Updated on August 10, 2024
5 min read

Underbite Correction for Children, Teens & Adults

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An underbite is more than just a cosmetic concern. It’s a dental condition in which your lower teeth protrude further than your upper teeth, often due to jaw misalignment.

While some cases may be mild, an untreated underbite can lead to various issues affecting oral and overall health. Let’s discuss these causes and how you can treat your underbite.

What Causes an Underbite?

Underbites can result from several factors, the most common being genetics. If your parents or siblings have an underbite, you might, too.

Certain childhood habits, like thumb sucking or prolonged pacifier use, can also contribute to the development of an underbite. In some cases, an injury or tumor can be the culprit, though these are less common.

If you suspect you have an underbite, don’t hesitate to contact your dentist or an orthodontist. They can assess your case and recommend the most appropriate treatment options.

How Does an Underbite Affect Health?

While it’s easy to focus on the cosmetic aspects of an underbite, it’s important to understand the potential long-term health implications. If left untreated, an underbite can lead to:

  • Jaw pain and discomfort ⁠— Jaw misalignment can strain the temporomandibular joint (TMJ), cause chronic pain, clicking, and even difficulty opening and closing your mouth.
  • Breathing difficulties — Severe underbites can obstruct your airway, leading to sleep apnea.
  • Chewing and speech problems — An underbite can make it difficult to chew food properly, potentially leading to digestive issues. It can also affect speech, causing a lisp or other pronunciation challenges.
  • Dental problems — Misaligned teeth are harder to clean effectively, increasing the risk of tooth decay and gum disease. The uneven pressure on teeth can also lead to excessive wear and tear.

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Treatment Options for Underbite

Early intervention is key to preventing long-term complications. By proactively addressing your underbite, you’re not just improving your smile—you’re investing in your overall health and well-being.

Let’s break down the two main treatment categories⁠—non-surgical and surgical. The right path for you depends on the severity of your underbite and your personal preferences.

Non-Surgical Treatments

If your underbite is mild to moderate, non-surgical options might be a good fit. These typically involve orthodontic appliances, like braces and clear aligners (such as Invisalign).

They work by gradually shifting your teeth and, in some cases, your jaw into a more aligned position. In cases where overcrowding contributes to the underbite, removing one or more teeth can create the necessary space for proper alignment.

To better help you make an informed decision, we created a table showing the pros and cons of this type of underbite treatment:

ProsCons
Less invasiveIt may take longer to achieve the desired outcome (potentially a few years)
Minimal recovery timeIt might not fully correct severe underbites or those caused by jawbone discrepancies
Generally more affordable than surgery
Allows continuation of daily routine with minimal disruption
Effective for less severe cases

Surgical Treatments

For more severe underbites or those where the jawbone is the main culprit, surgical intervention might be necessary. This involves repositioning the jaw to correct the misalignment.

While it sounds intimidating, modern techniques have made these procedures safer and more predictable.

To better help you make an informed decision, we created a table showing the pros and cons of this type of underbite treatment:

ProsCons
Can achieve dramatic and lasting resultsRecovery time can be a few weeks to months
Most effective for complex cases and underlying skeletal issuesHigher costs associated with surgical procedures
May require orthodontic treatment before and after surgery

How to Choose the Right Underbite Treatment

The decision between non-surgical and surgical treatment is personal and should be made in consultation with your orthodontist or oral surgeon. They’ll consider factors like:

  • The severity of your underbite
  • Your age
  • Your overall health
  • Your personal goals

It’s important to weigh the pros and cons of each approach, considering your lifestyle, budget, and desired timeline for treatment.

Don’t hesitate to ask your healthcare provider questions and explore all your options. Remember, the goal is to find a treatment plan that aligns with your needs and helps you achieve a healthy, confident smile.

How to Choose the Right Dental Professional

Correcting your underbite can feel like a big step, but finding the right dental professional can make all the difference. It’s not just about their qualifications but also about finding someone who understands your concerns and creates a comfortable environment.

We also suggest looking for a dentist or orthodontist specializing in underbites. They should be up-to-date with the latest advancements in orthodontic care and have a proven track record of successful outcomes.

Here are other things to remember when choosing a dentist:

  • Your dentist or orthodontist should explain your treatment options in a way you can easily understand.
  • They should also listen attentively to your concerns and answer any questions you have patiently and thoroughly.
  • A good dental professional should be supportive and non-judgmental, creating a safe space to express your feelings and fears.

Seek recommendations from friends, family, or online communities. We also recommend reading reviews to understand other people’s experiences with the dental professional.

Remember, the relationship with your dental professional is a partnership. You should feel comfortable expressing your opinions, asking questions, and participating in the decision-making process.

Find the best at-home clear aligners for mild misalignment. See our expert recommendations.

What to Expect During Consultations

Your initial consultation is an opportunity to get to know the dentist or orthodontist and discuss your needs. They’ll conduct a thorough examination of your teeth, jaw, and facial structure, which may include X-rays and other imaging to get a detailed picture of your underbite.

Be open and honest about your concerns⁠—both cosmetic and functional. Share your goals for treatment and any anxieties you may have. A good professional will welcome your inquiries and ensure you’re fully informed before making any decisions.

Your dentist or orthodontist will present a personalized treatment plan outlining the recommended options, the expected timeline, and the estimated costs. If you’re unsure about a treatment plan or feel pressured in any way, don’t hesitate to seek a second opinion.

What’s Next?

Discover the best fit for your smile.

Explore top at-home clear aligner brands.

Last updated on August 10, 2024
10 Sources Cited
Last updated on August 10, 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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  4. Amr-Rey et al. “Association between malocclusion and articulation of phonemes in early childhood.” The Angle Orthodontist, 2022.
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  10. Consumer. “When Should Your Child See an Orthodontist?” American Association of Orthodontists, 2021.
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