Overbite vs Normal Bite: Symptoms and Treatment Options

By Dr. Taylor Hunt

Do you know what constitutes a normal bite and how it differs from an overbite? Understanding the characteristics of a normal bite, as well as the causes, symptoms, and recognition of an overbite, underbite, and crossbite, is crucial for maintaining good oral health.

We will explore the differences between a normal bite and various types of abnormal bites, along with treatment options such as braces, retainers, Invisalign, jaw surgery, and tooth extraction. Let’s dive in and learn more about these common dental issues.

Summary

  • A normal bite is defined as when the upper teeth slightly overlap the lower teeth, allowing for proper chewing and speaking.
  • An overbite is when the upper teeth significantly cover the lower teeth, which can lead to jaw pain and difficulty eating.
  • Treatment options for abnormal bites include braces, retainers, Invisalign, jaw surgery, and tooth extraction depending on the severity of the bite.

What Is a Normal Bite?

A normal bite, also known as an ideal occlusion, refers to the perfect alignment between the upper and lower teeth when the jaw is closed. It is crucial for maintaining good oral health and preventing issues related to malocclusion.

The benefits of having a normal bite extend beyond just the alignment of teeth; it plays a significant role in overall dental well-being. When the teeth are properly aligned, it promotes proper chewing function, which aids in better digestion of food and reduces the risk of TMJ disorders.

A normal bite helps distribute the forces generated during biting and chewing evenly across all teeth, preventing excessive wear on certain teeth and reducing the likelihood of tooth fractures.

How Is a Normal Bite Defined?

When a dentist assesses a patient’s bite, they look at various factors. One criterion is the relationship between the upper and lower teeth, including how they fit together when the jaw closes. Dentists consider the distribution of pressure across the bite to ensure that it is even and doesn’t cause any unnecessary strain. They may also examine the alignment of the teeth in relation to the jaws and how the teeth meet during different movements like biting, chewing, and speaking.

What Are the Characteristics of a Normal Bite?

The characteristics of a normal bite include the proper alignment of the front teeth, a balanced distribution of bite pressure across all teeth, and the absence of any noticeable gaps or overcrowding.

Front teeth play a crucial role in determining the overall alignment of the bite. When they fit together properly, they help ensure that the back teeth come together harmoniously, allowing for efficient chewing and reducing the risk of wear or damage.

Optimal oral health is closely linked to a normal bite. A healthy bite promotes even distribution of forces during chewing, which can prevent issues such as temporomandibular joint (TMJ) disorders, tooth decay, and gum disease.

What Is an Overbite?

An overbite occurs when the upper front teeth overlap significantly with the lower front teeth vertically, leading to a misalignment of the jaws. Overbites are a common type of malocclusion that can impact oral health and overall facial aesthetics.

In cases of excessive overbite, the top teeth can cover the lower teeth completely when the jaws are closed, causing strain on the jaw muscles and joints. This misalignment may result in difficulties with chewing and speaking properly.

Severe overbites can lead to increased wear on the teeth, making them more susceptible to damage over time. Common causes of overbites include genetics, thumb-sucking during childhood, jaw irregularities, or improper dental care during development.

Proper diagnosis and treatment by a qualified orthodontist are essential to address overbites effectively and prevent potential complications.

How Is an Overbite Defined?

An overbite is defined as the excessive vertical overlap of the upper front teeth over the lower front teeth. There are different classifications such as skeletal overbites related to jaw positioning or dental overbites resulting from tooth misalignment.

Skeletal overbites are primarily driven by the position of the upper jaw in relation to the lower jaw, leading to a more pronounced protrusion of the upper teeth. On the other hand, dental overbites are mainly caused by factors affecting the alignment of individual teeth, resulting in an overlap between the upper and lower front teeth. To provide a clearer illustration, a skeletal overbite may be likened to an overall misalignment of the jaws, while a dental overbite could be compared to the upper teeth simply jutting out more than the lower teeth.

What Are the Causes of an Overbite?

Overbites can be caused by genetic factors, childhood habits like thumb sucking or pacifier use, or developmental issues. While some overbites may self-correct during growth, others require orthodontic intervention in children or adults.

Genetic factors play a significant role in the development of overbites, influencing jaw size and shape. The impact of genetics can be seen in families where overbites are common across generations. Plus genetics, childhood habits such as thumb sucking or prolonged pacifier use can contribute to the misalignment of the upper and lower teeth, leading to overbites. When left untreated, overbites can affect speech, chewing, and overall oral health.

What Are the Symptoms of an Overbite?

Symptoms of an overbite can include crooked teeth, crowded teeth, or gaps between teeth. Patients with severe overbites may experience TMJ discomfort, teeth grinding, headaches, speaking difficulties, or facial asymmetry.

