Do I need to correct an overbite? Do I need to correct an overbite? Ways to correct an overbite without braces in adults

Our expert - dentist Ksenia Okatova.

Assessing whether your child is included in the 10% of happy people who do not have problems with closing teeth or not is not difficult in most cases. And you can start from the age of three, when all the baby teeth usually completely erupt in a child.

"Say fish!" - "Herring!"

First, it is necessary to evaluate the overall symmetry of the native face. And then ask the child to clench his teeth and smile, exposing his gums. That's right - when the front upper teeth cover the lower ones by about a third, and the teeth themselves are located evenly and without gaps. Now you need to draw an imaginary vertical line through the middle of the child's face, and if it runs smoothly between the front incisors of the upper and lower jaws, then most likely everything is in order. Additionally, it is worth paying attention to whether there is excess plaque on some teeth. This may be due to insufficient chewing load on the site. Also, the reason for a visit to the orthodontist can be bleeding gums and speech therapy problems. If the child does not like to chew solid food and always refuses offers to chew an apple or a carrot, then it will not hurt to show him to the orthodontist either. Finally, be sure to take your child to the dentist if he complains of chronic headaches (they may be associated with dysfunction in the temporomandibular joint).

Everything is not right

The consequences of an improper bite can be:

• asymmetric development of facial bones;
• dysfunction of the temporomandibular joints (which, in addition to unpleasant sounds when chewing or even when yawning, in addition brings very serious headaches);
• oral injuries;
• violations of speech, functions of chewing, breathing;
• development of diseases of the stomach and ENT organs, multiple caries. Therefore, it is necessary to correct teeth not only for the sake of beauty.

Do it once!

In children of garden age, bite correction is carried out with the help of myotherapy - gymnastics for the masticatory muscles and the oral cavity. Also, this method is great for the prevention of dental problems. True, after 7 years, such gymnastics can no longer be used as an independent method of treatment, it is used only in combination. For example, a doctor may prescribe myotherapy before or, conversely, after orthodontic treatment. In the first case - to prepare the dentoalveolar apparatus for wearing plates. In the second - to consolidate the results achieved.

As in any fitness, systematicity is important here (gymnastics must be done daily), sufficient, but not excessive intensity, gradualness (exercises must go from simple to complex) and, of course, correct execution, so parents should control how the baby is doing. The exercises that the orthodontist will recommend are simple: you need to open your mouth wide or push your lower jaw as far forward as possible, pinch a pencil with your teeth, puff out your cheeks, yawn, click your tongue, fold your lips into a tube and blow off the fluff from an imaginary dandelion. But each type of bite has its own exercises, so only a doctor should develop a complex. Physiotherapy exercises for the jaws contribute to better tissue nutrition, which means effective and, most importantly, proper growth of the muscles and bones of the jaw apparatus, as well as improving its functioning. With constant practice of myogymnastics, you can achieve correction of malocclusion. Of course, if the pathology is not too significant.

Start a record

In more complex cases and for older children, removable structures - plates or trainers - cannot be dispensed with. These devices mechanically move the teeth and stimulate the growth of the jawbones. In adolescents, soft trainers (aligners) and hard braces are used. Vestibular plates and trainers usually need to be worn for an hour during the day and put on at night. If the defect is associated with an inappropriate size or incorrect position of the jaw bones, they resort to surgery. But in children, surgical treatment is used very rarely, because, unlike adults, they can still influence bone growth exclusively by conservative means. However, parents should be aware that the sooner they show their child to an orthodontist, the shorter and cheaper the treatment will be.

Reasons for the development of malocclusion

• Long sucking on a pacifier and artificial feeding (after all, when eating from a bottle, the baby’s jaw does not receive the proper load, as with natural feeding).
• Breathing through the mouth (eg, with adenoids, chronic sinusitis).
• Thumb sucking or sucking of the lower lip, as well as putting the tongue between the teeth.
• Incorrect swallowing (normally this should occur almost imperceptibly, but some children, when swallowing, for example, puff out their cheeks or tense their lips).
• Wrong posture.

Types of malocclusion

Mesial (or reverse) bite. The most common pathology. The lower jaw protrudes forward, overlapping the upper. This worsens the anatomy of the face and leads to external deformations. It is possible that the chin pushed forward will not spoil the courageous appearance of the young man, but the girl will no longer look so attractive.

Distal (prognathic) bite. Overdevelopment of the upper jaw or underdevelopment of the lower jaw. Here the picture is reversed - the chin goes back, and there is no trace of the masculinity of the appearance. Such a profile will not decorate a girl either.

Open bite- the teeth of both jaws do not meet at the side (lateral open bite) or in front (anterior open bite). It is believed that such a bite provokes excessive abrasion of the enamel.

Deep (or traumatic) bite. The upper incisors cover the lower ones by more than half. The profile changes, the chin is pressed in, the digestive tract and self-esteem suffer.

Downbite. It is formed as a result of erasure or loss of teeth.

Crossbite. There is a displacement of one jaw relative to the other horizontally. In this case, the dentitions intersect each other. Apparently, they say about such a bite: "Tooth does not fall on the tooth." It threatens with many violations: from poor functioning of the digestive tract to speech therapy problems.

Having grown up, many have never met an orthodontist, although they visit other specialists in dental clinics.

It may surprise you, but of all dental specialties, it is orthodontics that is primarily responsible for the condition of the teeth and gums, a harmonious face and a beautiful smile, as well as for the general health and psychological comfort of a person.

What is even more interesting, very often, orthodontic treatment allows you to achieve all of the above without pain and surgical intervention, only through the use of "small powers" which we will cover in this article.

