|In the ideal situation, our teeth would bite down in a very specific way to optimize function and oral health. Unfortunately, our teeth are almost never naturally perfect. This causes problems with chewing, oral hygiene, speaking and esthetics.Malocclusion, or ‘bad bite’, is often times a genetic problem. A bad bite can also be caused by environmental problems such as thumb or finger-sucking, mouth breathing, periodontal problems, abnormal swallowing, poor dental hygiene, the early or late loss of baby teeth or poor nutrition. Trauma and other medical conditions such as birth defects may contribute to orthodontic problems as well.|
Such common orthodontic abnormalities have been identified as triggers for referral by dentists and dental therapists. If any of these look familiar or you have any questions about your or your child’s bite or teeth, you are welcome to contact us in order to guide you for appropriate diagnosis and treatment plan. Some common problems include:
|Early correction of crossbite is recommended.; If the anterior crossbite is not addressed receding gums can develop on the lower teeth. The bigger, stronger top teeth can push the lower teeth forward.|
Treatment of anterior crossbiteAnterior crossbite can be corrected through growth modification or surgical correction of the jaws, and in some cases extraction of teeth to camouflage the jaw discrepancy.
The upper teeth sit inside the lower teeth, which may cause tooth stratification and misaligned jaw growth due to swinging lower jaw to one side.
Crossbite (anterior and posterior types) should be corrected because it can:
Treatment of posterior crossbite
If there is a single tooth crossbite, the tooth can be moved with braces into the correct position. In some cases, a retainer can be utilized. With multiple teeth in crossbite, the boney arch may need to be expanded with orthopedic appliances, braces and/or other intra-oral appliances.
Deepbite should be corrected because it can:
Treatment of deepbite
Deepbite can be corrected through moving the front teeth up and/or bringing the back teeth together, which will “open” the bite so the teeth are properly aligned and the deep bite is eliminated.
Treatment of openbite
Openbite can be corrected through growth modification of the jaws، extrusion of the front teeth using braces and in some cases surgical correction of the jaws. Also breaking oral habits, such as digit sucking, will facilitate the correction of an openbite.
Treatment of excessive overjet
Excessive overjet can be corrected through growth modification using a headgear, a functional appliance to reduce the skeletal imbalance. In adult patients, skeletal problems or discrepancies can be managed by camouflage orthodontics or by surgical jaw correction to treat the disharmony and give a more ideal functional and esthetic result.
Crowding is a common orthodontic problem that happens when teeth have insufficient room to erupt from the gum. It can be unattractive and difficult to clean and may create problems with chewing and biting.
Treatment of crowding
Extra space can be created by expansion of the arches or extraction of teeth. Once space is created, braces will eliminate crowding and align the teeth. Correction of crowding can help prevent dental decay and periodontal disease by improving the ability to remove plaque from the teeth.
Spacing should be corrected because it can:
Treatment of spacing
Moving the teeth together and properly aligning them within the jaws can close the spaces.
Treatment of misaligned dental midlines
If there is a dental origin, alignment of the crooked teeth may resolve the problem fully or partially. In cases with a skeletal origin, camouflage orthodontic treatment or orthognathic surgery may be indicated.