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When we think orthodontics, we commonly think teeth. Naturally! Straight teeth and a beaming smile are everyone’s orthodontic goal. But orthodontics is a field which specializes in more than misaligned teeth. While your beautifully aligned teeth are the visible outcome of your orthodontic work, a properly aligned bite is the foundation for your healthy smile.

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when the mouth is closed. A malocclusion, or bad bite, affects many people to some degree, but not always in exactly the same way. Some of the different types of malocclusion include:

• Crossbite

A crossbite occurs when upper teeth fit inside lower teeth. An anterior crossbite refers to the front teeth, with one or more upper front teeth, or incisors, fitting behind lower front teeth. A posterior crossbite affects the back teeth, with upper teeth fitting inside the lower teeth on one or both sides of the jaw.

• Crowding

When the jaw is small and/or the teeth are large, lack of space can result in crowded, twisted, or crooked teeth.

• Open bite

An anterior open bite means that the front teeth don’t close when biting down, leaving an open space between the upper and lower teeth. A posterior open bite occurs when the back teeth don’t make contact when the front teeth close.

• Overbite

Our upper front teeth naturally overlap the lower ones a small bit when the teeth are closed. An overbite occurs when the upper teeth significantly overlap the lower teeth.

• Overjet

When the upper front teeth protrude too far forward over the bottom teeth, it’s called an overjet, or, sometimes, buck teeth. Where an overbite causes a vertical overlap, an overjet takes into account the horizontal relationship of the teeth.

• Spacing

A jaw that is large, teeth that are small, missing teeth—these conditions can lead to gaps between the teeth.

• Underbite

An underbite results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

If you have a malocclusion, what comes next? This depends.

Some malocclusions are so minor that no treatment is necessary. Some are the result of misaligned teeth. Some occur because the upper and lower jaws are growing at different rates. Some are a combination of teeth and jaw misalignments. Some are caused by genetics, while others are caused by injuries or habits like prolonged thumb sucking or tongue thrusting.

Because malocclusions are so varied, your treatment plan will be designed for your specific needs. Braces, aligners, appliances like the Herbst® appliance or the palatal expander, surgery for severe malocclusions—there is a larger variety of treatment options than ever before to help you achieve a healthy bite.

When teeth and jaws don’t fit together as they should, the consequences can be damaged teeth and enamel, problems with the temporomandibular joint, headaches and facial pain, and difficulty chewing, eating, and speaking.

The good news is that early intervention for children can help correct teeth and jaw problems before they become more serious, leading to easier orthodontic care in the teen years, and helping to avoid the possibility of surgery or extractions. This is why Dr. Pack and our team recommend an orthodontic assessment at our Murfreesboro, TN office for children around the age of seven.

If you’re an adult with concerns about your teeth or bite, there’s good news for you, too. Dr. Pack can devise a treatment plan to improve your bite and your smile no matter what your age.

Of course, despite our title, there’s really no such thing as a “common malocclusion” when we’re talking about your dental health. Each person—and each smile—is unique. Dr. Pack will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

Braces can straighten your teeth to give you a more attractive smile for life. The process can take 18 months to two years or more, and this amount of time can seem unending when you first get your braces. Counting down your brace time can help the time pass more quickly and build the excitement for when you finally get your braces removed.

Make a Wall Calendar

Crossing out each day on a calendar is a standard way of counting down time. You can make this more personal by designing your own calendar to help you count down. Use an online customization service to upload photos or designs for each month. Each month’s picture can also display the number of months remaining until you expect your braces to come off.

Schedule Rewards

When you receive regular rewards for continuing to wear your braces, they can seem less burdensome. Plan to buy yourself a reward every month that you wear your braces for the duration of the treatment. The time will pass much faster when you feel you are earning rewards for your patience.

Lengthen a Paper Chain

Use strips of paper to make the links of your chain, and add a new link each week to lengthen the chain. Before sealing each new strip of paper into a circle, write on it a reason why you are getting your teeth straightened, or an event in the future when you will appreciate your straight teeth as you smile.

Use a Wall Hanging

Purchase a large pad of blank white paper. Write a “0” on the bottom sheet and a “1” on the next, and continue until you reach the number of days remaining in your treatment. Rip off the top sheet each day to see how many days are left and remind yourself of the progress you are making.

Find a Buddy

If any of your friends get braces around the same time as you, share the experience. Make a pact to celebrate each trip to Pack Orthodontics when one of you receives news about your progress.

Bite problems are so common that most of us know someone who’s worn braces. So perhaps you’re already familiar with the terms “overbite” and “underbite”—but if you’ve been diagnosed with an “overjet,” that just might be an orthodontic diagnosis that is new to you. If so, here are a few questions and answers to help promote overjet understanding.

Just what is an “overjet”?

An overjet is a type of malocclusion, which means that there’s a problem with your bite, the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.”

An overjet is a Class II malocclusion, which means that the upper front teeth project further beyond the lower teeth than they should. Overjets and overbites are both Class II malocclusions, and the words are often used interchangeably, but there’s a notable difference between the two conditions.

An overbite occurs when the top teeth overlap the bottom teeth too far vertically, and you can’t see as much of the lower teeth as you should when you bite down.

An overjet is considered more horizontal in nature, where the top teeth project at an outward angle toward the lips instead of pointing straight down toward the bottom teeth. This condition is sometimes called protruding or buck teeth.

What causes an overjet?

The reason for your overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both.

Overjets can run in families. They can also be caused by the size and position of your jaws and the shape and position of your teeth, all of which affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to overjet development.

How do we treat an overjet?

There are many types of treatment available. Dr. Pack will recommend a treatment plan based on the cause and severity of your overjet. Because some treatments are effective while bones are still growing, age plays a part as well.

• Braces and Aligners

If you have a mild overjet, and minor dental issues are the main cause of the malocclusion, braces or clear aligners can effective.

• Functional Appliances

If the overjet is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances which can help correct an overjet. Some, such as the Twin Block and the Forsus Spring appliances, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

• Surgical treatment

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Pack will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overjet?

A serious, moderate, or even mild overjet can lead to many dental and medical problems, including:

• Concerns about facial and dental appearance
• Front teeth which are more at risk for injury
• Difficulty closing the lips
• Problems speaking or chewing
• Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Murfreesboro, TN team to correct your overjet, you’re not just correcting a problem. You’re also creating something—a healthy, comfortable bite, and an attractive, confident smile. We can talk about general answers to your overjet questions, but when it comes to understanding your very individual smile, Dr. Pack will have all the answers you need to make that healthy bite and that confident smile a reality! 

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Pack and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Pack and our staff can also show you options for braces that are not as visible as the traditional style.