Term ORTHODONTICS comes from the Greek words orthos - straight, correct and odus, odontos - tooth and was first used in 1840, but they began to treat defects in the dentoalveolar system much earlier.

Initially task ORTHODONTICS was the correction of the misalignment of individual teeth. As a rule, the anterior teeth of the upper jaw were treated solely for aesthetic reasons. Treatment could be reduced to finger pressure on a crooked growing tooth, extraction or rotation of the teeth with forceps.

Developing, orthodontics has become a medical discipline that studies the causes of dental anomalies, their impact on the human body and the creation of effective methods of prevention and treatment.

The demand for orthodontic treatment is constantly growing and today braces are sign wealth, a demonstration of concern for their health and beauty.

Let's see why it is necessary to correct defects in the dentition and get acquainted with the methods of orthodontic treatment.

WHY do you need to correct an overbite?

Many adults are still sure that it is not at all necessary to correct the bite for themselves and their children, if it does not “hurt the eye”. This is a dangerous delusion!

Aesthetic problems with teeth really complicate personal and business communication, but the main danger is that malocclusion is the cause of many diseases and in order to avoid them, it is necessary to restore correct functioning chewing apparatus.

Here are some problems which can lead to malocclusion:

• improperly distributed chewing load accelerates tooth wear and root exposure (gingival recession)
• the work of the temporomandibular joint is disrupted, which leads to frequent headaches
• due to the complication of daily hygiene, caries and periodontitis develop faster
• problems with diction
• due to insufficient grinding of food, diseases of the gastrointestinal tract develop
• in the human body everything is interconnected and malocclusion is usually accompanied by poor posture
• atypical structure of the maxillofacial region leads to respiratory failure, causing ENT diseases
• there are difficulties in prosthetics, which at a certain age “threatens” everyone

If the connection between malocclusion and most of the listed diseases is not so obvious, then in order to understand how malocclusion affects the shape of the face Just watch a few videos:

What bite anomalies are found?

Orthodontics has come a long way from various experiments in an attempt to correct malocclusion to effective, evidence-based treatment methods.

The dental community owes the ordering of the types of bite anomalies to E. Engle, who “having proposed his classification, with one stroke of genius put things in order in the chaos of ideas that existed before him” (German orthodontist A. Schwarz from the book “X-ray statics”).

Engle singled out three types of bite depending on how the first painters (sixes) close together

The most physiological for the dentition is the closure according to the first class according to Angle. Correcting the pathology of the bite, orthodontists strive for this standard.

Anomalies in the development of occlusion can be congenital or acquired.

There are a lot of factors influencing the development of anomalies of the dentition, but no matter how complex the problem is its correction will take only 1.5-2 years. However, to maintain the results of treatment, lifelong wearing of retention devices may be required.

When and How should an overbite be corrected?

If in adults the orthodontist always works on “what is”, then there are two approaches to the treatment of malocclusion in children in the world orthodontic practice:

1. early treatment(on removable and non-removable orthodontic appliances)
2. wait for adolescence and correct the bite with braces

The pediatrician-pediatrician should pay attention to problems with bite first.

In the future, during the formation of a “milk bite”, it is advisable to be observed in a dental clinic in order to correct in time the reasons that interfere with the normal development of the child’s dentoalveolar system.

The formation of malocclusion in a child can be influenced by artificial feeding, sucking on pacifiers, bad habits, early loss of milk teeth, etc.

Most often, parents show their child to an orthodontist at the age of 5–7 years, when the change of milk teeth to molars begins ( interchangeable bite). The start of orthodontic treatment during this period is aimed at creating additional space in the dental arch to accommodate all permanent teeth, as well as to normalize the position of the anterior and 6th teeth.

Later, most likely, a second stage of orthodontic treatment using braces or aligners (a set of transparent aligners) will be required, however, it will be easier and shorter if there was a first stage.

Possibilities of modern braces

The essence of orthodontic treatment is to move the teeth into the correct position. But how is this achieved?

At the heart of the modern technique of bite correction using braces are two major discoveries:

1. effect material "shape memory". The metal arc, which is fixed in the braces, tends to take the programmed shape and makes the teeth move in the right direction. During treatment, the orthodontist changes several of these wires until the teeth are in the correct position.
2. principle "small powers". Over the years of development of orthodontics, it has been found that the principle of "small forces" is the most effective for the rapid movement of teeth.

   It will fit here analogy with motion in a highly viscous fluid: it is obvious that a fast and strong impact in a viscous medium will not allow you to move faster.

   With regard to the movement of teeth, this is achieved by resorption (resorption) of bone tissue on one side of the moved tooth and the formation of bone tissue on the other side to fill the resulting space.

Advantages and features of various bracket systems

The desire to make orthodontic treatment not only effective, but also as comfortable as possible has led to a wide variety of equipment for bite correction:

Braces with metal locks (classic!) Reliable, most inexpensive and effective. The only downside is their visibility on the teeth.

so that braces are not conspicuous– choose plastic, ceramic or sapphire. Minus - they are more expensive than metal and more fragile.

Want more comfort? Choose self-ligating (self-closing) braces.

Conventional braces use rubber bands to secure the archwire, but they make it difficult for the archwire to slide inside the braces and place additional stress on the teeth.

In self-ligating bracket systems, the archwire is held without additional fastening and at the same time slides freely inside the bracket. In addition to greater comfort, this design treatment time is reduced and reduces the number of visits to the orthodontist.

Do you want other people to not know you have braces?? Consult with an orthodontist: is it possible to put lingual braces in your case (this is not always possible!)

Don't want braces but want straight teeth? And this is possible!!

