Understanding Crossbites: Causes, Types, and Treatment Options
This article provides a comprehensive overview of crossbites, including their types, causes, effects, and available treatment options. It emphasizes early intervention during childhood and highlights how corrective measures like expanders, braces, and surgery can restore proper alignment and prevent long-term health issues.

A crossbite is a dental issue often originating in childhood that typically does not resolve on its own. It involves misalignment between the upper and lower teeth and can affect both front and back teeth, impacting overall oral health.
How does a crossbite differ from an ideal bite? Normally, the upper teeth slightly overlap the lower teeth both in front and at the back. In a crossbite, this harmony is disrupted, leading to improper contact between the upper and lower teeth and potentially causing malocclusion that requires correction.
There are mainly two types of crossbites: posterior and anterior.
Posterior crossbite occurs when the upper back teeth bite inside the lower back teeth, affecting roughly 1-16% of children before their permanent teeth develop.
Anterior crossbite involves the front teeth, where the upper front teeth sit behind the lower front teeth, caused by palate or jaw positioning issues.
Studies indicate that anterior crossbite affects approximately 4-5% of children.
Impacts of a crossbite include:
Tooth decay
Jaw muscle strain
Headaches in neck, shoulders, and back due to muscular stress
Gum disease
Possible teeth grinding and abnormal dental growth
The most serious concern is facial asymmetry if untreated, which can affect confidence and development, especially in children.How is a crossbite corrected? It's best to fix a crossbite during childhood or teenage years, but adult treatments are also available. Here's how:
Palatal expanders: Devices fitted onto the palate to widen the upper jaw, most effective for growing children.
Other methods include:
Removable expanders for adults
Braces for realignment
Surgical procedures like rapid palatal expansion, which involves breaking and widening the jaw bone under medical supervision