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Common Orthodontic Problems

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Common Children’s Orthodontic Problems

Could your child benefit from orthodontic treatment? Here, we’ll provide a brief overview of some of the most common orthodontic issues we see in growing children:

Crowding

Crowding happens when there’s not enough space for teeth to fit normally in your child’s jaws. It could be because the jaws are too small, or the teeth are too big. There are many possible solutions depending on the stage of your child, some may include early intervention that may reduce the need for treatment later.

 

Crossbites

A crossbite occurs when one or more of your child’s upper teeth bite inside their lower teeth. It’s often the result of a narrow upper jaw. In children, widening the upper jaw with a palatal expander can help solve one of the most common orthodontic problems we see.

 

Too Much Space

Excessive space can occur when the teeth are small relative to the available jaw size, when one or more teeth don’t emerge from the gums, or when a tooth is lost to disease or trauma.

 

Underbites

Underbites present as the lower front teeth extending past the upper front teeth. A common cause for an underbite is either an recessive upper jaw or an overly-prominent lower jaw. In other cases, underbites are a tooth position issue, or can even be a transient developmental stage. A specialist orthodontist can review your child’s underbite and determine if treatment would be beneficial.

 

Deep Overbites

A deep overbite is a ‘vertical’ problem where your child’s upper front teeth cover too much of their lower teeth when they bite down. The bite can be so deep that the upper teeth completely cover the lower teeth. This can cause excessive dental wear, and may even cause discomfort and other dental problems as the lower teeth bite up into the roof of the mouth. Explore more in our dedicated article on overbites.

 

Increased Overjet

Another type of overbite is a ‘horizontal’ problem where the top teeth are ahead relative to the bottom, leaving a horizontal gap between the upper and lower teeth. Orthodontists call this gap an increased ‘overjet’. An increased overbite is the opposite of the underbite described above. Significant overbites may benefit from treatment with a Herbst appliance. View our before and after Herbst appliance gallery to see real examples of overbite correction.

 

Open Bite

An open bite is another type of ‘vertical’ problem. If your orthodontist has said your child has an open bite, this generally means some of the bite remains ‘open’ which other teeth are touching. For example, an ‘anterior open bite’ occurs when the back teeth come together, but the front teeth are not overlapping at all.

An open bite may occur for many reasons, with persistent thumb-sucking/tongue posture issues being among the most common.

 

Skeletal Discrepancies

Sometimes, the bite issues listed above result from incorrect tooth position, and in other cases, they result from jaw misalignment. Commonly, they are a combination of both.

Whilst we see adults with many of these types of issues, where there is a significant issue, jaw surgery is sometimes indicated for full correction. 

For kids, the good news is that the earlier a bite issue is diagnosed, the greater the chance that full bite correction and improved jaw relationships can be obtained via relatively simple, non-surgical interventions.

Abnormal Eruption

Abnormal eruption happens when a tooth does not emerge through the gum into its correct location. If a tooth is not on track to emerge correctly, intervention may be as simple as recommending the removal of a stubborn baby tooth which is blocking the path of an adult tooth.

In other cases, a ‘tooth exposure‘ treatment plan may be recommended, which involves a minor surgical procedure to uncover the adult tooth, and prevent further problems down the track. This can be diagnosed and coordinated by your child’s orthodontist (a gum specialist or oral surgeon may also be involved).

How to Solve Your Child’s Orthodontic Problems

If you’re concerned about your child’s orthodontic health, schedule a Free* Assessment with us so we can assess if your child would benefit from early intervention or ongoing monitoring of their growth and development.

 

*If orthodontic X-rays are required, a fee of $180 applies. Treatment may not be suitable for you.

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Patient smiling after kids braces treatment.

Written by Danielle Long, Writer

Staff member Dani in the Bondi Junction Fine Orthodontist Sydney clinic.

Danielle Long

Danielle Long is a writer at Fine Orthodontist Sydney. She holds graduate qualifications in English and Education and is an integral part of the team at Fine Orthodontist Sydney. Danielle Long has been assisting in the orthodontic care process at Fine Orthodontist Sydney for over fifteen years, working closely with the team to provide exceptional patient support, communication and coordination of treatment plans. As a writer and an orthodontic treatment coordinator, Danielle Long’s primary responsibilities include facilitating exceptional patient education and communication, ensuring seamless coordination of treatment plans, and providing support to the clinical orthodontic team at Fine Orthodontist Sydney.

Specialist Orthodontist Input by Dr Martin Fine BDS, MSc (Orthodontics)

Specialist Orthodontist Dr Martin Fine, BDS, MSc (Orthodontics), is based in Sydney’s Eastern Suburbs. With over 30 years’ experience in private practice, Dr Fine has expertise working with a wide variety of orthodontic appliances, including braces and Invisalign®. He has presented at orthodontic conferences globally, and has taught postgraduate orthodontic students at the University of Sydney. Dr Fine is a member of both the AAO (American Association of Orthodontists) and the ASO (Australian Society of Orthodontists), and is a former president of the Alpha-Omega Dental Society’s Sydney Chapter.  
 
In the past, Dr Fine’s research has been featured in the Angle Orthodontist journal. Dr Fine is committed to providing outstanding patient care using the latest and most effective techniques. 
 

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