Many bite problems can be corrected with aligners, a set of clear aligners for consistent wear.

What happens after braces?

It's a shame to waste time and money, so after wearing braces, you need to fix the result. For this, retainers are used, which are glued to the inside of the teeth and transparent caps, which must be worn periodically.

Good health, a harmonious face and a beautiful smile are worth taking the time to visit an orthodontist.

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Orthodontic dentistry

Incorrect bite is considered a dental pathology. At an early age, it is easily amenable to effective treatment. Can an overbite be corrected at the age of 30? In the article we will consider the main types of procedures that will help solve this problem.

Incorrect bite is associated with the curvature of the dentition. In some patients, the teeth are slightly deformed, so there is no discomfort. However, if the problem is not corrected at an early age, then by the age of 30 and older, people will have problems of a more serious nature:

• fuzzy diction;
• clicking of the jaw when chewing food, accompanied by soreness;
• inflammatory processes in the gums;
• wear of the temporomandibular joint, which can only be corrected with the help of surgical correction;
• erasing the surface of the teeth;
• noticeable chips on the tooth enamel;
• severe pain in the head and neck (as the pathology progresses);
• violations of the organs of the gastrointestinal tract, due to the fact that the patient cannot chew food thoroughly.

In addition, with improper bite, the risk of developing caries and tartar increases. Therefore, even if the curvature of the dentition at first does not cause visible discomfort, the problem must be treated. This will help prevent the development of serious complications in the future.

At what age is it better to correct an overbite?

The optimal time for correcting the bite is the period of formation of the dentition, this occurs between the ages of 12 and 25 years.

At this time, there is a peak in skeletal growth, and therefore it is possible to influence the musculoskeletal structure with a sufficient degree of efficiency. The tendency to recurve is minimal.

To date, to correct the bite at the age of 30, the following types of correction of the dentition are used:

• Bracket system. In this case, the teeth are compressed in a certain direction, the doctor selects the tension force individually. Braces are installed for several years, during which time the doctor periodically sips them.

• . They are used to correct a slight curvature of the dentition, they are installed at night.

• Construction Variables. They are used with a slight change in bite. A feature of such systems is that they are placed at a certain time of the day.

The dentist will help you choose an effective method after a preliminary examination and determination of the degree of curvature of the dentition.

The bracket system is considered one of the most effective for correcting bite after 30 years. In some cases, such a design can be installed even later if there are no contraindications to the procedure. In order to achieve the maximum effect, braces after 30 are installed in combination with other orthodontic structures.

In some cases, to correct an overbite, some teeth may need to be removed before fitting a bracket. The dentist selects the best option individually for each patient, based on the degree of curvature of the teeth.

When correcting the bite after 30 years, it is very important to take into account the condition of the teeth, the level of calcium in the body and the presence of other contraindications. At the same time, it should be borne in mind that the installation of braces in this case takes place for a long time (more than 2 years), all this time it is required to regularly visit the dentist, who will carry out the necessary corrective measures.

To correct the bite after 40 years, special aligners are often used.. These are removable structures that are to be removed during a preventive examination by a dentist. Another advantage over braces is that the aligners are transparent, they are invisible to others.

Contraindications

Despite some of its advantages, braces at the age of 30 when correcting the dentition have contraindications:

• lack of a large number of teeth;
• the presence of malignant tumors in the body;

• mental disorders (schizophrenia, paranoia, etc.). With such deviations, the patient cannot adequately care for the bracket system, and during the period of exacerbation of the disease, it can cause serious harm to his body;
• diseases of the skeletal system (osteoporosis, osteonecrosis, etc.). In this case, the risk of developing complications and destruction of the skeletal system after 30 years increases;

• gum disease (paradontosis, periodontitis). In patients with this diagnosis, the gums are weakened, so they cannot always withstand the pressure of such a powerful structure as braces;
• pathologies of the cardiovascular system;
• curvature of the temporomandibular joint. To begin with, surgical correction is required, and only then can the installation of braces be installed;
• tuberculosis.

In addition, contraindications include immune disorders, including HIV infection and AIDS. It is very important to undergo a preliminary diagnosis, which will help to establish possible violations in the body.

Today, the dental market for overbite correction devices is very diverse. Each orthodontic system has its own advantages and disadvantages:

• Ligating bracket system. Among the advantages are low cost, no friction of the arc and groove (this ensures the acceleration of the process of alignment of the dentition). Braces are made of metal, and it is less likely to corrode.

• Ceramic structures. They have a good appearance, hardly noticeable to others. Their surface is smooth, which minimizes damage to the oral mucosa. Thanks to the ceramic material, the risk of developing concomitant galvanization is reduced (unlike metal braces).

• Sapphire systems. They are completely transparent, do not give in to pigmentation under the influence of food products. The disadvantages include the fragility of the material and the long period of treatment.

The attending physician will help you choose the appropriate design.

special instructions

Those who wish to correct the bite need to know that braces will have to be worn much more at the age of 30 than, say, at 15. In addition, after removing the braces, wearing a retainer will be required. This is a special metal arch that is attached to the inside of the tooth and fixes the corrected dentition.

With implicit deformative processes, a night guard can be used. Retainers are installed until the end of life or for a certain time. People over 30 are shown wearing it all the time. If you abandon this design, the risk of re-curvature increases.

In the most difficult cases, people after 30 years old undergo an operation to correct the bite. It includes the removal of a tooth that has not found a full-fledged place in the row, and then braces are installed on the jaw arch.

• observe ;
• use special toothpastes and brushes (the attending orthodontist will help you choose them);
• regularly visit a specialist who will periodically tighten the installed metal arc.