An overbite refers to a condition where the upper front teeth excessively overlap the lower front teeth. This misalignment can lead to issues with both dental aesthetics and oral function. Visually, an overbite may cause the upper teeth to protrude noticeably over the lower teeth, affecting the smile’s appearance. From a functional perspective, overbites can impact chewing efficiency and speech clarity.

Health problems like gum disease and increased risk of tooth decay can also be associated with overbites. The improper alignment of the teeth in an overbite can make it challenging to clean the teeth properly, potentially leading to oral health issues.

How Is an Overbite Recognized?

Overbites can be recognized through a visual examination of the teeth and jaws, along with diagnostic tools like X-rays. Dentists assess the impact of overbites on oral health, potential health problems, and recommend suitable treatment options.

Diagnostic methods for identifying overbites often include analyzing the alignment of the upper and lower teeth, checking for any protrusion of the upper teeth past the lower teeth, and examining the jaw positioning. X-rays help dentists get a more detailed view of the teeth, jawbone, and how they interact within the mouth, aiding in accurate diagnosis.

Untreated overbites can lead to issues like difficulty in chewing, excessive wear on the teeth, jaw pain, and even speech problems. Severe overbites may impact facial aesthetics, causing self-esteem issues. Early detection and intervention are crucial to preventing these complications, as younger patients often respond better to orthodontic treatment.

What Is an Underbite?

An underbite occurs when the lower front teeth protrude further than the upper front teeth when the jaw is closed, leading to a reverse overlap. This malocclusion can affect jaw alignment, facial symmetry, and oral function.

It is crucial to differentiate underbites from overbites, as overbites involve the upper front teeth protruding beyond the lower teeth. While both types of malocclusions can impact dental health, underbites can pose unique challenges. Underbites can strain the jaw joint, leading to temporomandibular joint disorders (TMJ), causing jaw pain and limiting mouth movement. This misalignment may also contribute to tooth wear, speech difficulties, and difficulty in chewing food efficiently, which can affect overall nutrition.

How Is an Underbite Defined?

An underbite is defined as the horizontal misalignment of the upper and lower jaws, resulting in the lower teeth extending beyond the upper teeth. It can be categorized as a skeletal underbite related to jaw positioning or a dental underbite due to tooth misalignment.

In skeletal underbites, the actual bone structure of the upper and lower jaws is misaligned, leading to an improper bite. This could result from genetics or developmental issues.

On the other hand, dental underbites occur when the teeth are not correctly positioned within the jaw structure, causing the lower teeth to protrude past the upper teeth despite a normal jaw alignment.

Understanding: these distinctions is essential in determining the appropriate treatment plan for individuals with different types of underbites.

What Are the Causes of an Underbite?

Underbites can be caused by genetic predispositions, abnormal jaw growth, childhood habits, or trauma. In some cases, early intervention in children or orthognathic surgery in adults may be necessary to correct severe underbites.

Genetic predispositions play a significant role in determining jaw structure and alignment, influencing the development of underbites. Environmental factors such as thumb sucking or prolonged pacifier use during childhood can also contribute to the misalignment of teeth and jaws. Trauma to the face or jaw area can lead to underbites in some individuals.

Treatment options for underbites vary depending on the severity and age of the patient. Children may benefit from orthodontic appliances like braces or expanders to guide jaw growth and correct underbites early on. On the other hand, adults with severe underbites may require orthognathic surgery, a procedure that repositions the jaw to align the teeth properly.

What Are the Symptoms of an Underbite?

Patients with underbites may experience symptoms such as TMJ discomfort, jaw misalignment, and difficulty chewing. Dental complications like tooth decay, gum disease, and speech issues can also arise from untreated underbites.

When left unaddressed, underbites can lead to further issues that extend beyond the oral cavity. The imbalance caused by an underbite can put excessive strain on the jaw joint, leading to chronic pain and discomfort. This condition, known as temporomandibular joint disorder (TMJ), can result in headaches, earaches, and even restricted mouth movement.

The misalignment of the jaw can impact the overall facial structure and aesthetics. It may cause facial asymmetry, difficulty with proper enunciation, and even breathing problems in severe cases.

How Is an Underbite Recognized?

Diagnosing an underbite involves evaluating the alignment of the teeth and jaws, assessing bite functionality, and identifying any signs of misalignment or bad bites. Dentists use various diagnostic tools to confirm the presence and severity of underbites.

One common method dentists use to diagnose underbites is through physical examination, where they visually inspect the jaw position, tooth alignment, and how the upper and lower teeth meet. Additionally, dental X-rays play a crucial role in revealing the skeletal structure of the jaw, allowing dentists to assess the relationship between the teeth and the jawbone. Early detection is key, as identifying underbites in their initial stages enables dentists to develop a comprehensive treatment plan that may involve orthodontic interventions or in some cases, surgical correction.

