Updated on October 8, 2024
4 min read

Prognathism: Causes, Symptoms, and Treatment

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Prognathism is a condition characterized by a protruding jaw. This comprehensive guide will look into the types, causes, symptoms, and treatment options for prognathism. 

We’ll equip you with the knowledge to make informed decisions and support loved ones affected by this condition.

What is Prognathism?

Prognathism is a condition in which either the upper or lower jaw sticks out more than usual, causing an overbite or underbite.

There are three main types of prognathism:

  • Maxillary prognathism ⁠— The upper jaw protrudes
  • Mandibular prognathism ⁠— The lower jaw protrudes
  • Bimaxillary prognathism ⁠— Both jaws protrude

Several factors can cause this, and understanding these causes is key to addressing any concerns.

What Causes Prognathism?

Prognathism is often the result of our genetic blueprint, passed down through generations. Sometimes, it’s a sign of an underlying medical condition.

These conditions can range from hormonal imbalances, like acromegaly, which leads to excessive growth, to rarer genetic disorders affecting bone development.

Even certain childhood habits, such as thumb sucking or injuries to the face, can sometimes contribute to the development of prognathism.

What are the Symptoms of Prognathism?

Someone with prognathism will have visible jaw protrusion, causing an asymmetrical face. They may have difficulty chewing, biting, and speaking. A person with prognathism is also more at risk of tooth decay or gum disease.

How Is Prognathism Diagnosed?

Diagnosing prognathism involves a thorough examination by a healthcare professional. They’ll look at your facial features and check how your teeth fit together.

Your doctor might also take X-rays to better understand the underlying bone structure. In some cases, more specialized tests might be recommended to understand the exact cause and severity of the condition.

Treatment Options for Prognathism

The diagnosis of prognathism can feel overwhelming, especially when it comes to deciding on the best course of treatment. Rest assured that you have options, and the choice often depends on the severity of the condition and your child’s age.

Orthodontic Treatment

For children whose facial bones are still developing, orthodontic treatment can often address mild to moderate prognathism.

For example, braces can gently guide the teeth and jaw into better alignment over time. This intervention can help correct the jaw protrusion and promote a balanced facial profile.

Surgery

In adults, where the facial bones have stopped growing, surgery might be the most effective solution.

Corrective jaw surgery, also known as orthognathic surgery, can reposition the jaws to create a more harmonious facial profile and improve bite function. 

While it may sound daunting, advancements in surgical techniques have made the procedure safer and more predictable.

Post-Treatment Care for Prognathism

Post-treatment care is crucial for a successful outcome and a happy, healthy smile regardless of the treatment path.

  • Dietary changes After surgery, a soft food diet is essential for the initial healing period. Gradually, you can introduce more solid foods as your child (or you) recovers.
  • Oral hygiene — Maintaining impeccable oral hygiene is crucial. Regular brushing and rinsing with a special mouthwash will keep the mouth clean and aid healing.
  • Pain management You may experience some discomfort initially, but pain medication and ice packs can help manage it.
  • Follow-up Appointments — Regular checkups with your doctor are vital to monitor healing progress and ensure a smooth recovery.

How to Support Someone With Prognathism

Receiving a diagnosis of prognathism for your child can be overwhelming, but remember, you’re not alone. Many families face similar challenges, and support is available to help you navigate this journey with confidence.

Emotional Support

Your love and reassurance are paramount. If you’re a parent, maintain open communication with your child and encourage them to express their feelings. 

Help them understand that prognathism is just one aspect of their identity and does not define them. Focus on building their self-esteem by celebrating their unique qualities.

Connecting with Others

Connecting with other families who have children with prognathism can be incredibly beneficial. Sharing experiences, exchanging advice, and offering mutual support can make a significant difference. 

You can also seek out local or online support groups where you can connect with others who understand your journey. Organizations like myFace and the Children’s Craniofacial Association provide valuable resources and support for families affected by craniofacial conditions.

Professional Guidance

Don’t hesitate to seek professional support if needed. Therapists and counselors specializing in craniofacial conditions can equip you with coping mechanisms and strategies for building resilience.

Prognathism has different possible causes. While it can take a toll on self-esteem and potentially affect speech and eating, various treatment options are available. 

Early intervention is often key to achieving the best outcomes. Your doctor will work closely with you to create a personalized treatment plan and provide comprehensive care.

By understanding your options and working with your healthcare team, you can confidently navigate the path to a healthier, more confident smile.

Last updated on October 8, 2024
8 Sources Cited
Last updated on October 8, 2024
All NewMouth content is medically reviewed and fact-checked by a licensed dentist or orthodontist to ensure the information is factual, current, and relevant.

We have strict sourcing guidelines and only cite from current scientific research, such as scholarly articles, dentistry textbooks, government agencies, and medical journals. This also includes information provided by the American Dental Association (ADA), the American Association of Orthodontics (AAO), and the American Academy of Pediatrics (AAP).
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  2. Zabrina et al. “Genetic and epigenetic aspects of class III malocclusion with mandibular prognathism phenotypes.” AIP Conference Proceedings, 2021.
  3. Hoyte et al. “Prevalence of Bimaxillary Protrusion: A Systematic Review.” Open Journal of Epidemiology, 2021.
  4. Payne J and Tolarova M. “Genes Associated with Mandibular Prognathism in the Chinese Population.” Dugoni School of Dentistry, 2018.
  5. Tanaka et al. “Breaking the Thumb Sucking Habit: When Compliance Is Essential.” Case Reports in Dentistry, 2016.
  6. Mani V. “Orthognathic Surgery for Mandible.” Oral and Maxillofacial Surgery for the Clinician, Springer, 2021.
  7. Möhlhenreich et al. “Effects of different surgical techniques and displacement distances on the soft tissue profile via orthodontic-orthognathic treatment of class II and class III malocclusions.” Head & Face Medicine, 2021.
  8. Kahn et al. “The Jaw Epidemic: Recognition, Origins, Cures, and Prevention.” Bioscience, 2020.
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