It will help prevent the development of negative consequences (disorders of speech, problems with the gastrointestinal tract, etc.). For correction after 30 years is shown. The orthodontist will help you choose the right model, based on the condition of the patient's teeth. It is quite possible to correct an overbite at the age of 30 and older in the absence of visible contraindications.

If you do not correct the bite, then

What is the best way to correct an overbite for you?

There are several ways, as you know, but the main ones are braces, aligners and veneers. In the first two cases, we are really talking about correcting the bite, and veneers are, say, only cosmetic work. But still the question is - WHAT to choose, what braces to put?

Or stop at the aligners?

Here you can find a detailed description of these bite treatment methods useful. More than 70 parameters (!), but the material is very easy to read. And we hope it will help you make your choice.

For kids- the main methods of bite correction are plates, myofunctional trainers, functional devices and "2x4 brackets". You can read about the pros and cons of these methods.

We offer you a free consultation of the Star Smile orthodontist to correct the bite in your city!

And it's not a joke. Star Smile is represented by certified orthodontists in more than 70 cities of Russia and we can offer you a unique opportunity - to model your future treatment result BEFORE it starts. If you like it - you decide how you want to correct the bite. And do you need to fix it at all.

Since Star Smile is the leading Russian manufacturer of mouthguards for bite correction, our prices for aligner treatment are really the most comfortable for you. And the consultation is free.

Do you want us to sign you up for a free consultation to correct your bite in your city?

The bite begins to form in the embryonic period. Under the influence of various factors, the teeth gradually take their position. Formed bite can be considered after 16-18 years. How to determine the correct bite? Can it be corrected in an adult? Most often, orthodontists have to work with teenagers, but the treatment of malocclusion is possible at any age. The main condition is bone health. This is a reserve that allows the body to adapt and recover in the treatment of malocclusion.

Despite the fact that the teeth are located in the bone tissue, they can be moved using special systems. Scientific developments have armed doctors with effective tools to eliminate even the most complex pathologies.

What does a proper bite look like?

For the best performance of chewing functions, it is necessary that each tooth of the upper row is in contact with the corresponding lower tooth. Overlapping occurs only in front: the lower incisors are hidden by a third behind the upper ones. Jaws should be symmetrical. A line drawn through the center of the face passes strictly between the upper and lower incisors.

Few people can boast of a perfectly even smile. Often a person has one or more teeth slightly deviated to the side, and this does not greatly affect the general appearance. But sometimes the pathology is so pronounced that it distorts the oval of the face. In some cases, surgery is required to eliminate it. After orthodontic treatment, the face looks more attractive.

Types of malocclusion

• Deep. With closed jaws, the upper incisors cover the lower ones by more than a third.
• Open. The jaws do not fully close. The gap is more often observed in the anterior part, less often on the side. It is often difficult to close the lips.
• Distal. The upper teeth are strongly pushed forward. The lower jaw is underdeveloped, the chin is slanted.
• Mesial. The lower teeth protrude forward.
• Cross. The corresponding lower and upper teeth do not match. In some areas, either the upper or lower dentition may protrude forward.

Causes of malocclusion

Problems can begin during fetal development, when the jaws and rudiments of teeth are being formed. But usually the correct bite changes later under the influence of any factors. Internal causes include the lack of minerals and nutrients for the development of bone tissue. Rickets often provokes an open bite, which is difficult to treat.

In children, the way of nutrition has a great influence on the formation of the dentoalveolar system. The ideal option is breastfeeding with proper attachment. You need to make sure that the child does not bite his lips. The nipple on the bottle can damage your teeth if used for a long time. With a dummy, the situation is even worse. If a child suckles it for more than 6 hours a day, he has every chance of developing a malocclusion. Some bad habits - sucking a finger or some kind of toy - also provoke a curvature of the dentition.

Diseases of the nasopharynx, forcing the child to breathe through the mouth, adversely affect the formation of bite. If deciduous teeth have to be extracted as a result of caries, this can affect the position of adjacent teeth. Within one or one and a half years, they partially occupy free space and interfere with the growth of a permanent tooth. This forms a "twisted" bite. Sometimes, on the contrary, a permanent tooth is in no hurry to come to the surface, and the orthodontist has to literally pull it out. The gum is opened and attached to the bracket system. Even in such cases, it is possible to restore the correct bite. Photos "before" and "after" are sometimes shocking and clearly show that good doctors cope with any pathology.

Why treat an overbite?

Complex pathologies are sometimes visible at a glance. If the face has a concave profile, the chin is strongly protruding, then the bite is mesial. Sometimes there is asymmetry, non-closure of the lips. In some forms of pathology, diction is disturbed, it is difficult to chew food and swallow. But even minor defects that are not conspicuous can harm the body. On the teeth that are not involved in chewing, plaque accumulates more and microbes multiply. In places where the teeth are in close contact with each other, the enamel is damaged. The gaps are difficult to clean, and caries often appears in them. Enamel wears off faster on the surface of the teeth if it is injured due to improper closing of the jaws.

Defects in the dentition often cause complexes and dissatisfaction with their appearance. A correct bite in a person is associated with health and beauty. The child may be teased for protruding teeth. For adults, an incorrect bite can interfere with professional and public activities. But, fortunately, modern medicine allows everyone to get a beautiful and healthy smile.

How to fix an overbite?

If a problem is noticed in time, simple methods can help: removable structures. In children, sometimes it is enough to stop any bad habit so that the bite begins to gradually correct itself. But the surest way to treat malocclusion is the use of braces. A structure made of metal and other materials is installed on the teeth and gradually moves them. Everyone moves to the place allotted to him by nature.

