How Do Orthodontists Fix Open Bites?

An open bite is a common orthodontic issue where the upper and lower teeth do not meet when the mouth is closed. This misalignment can cause difficulties with chewing, speech, and even self-esteem. Fortunately, orthodontists have a range of effective solutions to fix open bites, depending on the severity and the patient’s age. In this blog, we'll explore what an open bite is, how it affects oral health, and the various orthodontic treatments available to correct it.

What is an Open Bite?

An open bite occurs when the upper and lower teeth do not touch each other when the jaws are closed. This misalignment can involve the front teeth (anterior open bite) or the back teeth (posterior open bite), and it can be caused by various factors. These include:

• Thumb sucking or prolonged pacifier use

• Tongue thrusting (pushing the tongue against the teeth when swallowing)

• Skeletal abnormalities

• Genetics

Why Fixing an Open Bite is Important

Left untreated, an open bite can lead to several complications, such as:

• Difficulty Chewing: Food may not be properly broken down because the teeth don't fully meet.

• Speech Problems: An open bite can cause lisps or other speech impediments.

• Jaw Pain and TMD: Misaligned bites can stress the temporomandibular joint (TMJ), leading to discomfort or pain.

• Aesthetic Concerns: Many individuals with open bites feel self-conscious about their appearance, as the misalignment is often visible when they talk or smile.

How Orthodontists Diagnose an Open Bite

An orthodontist will first perform a thorough examination of the patient’s teeth, gums, and jaw. X-rays and impressions may be taken to assess the severity of the open bite and determine the underlying cause. Once diagnosed, the orthodontist will create a personalized treatment plan designed to correct the bite and improve the patient’s oral health.

Treatment Options for Fixing an Open Bite

Orthodontic care offers several approaches to fix an open bite. The treatment plan often depends on whether the issue is related to dental habits or skeletal abnormalities. Below are some of the most common orthodontic treatments used for open bite correction.

1. Braces

Braces are one of the most widely used orthodontic treatments for correcting open bites. They use metal brackets and wires to apply consistent pressure on the teeth, gradually moving them into the correct position.

• How Braces Fix an Open Bite: For patients with an anterior open bite, braces can shift the front teeth downward and inward until they properly align with the lower teeth. For posterior open bites, braces can move the back teeth upward to meet the upper teeth. The orthodontist will make periodic adjustments to ensure optimal results.

• Duration: Treatment with braces for an open bite can take anywhere from 18 months to 3 years, depending on the severity of the issue.

2. Clear Aligners

Clear aligners, such as Invisalign, are a popular alternative to traditional braces for treating mild to moderate open bites. They are nearly invisible and can be removed for eating and cleaning, making them a convenient option for many patients.

• How Clear Aligners Fix an Open Bite: Like braces, clear aligners work by applying gentle pressure to the teeth, gradually moving them into place. The aligners are custom-made for each patient and are replaced every 1-2 weeks as the teeth shift.

• Duration: The time required for open bite treatment with clear aligners is generally shorter than with braces, often between 12 and 24 months.

3. Tongue Crib

In cases where an open bite is caused by tongue thrusting, a tongue crib may be used. This small, metal device is attached to the back of the upper teeth and prevents the tongue from pushing against the front teeth when swallowing.

• How a Tongue Crib Fixes an Open Bite: The tongue crib retrains the tongue to stay in the correct position during swallowing, which helps reduce the pressure on the front teeth. It is often used in conjunction with braces or clear aligners for more comprehensive treatment.

• Duration: Patients typically wear the tongue crib for 6 to 12 months, depending on their progress.

4. Elastics

Orthodontic elastics (also known as rubber bands) are often used to correct an open bite, especially in conjunction with braces. These bands are attached to the upper and lower brackets, helping to pull the teeth into proper alignment.

• How Elastics Fix an Open Bite: The elastics apply additional pressure to the teeth, helping to close the gap between the upper and lower arches. They are usually worn full-time, except when eating or brushing.

• Duration: The length of time elastics are needed will vary depending on the complexity of the case but typically ranges from several months to over a year.

5. Orthognathic Surgery

In severe cases, where the open bite is caused by skeletal issues rather than dental misalignment, orthognathic surgery may be required. This surgical procedure involves repositioning the upper or lower jaw to correct the bite.

• How Surgery Fixes an Open Bite: During the procedure, an oral surgeon will move the jawbone into a more natural position. After surgery, patients typically wear braces or clear aligners to fine-tune the alignment of their teeth.

• Duration: Recovery from orthognathic surgery can take several weeks, with additional time required for post-surgical orthodontic care.

Preventing Open Bites

While some open bites are caused by genetic factors, others can be prevented by addressing harmful habits early on. Parents should monitor their children for prolonged thumb-sucking, pacifier use, or tongue thrusting. Regular dental check-ups can help catch these behaviors early, allowing for timely intervention and the potential to prevent an open bite from developing.

Choosing the Right Orthodontic Care for an Open Bite

Each case of open bite is unique, and the best treatment option will depend on the cause and severity of the misalignment. Consulting with an experienced orthodontist is the first step in determining the most effective treatment plan. Whether through braces, clear aligners, or even surgery, orthodontic care can successfully correct an open bite, improving both the function and appearance of your smile.

The Role of an Orthodontist in Cumming

If you live in Cumming and are concerned about an open bite, seeking treatment from an orthodontist is essential. A skilled orthodontist in Cumming can assess your condition, provide personalized treatment options, and guide you through the process of achieving a healthy, aligned smile.

In conclusion, open bites can be effectively treated with various orthodontic methods. From traditional braces to modern clear aligners and surgical interventions, orthodontists have the tools and expertise needed to address this common issue. Whether you’re dealing with a mild or severe case, proper orthodontic treatment can enhance your oral health, speech, and confidence. For those in Cumming, finding the right orthodontist ensures that you receive top-quality care throughout your treatment journey.