What Is a Crossbite?

A crossbite occurs when some of the upper teeth sit inside the lower teeth instead of outside, leading to a lateral misalignment. This malocclusion can affect bite function, tooth wear patterns, and jaw development.

Crossbites are different from overbites and underbites. Overbites involve the upper teeth covering the lower ones, while underbites have the lower teeth protruding beyond the upper teeth. Crossbites create a unique challenge as they impact side-to-side alignment. Without proper treatment, crossbites can lead to issues such as uneven tooth wear, jaw pain, and even temporomandibular joint disorders.

How Is a Crossbite Defined?

A crossbite is defined as the abnormal relationship of upper and lower teeth when the jaw is closed, causing some upper teeth to fall inside the lower teeth. This misalignment can result in chewing difficulties and uneven wear on teeth.

Crossbites can greatly impact not just one’s dental function but also their aesthetics. When the teeth do not align properly, it can lead to issues like speech impediments, jaw pain, and even difficulty in maintaining proper oral hygiene. From an aesthetic perspective, crossbites can affect the overall symmetry and alignment of the face.

If left untreated, crossbites can lead to more serious complications such as temporomandibular joint (TMJ) disorders, increased risk of tooth decay and gum disease, as well as gradual changes to the facial structure due to the constant pressure exerted on the jaw.

What Are the Causes of a Crossbite?

Crossbites can arise from factors such as jaw misalignments, crowded teeth, or abnormal tooth eruption patterns. Early orthodontic intervention is essential to correct crossbites effectively and prevent long-term complications.

Irregularities in the growth of the upper and lower jaws can lead to a mismatch in the positioning of the teeth, resulting in a crossbite. When teeth are overcrowded or there is not enough space for them to align correctly, it can also contribute to the development of a crossbite.

Timely intervention becomes crucial as untreated crossbites can lead to problems with chewing, speech difficulties, uneven wear on teeth, and even potential jaw joint disorders.

What Are the Symptoms of a Crossbite?

Patients with crossbites may experience symptoms like speaking difficulties, facial asymmetry, and uneven wear on teeth due to the misalignment of upper and lower teeth. If left untreated, crossbites can lead to more severe oral health issues.

Crossbites can significantly impact facial aesthetics, affecting a person’s smile and overall appearance. The misalignment of the jaw can also lead to problems with chewing and biting, causing discomfort and potential jaw pain. Plus these functional issues, untreated crossbites can result in long-term dental problems such as tooth decay, gum disease, and even tooth loss.

How Is a Crossbite Recognized?

Identifying a crossbite involves assessing tooth alignment, bite functionality, and potential complications like tooth decay or gum disease resulting from the malocclusion. Dentists use diagnostic tools to evaluate the severity and impact of crossbites on oral health.

Orthodontic specialists may employ imaging techniques such as X-rays, intraoral scans, or digital impressions to gain a comprehensive view of the crossbite. This allows them to identify the precise nature of the misalignment and develop a tailored treatment plan. Treatment for crossbites may include orthodontic appliances like braces or aligners to gradually correct the bite alignment.

Untreated crossbites can lead to uneven wear on teeth, jaw misalignment, and muscle strain, potentially causing chronic headaches or temporomandibular joint (TMJ) disorders. These conditions can significantly impact overall dental health and quality of life if left unaddressed.

What Are the Treatment Options for Abnormal Bites?

Several treatment options are available for correcting abnormal bites, including orthodontic interventions like braces, clear aligners such as Invisalign, surgical procedures for severe cases, and tooth extractions when necessary.

Orthodontics plays a crucial role in the correction of abnormal bites by gradually moving the teeth and jaws into proper alignment. Braces are one of the most common orthodontic treatments used to straighten teeth and correct misaligned bites. Invisalign, on the other hand, offers a more discreet alternative to traditional braces, using clear aligners to shift the teeth.

When abnormal bites are severe, surgical procedures may be necessary to reposition the jaw or correct skeletal abnormalities. Tooth extractions may also be performed in cases of severe overcrowding or to create space for proper alignment.

The selection of the appropriate treatment modality depends on various factors such as the severity of the malocclusion, the patient’s age, overall oral health, and personal preferences. A thorough evaluation by an orthodontist is essential to determine the most effective treatment plan for each individual.

Braces

Braces are orthodontic appliances used to correct misalignments of teeth and jaws. They apply gentle pressure to move teeth gradually into their correct positions, allowing for improved bite function and aesthetic alignment.

