Baba Farid University Dental Journal

  • Year: 2025
  • Volume: 15
  • Issue: 2

Extreme Makeover in Prosthodontics- A Non-Orthodontic Approach to Anterior Crossbite

  • Author:
  • Arpit Sikri1,*, Jyotsana Sikri2, Tarun Kalra3, Ritika Sharda4, Sahil Thakur5, Geeta Kalra6
  • Total Page Count: 20
  • Page Number: 126 to 145

1Associate Professor & Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge, and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India

2Associate Professor & Post Graduate Teacher, Department of Conservative Dentistry & Endodontics, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India

3Principal, Professor & Head, Department of Prosthodontics, Crown & Bridge, and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India

4Senior Lecturer, Department of Prosthodontics, Crown & Bridge, and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India

5Senior Lecturer, Department of Prosthodontics, Crown & Bridge, and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India

6Professor & Head, Department of Oral & Maxillofacial Surgery, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India

*Corresponding Author: Arpit Sikri, Associate Professor & Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge, and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India, Email: arpitsikri@gmail.com

Online Published on 19 February, 2026.

Abstract

A well-aligned anterior (front) dentition enhances an individual’s smile and confidence. Any trauma to these teeth can be a distressing experience. When deviations from standard treatment planning occur due to patient-specific needs, extensive evaluation and meticulous planning are essential for clinical success.

To achieve a predictable aesthetic outcome, smile design principles and treatment planning protocols were modified to suit this case. Porcelain-fused-to-metal crowns or porcelain-fused-to-metal crowns with labial porcelain veneers offer a viable solution for patients with an upper anterior crossbite who are unable to undergo orthodontic therapy. Successful treatment outcomes depend on thorough patient evaluation, precise prosthetic design, proper tooth preparation, and diligent oral hygiene maintenance.

This case report presents a female patient who was dissatisfied with the appearance of her crowded teeth and had repeatedly declined orthodontic treatment before being recommended for a specialized restorative procedure. The technique used to correct an anterior dental crossbite—without extraction—was simple, efficient, safe, and cost-effective. Additionally, it required minimal clinical visits and caused no discomfort to the patient.

Keywords

Alignment of teeth, Anterior tooth malocclusion, Conversion crowns, Cross bite, Extreme make over, Modified crown, Non-orthodontic correction, Tooth preparation guide