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Most commonly treated orthodontic problems
Crowding: Teeth may be aligned poorly because the dental arch
is small and/or the teeth are large. The bone and gums over the roots of extremely
crowded teeth may become thin and recede as a result of severe crowding. Impacted
teeth (teeth that should have come in, but have not), poor biting relationships
and undesirable appearance may all result from crowding.
Overjet or protruding upper teeth: Upper front teeth that
protrude beyond normal contact with the lower front teeth are prone to injury,
often indicate a poor bite of the back teeth (molars), and may indicate an unevenness
in jaw growth. Commonly, protruded upper teeth are associated with a lower jaw
that is short in proportion to the upper jaw. Thumb and finger sucking habits
can also cause a protrusion of the upper incisor teeth.
Deep overbite: A deep overbite or deep bite occurs when the
lower incisor (front) teeth bite too close or into the gum tissue behind the
upper teeth. When the lower front teeth bite into the palate or gum tissue behind
the upper front teeth, significant bone damage and discomfort can occur. A deep
bite can also contribute to excessive wear of the incisor teeth.
Open bite: An open bite results when the upper and lower incisor
teeth do not touch when biting down. This open space between the upper and lower
front teeth causes all the chewing pressure to be placed on the back teeth.
This excessive biting pressure and rubbing together of the back teeth makes
chewing less efficient and may contribute to significant tooth wear.
Spacing: If teeth are missing or small, or the dental arch
is very wide, space between the teeth can occur. The most common complaint from
those with excessive space is poor appearance.
Crossbite: The most common type of a crossbite is when the
upper teeth bite inside the lower teeth (toward the tongue). Crossbites of both
back teeth and front teeth are commonly corrected early due to biting and chewing
difficulties.
Underbite or lower jaw protrusion: About 3 to 5 percent of
the population has a lower jaw that is to some degree longer than the upper
jaw. This can cause the lower front teeth to protrude ahead of the upper front
teeth creating a crossbite. Careful monitoring of jaw growth and tooth development
is indicated for these patients.
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