The bracket system consists of a steel arc and small locks, which are made of metal alloys or special ceramics. The material of braces affects their properties and prices, but the general principle remains the same. These parts are glued to each tooth and connected with an orthodontic arch. It is with her help that the bite is corrected.

Types of braces

Metal. Classic economy option. Aesthetically, they are not very attractive, but they are just as effective as the more expensive ones.

Ceramic. Their color is selected individually to the shade of the patient's teeth, so they are less noticeable. It is believed that they are safer for enamel, less likely to cause demineralization stains.

Sapphire. Made of a special type of ceramic, transparent and invisible. They can look like decoration, especially if you use a white arc.

According to the location on the teeth, vestibular and lingual braces are distinguished.

How long are braces worn?

Bite correction is a long process. In the simplest cases, it takes at least six months to wear braces. Usually the results are visible after 2-3 months. Patients in such cases are in a hurry to get rid of the bracket system. But you need to remember that the main thing is to consolidate the result. You will have to wear braces for as long as the doctor recommends, and follow certain rules.

How to behave during treatment with braces?

Do not eat too hot food and ice cream. The temperature difference has a bad effect on metal structures and spoils the glue. Solid food can rip off braces and damage the system. Viscous and sticky foods (bread, toffee, crisps) clog braces a lot. Cleaning them is not easy, especially in crowded places like cafes. It is always worth having a special toothbrush for braces with you. Compliance with these rules will help to avoid delays in treatment and achieve a better result. If the bracket is peeled off, it is necessary to get to the attending physician as soon as possible.

How to maintain the correct bite?

There are no extra teeth. Take care of each so that neighboring teeth do not start to move. It is better to see a dentist and an orthodontist from childhood. The specialist will notice deviations in time and decide when to start treatment. Sometimes it pays to wait a few years. Some pathologies respond better to treatment at 6-7 years old, others - after 12. At this age, the change of teeth to permanent ones ends.

Correct bite of teeth is a hereditary trait. If parents have deviations from the norm, special attention should be paid to children.

The beauty of a smile affects the mood and well-being of a person. But it is also very important for health that all teeth are in their places and chew food well. Therefore, do not neglect the measures to prevent diseases of the oral cavity and maintain the correct bite.

www.syl.ru

Thanks everyone for the replies.

I report)

I have been to consultations with several doctors. In general, how many doctors have so many opinions.

Someone scared that in any case, sooner or later, the teeth will be bent due to an incorrect bite and everything must be corrected immediately.

Someone said that the joint is not critical, but it is desirable to correct the crowding in the lower jaw. (i.e. more for aesthetic purposes, as I understand it all must be done)

And one doctor said that it is impossible to judge the state of the joint by only one OPTG, but there is a predisposition - asymmetry of the right and left halves and mild articular tubercles. (I liked this dock the most, but he is not an orthodontist unfortunately)

Offhand, so far, without additional examinations, they suggest treatment with the removal of premolars in the upper jaw. To my question, how this will affect the joint, they give very vague answers.

I'm waiting for your answers.

1. Is it advisable to correct the bite in my situation?

2. Is it possible to do without removal on the upper jaw and is it advisable?

3. The most important question - in my case, for the most part, braces can only improve aesthetics, or both aesthetics and function too (by function, first of all, the joint is understood)? How will the removal affect the TMJ?

forum.stomatology.su

Is it always possible to correct an overbite without braces?

It is possible to use other designs when aligning teeth only in a number of situations. At the same time, due to the structural features of the jaw, a number of systems may also be limited. You can do without braces if you have the following indications:

• malocclusion concerns only one or several teeth, and not the entire dentition;
• the defect has a slight deviation from the norm, since only a metal system can help with severe pathology;
• it is necessary to achieve a beautiful smile within a few months, a maximum of a year, since when wearing braces, the treatment can be delayed for 2-3 years;
• individual intolerance to metal or other alloy components that are used to correct any type of bite;
• the appearance of an allergic reaction to a metal structure;
• the impossibility of installing classic braces, since the patient has low-lying gums, which causes inflammation and injury;
• there is no way to put in a sapphire system that can solve the problem of low-set gums;
• caring for the structure seems difficult to the patient, and its absence can provoke inflammation in the gums and teeth, and can also damage the braces themselves;
• the inability to endure pain at the stage of addiction due to the low pain threshold.

Attention! Sometimes patients with malocclusion do not want to use any braces, as they cause significant disturbances in diction at the stage of addiction. But it should be understood that if it is necessary to correct the entire dentition, it will be difficult to do without such structures.

Aligners for bite correction

This is the name of a small transparent mouthguard, which is made of safe silicone or special plastic. Due to the manufacturing features, the aligner completely repeats the features of the dentition. Treatment also cannot be instantaneous, as with the use of braces, but at the same time, the patient does not feel severe pain and discomfort at all.

Aligners can be removed at any time, which allows you not to spoil them while eating. Thanks to the removable design, the patient can monitor the condition of their teeth and, if necessary, heal them. Suitable for patients with sensitive gums. If aligners are selected, the patient has no food and drink restrictions. And the system itself can be cleaned with water or toothpaste.

Attention! A feature of the silicone design is the possibility of its use at any age. In this case, the patient can correct several cosmetic problems in the form of severe yellowing of the enamel and malocclusion. In some designs, you can lay a gel that will protect the enamel from carious damage.

With all the advantages of such a cap, there are significant disadvantages of such treatment. Aligners are expensive, the average price of a silicone structure is 200-220 thousand Russian rubles. If the mouthguard is not properly poured, it may fall out of the mouth, especially when buying universal models. If the patient wishes to use a custom-fitted aligner, he will need to wait up to 12 weeks.

