Most under-bites are the result of the lower and upper jaws growing at different rates during childhood. Correcting an under-bite is usually not simply a cosmetic concern, but also an effort to improve the quality of life of the patient. The methods to correct an under-bite include surgery and orthodontics and are usually covered by medical or dental insurance .
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Multiple problems can result from an under-bite. For children, these problems may not be limited to problems with dental decay or difficulty eating or breathing. Children may also have social problems that result in emotional problems, even later in life.
Dental problems can include teeth becoming cracked or breaking due to misalignment when the jaw closes. Eating can become difficult because chewing or biting into certain foods can be challenging and, in some cases, impossible. These kinds of problems can result in poor nutrition and diet, leading to further growth problems.
Other problems that can result from jaw misalignment are breathing problems and chronic jaw or TMJ pain.
Finally, as an adult, individuals with an under-bite may find themselves reluctant to engage in social activities, and their self esteem may suffer.
Surgery to correct jaw alignment of the upper and lower jaws is called ‚”orthognathic‚” surgery. This is an extensive surgery that involves moving the upper and lower jaw to create correct alignment.
Surgery often results in changes in facial structure in addition to realignment of the upper and lower jaws.
After surgery, orthodontics devices are used to further correct jaw and tooth alignment . Surgery alone does not usually fully correct the problems associated with an over- or under-bite. Once the patient has recovered from the surgery, an orthodontist will place braces on the teeth and slowly begin the work of bringing teeth into correct placement. Headgear may be used in addition to the brackets and bands from the braces.
The length of time the braces will need to remain on the teeth varies, depending on the amount of change resulting from the orthognathic surgery and the amount of change needed when realigning the teeth. Once the braces are removed, a retainer may be used for a time to keep the teeth in alignment.
The benefits to correcting an under-bite are significant. For many people, the most immediate benefits are to their self esteem and self confidence. Other benefits can include improved ability to eat, improved breathing and more restful sleep. Another significant benefit is improvement to speech.
While correcting an under-bite is a significant undertaking, the benefits are numerous to patients who are willing to dedicate themselves to the time and potential pain of surgery and orthodontic intervention. Problems like difficulties with breathing, inability to eat certain foods and constant jaw pain are alleviated. Additionally, many patients experience a substantial improvement to their self esteem and self confidence and are more comfortable talking to others. The continued problems associated with an underbite far outweigh the pain and discomfort associated with surgery and braces required to correct the problem. Ultimately, a beautiful smile is the best pay-off.