Intraoral examination revealed Angle Class III molar relationship, anterior cross-bite
and moderate crowding in both arches.
(24) However, the present study demonstrated that the OSA patients were commonly associated with anterior cross-bite
. An appreciable difference in distribution of cross-bite was observed among the patients with differing OSA severity but was not statistically significant.
In the present case, triangular mouth, fissured tongue, macroglossia, gingival hyperplasia and anterior cross-bite
For the correction of anterior cross-bite
and the normalization of the molar relationship, Lin and Gu  suggested the extraction of the second molar as the best option, as long as the patient had the third molar.
The evaluated malocclusions assessed were posterior cross bite, anterior cross-bite
, anterior open bite, overbite and overjet; angle classification also being evaluated.
Overjet was measured as the greatest distance between the incisal edges of the maxillary and mandibular primary incisors in the occlusal plane using a millimeter gauge and recorded as ideal, if a positive overjet was less than or equal to 2 mm; increased, if it was greater than 2 mm; and reversed, if there was anterior cross-bite
and edge-to-edge relationship was also assessed .