Types of Underbites: Causes, Risk Factors & Treatment Options

Dr Rockson Samuel

6 janv. 2020

Correcting Underbites: Causes, Complications, and Treatment Options

An underbite is a common orthodontic issue characterized by the lower jaw protruding forward, causing the lower front teeth to be positioned in front of the upper front teeth. If left untreated, underbites can lead to various oral health problems and functional difficulties. In this article, we will delve into the causes of underbites, the different types, potential complications, and the available treatment options for both children and adults.

What is an Underbite?

An underbite occurs when the lower jaw extends forward, resulting in a misalignment where the lower front teeth overlap the upper front teeth. This malocclusion can negatively impact oral health and overall well-being if not addressed promptly.

Causes of Underbite:

Underbites can have multiple causes, including:

  1. Genetics: Family history plays a significant role in the development of underbites. Genetic factors can contribute to jaw and teeth misalignment, predisposing individuals to this condition.

  2. Jaw and Teeth Misalignment: Irregular growth patterns of the jawbone or misaligned teeth can lead to an underbite.

  3. Habits and Behaviors: Prolonged thumb sucking, tongue thrusting, or excessive pacifier use during childhood can influence the development of an underbite.

  4. Facial and Jaw Injuries: Trauma to the face or jaw area can result in underbites.

  5. Respiratory Issues: Chronic mouth breathing can contribute to jaw misalignment, potentially leading to an underbite.

Types of Underbites:

Underbites can be classified into two primary types:

  1. Dental Underbite: This type is primarily caused by teeth misalignment, where the lower teeth protrude in front of the upper teeth, without significant skeletal involvement.

  2. Skeletal Underbite: Skeletal underbites occur due to a deformity in the jawbone structure, often influenced by genetic factors. In this case, both the teeth and jaw contribute to the misalignment.

Complications of Untreated Underbites:

If left untreated, underbites can lead to a range of complications, including:

  1. Increased Risk of Tooth Decay: Underbites can make oral hygiene maintenance more challenging, increasing the likelihood of tooth decay and gum disease.

  2. Sleep-related Issues: Underbites may contribute to snoring and sleep apnea, affecting the quality of sleep and overall health.

  3. Temporomandibular Joint Disorders (TMD): Jaw misalignment can strain the temporomandibular joint, leading to TMD, causing pain and limited jaw movement.

  4. Speech Difficulties: Underbites can affect speech clarity and pronunciation, causing difficulties in communication.

  5. Chewing and Swallowing Problems: The misalignment may hinder proper chewing and swallowing, impacting nutrition and digestion.

  6. Changes in Facial Structure and Smile: Untreated underbites can result in noticeable changes in facial appearance and smile aesthetics.

  7. Psychological Impact: The impact of underbites on self-esteem and mental health should not be overlooked, as individuals may experience social anxiety or diminished confidence due to their appearance.

Underbite Correction: Common Treatment Options:

The treatment of underbites depends on factors such as age, severity, and individual circumstances. Here are some common treatment options:

  1. Children:

    • Dental Braces: Braces can gradually shift teeth into proper alignment, correcting underbites.

    • Palatal Expansion: This technique widens the upper jaw, creating more space for teeth alignment.

    • Reverse Pull Headgear: Used in certain cases, headgear helps guide the growth of the upper jaw.

  2. Adults:

    • Dental Braces: Similar to children, adults can use braces to correct their underbites effectively.

    • Invisalign (Clear Aligners): These removable aligners provide a discreet and convenient alternative to braces for mild to moderate underbites.

    • Jaw Surgery: In severe cases, orthognathic surgery may be necessary to reposition the jaw and achieve proper alignment.

Conclusion:

Underbites should not be overlooked, as they can lead to oral health problems, functional difficulties, and potential psychological impact. By understanding the causes, complications, and available treatment options for underbites, individuals can seek timely intervention and achieve a healthier bite. Consultation with an orthodontist or dental professional is crucial to determine the most suitable treatment plan based on individual factors. Don't let underbites hinder your oral health and well-being—take proactive steps to correct them today.


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