Therapy using a silicone construct requires several steps. First you need to make an impression and a layout in order to evaluate all the features of the dentition. In addition, casts are taken several times during the treatment to track the intermediate and final results.

After making an impression and a layout, they are sent to the master, who makes an individual aligner. At the same time, several samples of silicone caps are offered to correct the bite. They are used alternately every 2-3 weeks. If the aligner is damaged during one step, it is replaced. For this, the patient is given several samples of one cap.

To achieve a real effect, you will need to wear a mouthguard for days on end, it can be removed only for two hours. This time includes dental care and eating. Wearing an aligner is recommended for 6 months, with a stronger defect - for a year.

Attention! Sometimes silicone aligners are prescribed after wearing trainers and a number of other systems. In this case, the cap maintains the result in order to avoid relapse.

Trainer for correcting malocclusion

A similar method is based on the use of a special orthodontic preparation, which looks like a cap that protects teeth from destruction. The table shows a number of characteristics of such a system.

Such a device does not require constant use. In most cases, patients wear trainers only during sleep, and also for one hour during the day. The design is quite affordable, the most expensive types of trainers can be purchased within 6-7 thousand.

During therapy, the patient will have to use several models of the device if he wants to get the best result. First you need to wear the so-called blue trainers, which can gently move the teeth to the right place. Such constructions cause severe pain in exceptional cases, it is usually quite tolerable and manifests itself in 1-2 weeks.

As soon as the first stage of therapy is completed, it can last up to one year, another trainer is selected for the patient. He already quickly enough and in some cases painfully puts his teeth in their place. As soon as this device copes with its task, the dentist will select a fixing structure. It fixes the result and does not allow the bite to deteriorate again. Such designs are called retainers, they can be worn for up to five years, taking into account the characteristics of the patient's problem.

Attention! Trainers are not suitable if the patient wants to improve the state of his bite in a short time. Wearing the device requires a year of treatment, while in some cases it will have to be extended. With the help of trainers, more serious defects can be corrected than with aligners.

Veneers instead of braces for malocclusion

A feature of this method is the use of small plates that need to be attached to the anterior crown of the patient's own tooth. This procedure is called restoration. A safe dental cement is used to fix the ceramic plate.

Thanks to this method of therapy, in just a few hours, you can correct all the problems associated with a bite defect. Throughout the wearing of the crowns will not lose their attractiveness, they cannot be distinguished from ordinary teeth. If the specialist has performed the entire procedure correctly, you should not be afraid that the plates will fall out or burst. Caring for them is also simple and consists only in using ordinary pastes, it is better to take professional ones.

The negative side of this type of veneers is that they cannot correct the complex type of malocclusion. Also, the patient should be warned that even if the most expensive plates are installed, they will not last more than 12 years. Because of this, you will need to remove and install ceramic plates several times and pay the dentist. The cost of such a service is quite high, so it is important to choose a good doctor for treatment.

When wearing crowns of this type, it is required to consume only warm foods, avoiding temperature drops. If they are exposed to too cold or hot temperatures, the structure may burst. In addition, it is difficult to control the state of the enamel of a natural tooth, since it is hidden. This can cause severe cavities and even gum disease.

Attention! When restoring teeth suffering from malocclusion, the specialist grinds off almost the entire protruding area. This will result in the patient having to wear this type of veneers for the rest of their lives.

Video - Correcting the curvature of the teeth with veneers

Restoration with composite or composite veneers

The composite is a dental material that is used in the restoration of diseased teeth, including caries. For hardening, it is required to heat the material with ultraviolet light, for this a special lamp is used.

Usually, it takes a doctor no more than one hour to correct the incorrect position of two teeth. Veneers of this type do not cause pain, they do not need to be removed, they do not cause problems with diction. They have a very affordable cost, do not spoil the patient's smile. But due to the peculiarities of the installation and the strength of the material, composite veneers will last for five years, sometimes their service life reaches a decade. At the same time, the composite is very susceptible to external influences, due to which it absorbs the dye, so the patient should avoid excessive consumption of coffee, tea and other coloring pigments.

Attention! When applying for a composite restoration of malocclusion, it is worth considering that the dentist will need to almost completely grind off the absolutely healthy tooth of the patient to install the veneer. This forces patients to wear such veneers for the rest of their lives, while in the case of caries, a complete restoration of the dental crown with artificial material may be required.

If you decide to correct your bite without braces, you will need to visit the dentist several times so that he can develop the optimal treatment regimen. At the preparatory stage, the patient should be explained all the subtleties of the chosen system, its cost and the rules of care. At the same time, it should be understood that one should not insist on the use of alternative treatment options if the problem is associated with a severe defect. In this case, the result will be weak or will not last long.

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Bite correction methods

The most common methods for correcting malocclusion are gum massage, myogymnastics in combination with orthodontic appliances.

The use of braces

• The roots of the teeth are held in the jaw thanks to the connective tissue, which is stretched under the influence of the bracket system.
• As a result of the pressure of the structure on the jaw and the stretching of the connective tissue, the position of the teeth changes, which makes it possible to correct the malocclusion.
• The use of braces provides for their long-term use without the ability to remove.

Alternative ways to correct the anomaly

• These include the use of caps, dental plates, trainers, veneers, etc.

These correction methods are more suitable for children, as they cannot completely correct the bite of an adult.

Surgical methods

Often, surgical methods of exposure are used to eliminate malocclusion.

• To do this, an incision is made in the gums and bone tissue, which allows the jaw to align and the teeth to take the correct position.
• In case of extraction of teeth that interfere with the alignment, a denture can be installed in their place.