Braces play a crucial role in treating abnormal bites by guiding teeth into proper alignment and improving overall oral health. The process of getting braces fitted typically begins with a comprehensive examination by an orthodontist to determine the most suitable treatment plan.

Impressions of the teeth may be taken for custom braces creation, ensuring a precise fit. Regular adjustments are necessary as teeth shift, requiring follow-up appointments every few weeks to monitor progress and make necessary modifications for optimal results.

Retainers

Retainers are custom-made devices that help maintain the alignment of teeth and jaws after orthodontic treatment with braces. They are essential for preventing relapse and ensuring long-term stability of bite corrections.

Retainers play a crucial role in orthodontic care by supporting the results achieved through braces. Orthodontic retainers are categorized into two main types:

  • Hawley retainers, which consist of a metal wire that surrounds the teeth and is attached to an acrylic arch that sits on the palate or lingual side of the teeth.
  • In contrast, clear aligner retainers, such as Invisalign, are transparent and fit snugly over the teeth, making them less noticeable.

It is important to follow the orthodontist’s instructions regarding wearing retainers religiously. Consistent wear, especially during the initial phase post-braces removal, is critical for allowing the bone around the teeth to adapt to their new positions. Failure to comply with the recommended wearing schedule can lead to shifting of teeth and potential relapse, undoing the progress made during the orthodontic treatment. Therefore, diligence in wearing retainers as directed is paramount for maintaining a beautiful and healthy smile.

Invisalign

Invisalign is a popular alternative to traditional braces, consisting of clear aligners that gradually shift teeth into the desired positions. These removable aligners offer greater comfort and aesthetic appeal during orthodontic treatment.

One of the key benefits of Invisalign is its convenience factor. Unlike traditional braces, Invisalign aligners can be easily removed for eating, brushing, and flossing, allowing individuals to maintain better oral hygiene throughout the treatment process. The clear aligners are virtually invisible, making them a preferred choice for those who wish to undergo orthodontic treatment without drawing attention to their teeth.

When compared to traditional braces, Invisalign is particularly suitable for correcting mild to moderate malocclusions, such as overcrowding, gaps, and minor bite issues. While severe cases may still require traditional braces, Invisalign offers a more discreet and comfortable option for many patients.

Jaw Surgery

Jaw surgery, also known as orthognathic surgery, is recommended for severe cases of malocclusion where orthodontic treatments alone may not suffice. It involves surgical correction of the jaw position and alignment to improve bite function and facial aesthetics.

For individuals with complex malocclusions, such as severe underbites, overbites, or jaw discrepancies, orthognathic surgery offers a comprehensive solution. The procedure aims to not only address functional issues like chewing and speaking but also enhances the overall symmetry and harmony of the facial features.

Before undergoing jaw surgery, patients typically undergo a thorough evaluation process that may involve orthodontic preparation to align the teeth properly. This preparatory phase helps to ensure optimal surgical outcomes.

The recovery period following orthognathic surgery varies depending on the extent of the procedure but generally involves a few weeks of swelling, dietary modifications, and pain management. Patients are closely monitored during this phase to track progress and manage any post-operative complications.

Conditions such as jaw abnormalities, facial asymmetry, obstructive sleep apnea, and difficulty with biting or chewing may necessitate surgical intervention to achieve long-term improvement. Through advancements in surgical techniques and technology, orthognathic surgery has become a safe and effective option for individuals seeking to address complex dental and facial concerns.

Tooth Extraction

Tooth extraction may be necessary in cases of severe crowding or when teeth contribute to malocclusions that cannot be corrected through other means. Removing specific teeth can create space for proper alignment and bite adjustments.

Orthodontic treatment plans may include extractions to address issues like overcrowding, protrusion, or crossbite. By strategically removing selected teeth, orthodontists can create the necessary room for shifting and aligning the remaining teeth.

The process typically begins with a thorough evaluation, including X-rays and digital imaging, to determine which teeth need to be extracted. Local anesthesia is administered to ensure patients’ comfort during the extraction procedure.

More About The Author

Dr. Taylor Hunt, a proud graduate of the Oregon Health and Science University in Portland, Oregon, further honed her expertise with advanced education at the Birmingham VA Medical Center in Birmingham, Alabama. Today, she leads Hunt Dentistry in Snowflake, AZ, offering a blend of general dentistry, restorative dentistry, and cosmetic dentistry, including specialized Botox treatments for TMJ. Boasting over a decade of experience in dental medicine, Dr. Hunt is deeply committed to providing top-tier dental care. Outside the office, she’s an avid fan of Arizona sports and enjoys golf, camping, and exploring the rugged landscapes in her UTV. Learn more about Dr. Hunt by visiting her about page or see her and her teams the latest posts in dental health and adventures in Arizona on Facebook. Discover more about her services and book your appointment today.