Many practitioners find it easier to use bonded hooks (instead of bands) when they need to jump a molar crossbite. Direct bond hooks are placed on the buccal surface of the maxillary molar and the lingual surface of the mandibular molar. Inter-arch elastics are then used to correct the crossbite. Reciprocal force is applied, moving both molars. If only one tooth needs to be moved, the other must be tied to an anchor unit or this approach will not work. If desired, buttons can be used in place of hooks; however, hooks retain the elastic better. Note: If the patient is already in the adult dentition stage, slight occlusal adjustment of the molars or use of a bite plane is often required during treatment -- and can be accomplished by using a Hawley with an anterior bite plane or a bruxism splint. Once the condition is corrected, normal intercuspation is usually sufficient to maintain the results.