The choice of one or another design depends on the state of the patient's dental system. The applied system should influence the anomaly with maximum efficiency.

Which of the bite correction devices is suitable for the patient is decided by the orthodontist.

• In the case of treatment with braces, the patient can choose the design to his taste and budget. But it should be remembered that a properly selected device is only half the success, and the second depends on the qualifications of the specialist.
• Clear aligners are a more aesthetic and modern type of orthodontic appliance. Modern caps are able to eliminate almost any malocclusion. However, the use of a mouth guard requires discipline from the patient, since it must be worn for at least 22 hours a day. The disadvantage of this method of treatment is also the high cost of caps.

Correction of bite at home

Any anomaly in the development of the dentoalveolar system requires the immediate intervention of a specialist. Correcting an overbite on your own without the help of an orthodontist is unlikely to succeed.

The only thing the patient can do at home is:

• A gum massage that will help straighten your teeth.
• Doing certain exercises regularly.
• If, on the recommendation of a doctor, the patient is shown the use of a removable structure (trainers, mouthguards), then at home it can be removed and hygienically cleaned.

When are trainers used?

Trainers are orthodontic appliances made of flexible silicone.

They are multifunctional and can be used in the following cases:

• In violation of swallowing or nasal breathing.
• If the use of braces is not possible.
• With crowding of the anterior group of teeth of the lower jaw.
• In the presence of minor anomalies of the dental bite.

Indications

Adults need to see an orthodontist in the following cases:

• The presence of aesthetic defects.
• Incorrect closure of the jaws.
• Violation of the proportions of the face.
• The presence of pain when chewing food.

Before installing dentures, a patient with malocclusion must necessarily undergo the necessary treatment by an orthodontist.

Otherwise, time and money for prosthetics or implantation of teeth will be wasted. In addition, the installation of implants or prostheses can adversely affect the health of the patient.

Video: "Bite Correction"

Complications

Incorrect bite in an adult can lead to the following consequences:

• Severe tooth wear.
• Breakage of dentures.
• Rapid wear of the temporomandibular joint, which will require surgical intervention to restore.
• Premature appearance of wrinkles and various changes in appearance.

Anomaly correction without braces

Often, older patients with malocclusion prefer the use of high-tech treatments.

These methods include:

• Use of clear caps or aligners.
• Alignment of teeth with veneers or lumineers, which allow you to hide various tooth imperfections. The advantage of installing veneers is a fairly quick elimination of visible defects and an acceptable cost.

Veneers are used in the following cases:

• To lengthen dental crowns, if short crowns contribute to the development of malocclusion.
• To correct irregular shape or position of teeth.
• In the presence of chips on the teeth, which prevent the development of the correct bite.

Price

The cost of bite correction in adults depends on the nature of the bite and the complexity of the work.

Prices for used orthodontic equipment vary greatly and depend on the type of material.

The most expensive method of treatment is the use of a mouthguard, but at the same time it is considered more comfortable.

Reviews

• At the age of 25, I had braces installed and in just eight months my teeth were in place. After the braces were removed, the orthodontist recommended putting on a corrective cap for the night. As a result, the bite has improved.
• After the age of 40, I decided to correct my overbite. I wore braces for over a year. I had to limit myself in food: eat pureed food, talk less, because everything interfered and hurt. Almost no result. I realized that it was all in vain.
• In my thirties, I decided to correct my overbite. The teeth of the upper jaw looked forward (they did not have enough space). For this reason, wisdom teeth had to be removed. I got metal braces because they have the most secure locks. Everything hurt only the first two days. But they gave me a special wax, thanks to which there is no friction, and everything became fine.
• My lower jaw protrudes slightly forward. With such a defect, discomfort is constantly present, and with age it intensified even more. At the age of 55, I decided to correct my bite, but the orthodontist refused me.
• My friend, at the age of 23, corrected her bite, though she wore the device all the time and even slept with it. But now her smile looks like a million.

Photo: before and after

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Incorrect bite: a variety of types

All defects in the oral cavity, which do not allow the upper and lower rows of teeth to close properly, are considered malocclusion. More than 80% of people have deviations from the norm.

You can test yourself or your child with a simple test. You need to close your teeth and look in the mirror.

• The upper row of teeth should hang slightly over the lower one, the jaw should not protrude either forward or backward, there should not be a gap between the rows of teeth.

Deviations:

• The lower jaw may protrude slightly or noticeably forward. Alice Freindlich and Aleksey Kravchenko can be called bright representatives of such a "defect" among celebrities.
• The upper row of teeth hangs over the lower row (often children with such a bite are teased with rabbits). Among famous people, such an overbite can be seen in Nicolas Cage.
• A gap is visible between the rows of teeth (it seems that the child walks with his mouth ajar).
• They also talk about malocclusion if the teeth grow out of place (arranged in 2 rows, 1 tooth grows over the other, etc.)

Pay attention, if you do not take into account noticeable deviations, then this feature even gives some charm to the appearance. So, for example, men with a slightly protruding jaw, according to many, look more courageous and brutal. Take, for example, actor Paul Wesley, who has a pronounced malocclusion.

At what age to solve the problem?

Attentive parents, noticing that the baby’s teeth are closing incorrectly, try to contact a specialist as soon as possible. Hearing from the doctors that you need to come not at 1-2 years old, noticing the first deviations, but closer to 4-5 years old, or even later, mothers begin to panic: “Won't time be lost? After all, everything in the mouth is still being formed, it can be corrected!”

In fact, you really need to solve this problem not when you first noticed a malocclusion in a child at 2 years old, but much closer to school.

And the point is not that the teeth themselves will fall into place and the bite will be corrected (as experience shows, this problem rarely goes away by itself), but in the features of the formation of the jaw-bone system.

