal pressure on mandibular anterior teeth.