Now we will explain why you need to wait up to 5 - 6 years.

What influences bite formation?

The formation of bite is primarily affected by the appearance and growth of teeth. There are several stages that are important in the development of bite.

By the first year of a child's life, the jaw arches should assume the correct position. This is facilitated by the physiological process of sucking the breast or nipples and the appearance of the first milk teeth. When the child sucks, the circular muscles develop and the tone of the muscles of the lower jaw increases - it prepares to take the correct physiological position when the first milk teeth appear.

What is important for parents to do during this period?

During this period, it is important to choose the right pacifier for the child, if you decide to use it.

Remember that the nipple that will form the correct bite simply does not exist. But it would be better if you get an orthodontic pacifier. Its peculiarity lies in the fact that it has a recess for the tongue, which becomes a good prevention for the formation of the correct bite.

However, it should be remembered that no pacifier allows the upper and lower jaws to close. Therefore, prolonged use of pacifiers can lead to the formation of an open bite.

It is also important to keep an eye on the size of the hole in the nipple if your baby is an artificial one. It is important that the lower jaw worked during sucking.

Periods of direct bite formation

Direct bite formation occurs in several stages.

• The period from 3 to 6 years - the formation of a temporary (milk) occlusion;
• From 6 to 14 years - the formation of a mixed bite;
• From 14 to 24 years - the formation of a permanent bite.

Let's take a closer look at each stage so that you can figure out why it is not recommended to do something, noticing the wrong bite in a child at 3 years old or at an earlier age.

Bite in a child under 6 years old

Up to 3 years, a child erupts 20 teeth, which are placed on the upper and lower jaw arches.

At this age, the child should be taken to an orthodontist or dentist for examination.

If the doctor notices deviations, he can prescribe special exercises to develop the jaw, which can be the first step towards preventing improper closing of the teeth.

As a rule, at this stage, most specialists do not undertake anything more serious than parents are very worried about. Doctors are in no hurry to correct the malocclusion of a child at 2-3 years old, not because they don’t care, but because the baby is ahead of the second, no less important stage in the long process of forming the jaw system.

Bite in a child from 6 to 14 years

Many parents note with annoyance that the milk teeth were so even and beautiful, and the permanent ones grow as they themselves want. Indeed, during this period, many children have deviations in the development of the correct bite. This is explained by the following reasons.

If up to 6 years old a child had 20 teeth on the jaw arches, then up to 14 years old 28 teeth should be placed there. In addition, permanent teeth are larger than milk teeth. Accordingly, very significant changes begin to occur in the dental system. The following factors lead to pathologies:

• Teeth appear faster than the jaw arch increases.
• The teeth don't have enough space and they break through where they can.

Important! If your child has lost a baby tooth due to an injury, he needs to put a temporary prosthesis. This is necessary so that other teeth do not move with growth and do not violate the correct bite.

What to do if you notice a malocclusion in a child after 5-6 years? During this period, parents should also show the child to an orthodontist or dentist.

Specialists, taking into account at what stage of formation the dentoalveolar system is, will be able to determine whether it is time to start correcting the child's bite or the formation process has not yet been completed.

Help

Correction of defects of the dentoalveolar system is a delicate matter. It must be remembered that the jaw changes, and the use of incorrect orthodontic technique can be harmful, not beneficial. The doctor, with deviations from the norm at this age (5–12 years), may prescribe the first removable appliances that will help influence the formation of the correct bite.

• Records. They are placed mainly in children of primary school age. The plate touches the upper palate and affects the formation of the skeletal system. This is not a very convenient and practical device, so today they often use trainers and caps.
• Trainer (overlays-simulators). These are the first most popular devices that are prescribed to children from the age of 4 with a pronounced pathology, but more often it is recommended to use trainers from the age of 5.
• Mouthguards (aligners, ortliners) are made of transparent silicone material. They are attached to the teeth in the mouth. Recommend them to children of primary and secondary school age.

Bite from 13 to 24 years

Starting from the age of 13-14, a permanent bite is formed. This period ends at the age of 24 - 25 years, when the last permanent teeth appear. During this period, patients with deviations from the norm are assigned not removable, but permanent systems that will affect the growth of teeth and the formation of bite.

We are talking about braces worn by Tom Cruise, as well as many other celebrities: Emma Watson, Estelle, Cristiano Ronaldo and many others.

Bracket systems consist of "locks" that are attached to each tooth, and a special medical wire "with memory", which makes sure that the tooth grows in the right direction, and the jaw system falls into place.

Many modern teenagers really like to wear braces. They even find zest in it. After all, modern braces with the right approach can become a kind of decoration: they come in different colors and shades, even with rhinestones and stones, round, oval and square.

If time is lost

If the problem is not solved with the help of overlays in childhood, maxillofacial surgeons are taken to work. During surgery, changes are made to the skeletal system of the jaw, teeth are filed.

But in this article, the women's site sympaty.net understands how to solve this problem in children when you can do without surgery. A radical approach is more acceptable for adults than for children.

Maybe not?

If you think that this pathology is only an aesthetic flaw and you need to teach the child to live with the appearance that is given to him from above, this is your right. But do not forget that behind the aesthetic problem there may be health problems that this defect leads to:

• In children and adults, diction and speech delay are very often observed due to improper closing of the teeth;
• With this defect, sleep is disturbed, the child is prone to frequent ENT diseases;
• There may be digestive problems (the child chews and bites food incorrectly);
• Recent studies have shown that dental problems even affect a child's posture and balance, because malocclusion affects the functioning of the temporal joints.
Daimon braces 3