How to fix underbite teeth with braces?

The question of whether braces can fix an underbite is one that many customers are concerned about when considering this method to restore the aesthetic of their smile and improve chewing function. In the article below, Elite Dental provides a detailed answer to the effectiveness of fixing an underbite with braces and how much the procedure costs, helping you make an informed decision as soon as possible.

1. Symptoms of underbite condition

An underbite is a very common type of malocclusion in dentistry, with fairly recognizable symptoms that can be observed and self-assessed at home. In a resting state, the lower jaw protrudes outward while the upper jaw recedes deeply inward. Additionally, when observing from an angle, you may notice a concave appearance of the face, which can disrupt facial harmony.

Underbites are categorized into two types:

Underbite due to teeth

In this case, there are no issues with the bone; the lower jaw is in a stable Class I position, but the upper teeth are positioned inside the lower jaw.

Underbite due to bone

Having an underbite due to bone means that the lower jaw has developed forward compared to the upper jaw, typically resulting in an overjet, where the lower jaw protrudes beyond the upper jaw. This type of underbite is more complex because the upper jaw bone is less developed than the lower jaw, and an accurate diagnosis often requires X-ray imaging of the jaw area. Based on the X-ray films, an orthodontist will perform precise measurements to determine the extent of the misalignment.

There are various different causes leading to an underbite condition, such as genetics. If close relatives like grandparents, parents, or siblings have an underbite, then the risk of having an underbite is higher for their descendants. Additionally, some common causes of underbites include:

• Early tooth loss: Losing baby molars in the lower jaw can cause this part of the jaw to slide forward to chew food, gradually leading to an underbite.
• Missing teeth: If upper incisors do not grow or grow slowly, it can reduce the length of the dental arch and cause the lower jaw to protrude outward, resulting in an underbite.
• Loose Temporomandibular Joint (TMJ): When the TMJ is not securely aligned, the lower jaw can be pushed outward, exacerbating the underbite.
• Endocrine changes: Disorders in the activity of the parotid gland during a child’s development can lead to jaw misalignment.
• Bad habits: Habits such as thumb-sucking, tongue-thrusting, chin-resting, or prolonged pacifier use, if maintained over an extended period, can lead to underbites in children.

It can be said that an underbite directly affects the facial structure (resembling a plow shape), causing a loss of harmony and balance, leading to reduced confidence in communication and smiling. If left untreated for an extended period, this condition can have serious effects on digestion and oral health.

Due to the underbite, chewing becomes difficult, food is not adequately crushed, leading to digestive disorders over time. Additionally, underbite teeth are often challenging to clean, making them prone to cavities, gum inflammation, and bad breath. Furthermore, prolonged misalignment in chewing can lead to dangerous complications such as jaw pain, severe misalignment, facial asymmetry, and TMJ pain.

2. Can braces fix an underbite?

According to the doctors at Elite Dental, braces are an optimal method for correcting an underbite. Specifically, using specialized dental appliances, braces apply the necessary force to gradually shift the misaligned bite back to its desired position, restoring even and beautiful dental arches for a radiant smile. In cases of mild underbites, the effectiveness of braces is even higher due to fewer misalignments in the bite and jawbone.

Furthermore, orthodontic braces for underbites deliver long-lasting results when patients maintain good care and follow the doctor’s instructions for wearing retainers. Especially, when the orthodontic treatment process is carried out at a reputable center with a team of skilled doctors, customers can achieve comprehensive results, including straightened teeth, correct positioning, a balanced facial appearance, a healthy bite alignment, and improved eating and oral hygiene.

3. Is getting braces for an underbite painful?

The application of orthodontic appliances such as braces, wires, and brackets is relatively gentle. At each stage, they exert just enough force to move the teeth, without causing any intrusion into the jawbone or gum tissue. Therefore, the sensation of pain is not as intense as many people may think.

In reality, the sensation of pain is more like aching and soreness due to the force applied by the orthodontic appliances to move the teeth into their correct positions on the dental arch. This discomfort is most pronounced in the initial stages but gradually diminishes over time as the teeth adapt to the pulling force from the braces. Therefore, patients do not need to be overly concerned.

Additionally, if you get braces at a reputable orthodontic center equipped with modern orthodontic technology, your orthodontic journey will be as gentle and comfortable as possible, with minimal swelling and pain.

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4. Do you have to extract teeth for underbite braces?

Typically, when undergoing braces for underbites, patients may need to extract at least the fourth or fifth molars.

Furthermore, depending on specific cases, the orthodontist may recommend tooth extraction. For instance, in cases of complex dental structures or adult patients, the likelihood of tooth extraction before orthodontic treatment is higher. This is also why Elite Dental advises correcting underbites during the golden period from 6 to 12 years old, to achieve a 98% success rate in correcting bone misalignment and avoid complex tooth extractions.

If a patient has impacted or intruding wisdom teeth inside the dental arch, they may need to extract them to facilitate the orthodontic treatment process.

However, there is no need to worry too much, as modern dental technology has made tooth extractions quick, gentle, and minimally painful. Extracted teeth typically do not play a crucial role in chewing or speech, so patients can rest assured even if tooth extraction is recommended.

5. Ideal timing for correcting an underbite with braces

The effectiveness of braces in correcting an underbite is closely related to whether the treatment is initiated at the right time. Specifically:

5.1. For children

In most cases of underbites, it occurs because the upper jaw bone develops less than the lower jaw bone. Jaw development typically completes between the ages of 11-13 for the upper jaw and 15-18 for the lower jaw. Therefore, the golden period for correcting underbites in children is considered to be between the ages of 6-12. During this time, a child’s jaw is more easily manipulated, allowing for efficient correction of jaw bone misalignment. For cases involving jaw bone issues, since the lower jaw continues to develop until around age 18, monitoring and treatment can continue until the child reaches 18.

For children, the treatment for correcting jaw bone underbites typically involves two stages:

• Bone correction phase: Using specialized orthodontic appliances for jaw bone correction in children (such as a facemask).
• Teeth alignment phase: Clear aligners or braces may be applied after the jaw bone has been adequately “repositioned”.

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5.2. For adults

If the golden period for underbite correction has passed, adults can still benefit from getting braces for underbites as early as possible to improve their chewing function, oral health, and facial aesthetics. However, the final results can only be achieved at their best, rather than achieving perfect aesthetics as in the early phase of 6-12 years old.

For adults, orthodontic treatment may involve the use of traditional braces for more complex cases and clear aligners for less complex cases.

6. How long does braces treatment for underbites take?

The duration of underbite braces treatment varies depending on the severity of the underbite, the chosen orthodontic method, the orthodontist’s techniques, and individual factors. Specifically, cases of mild underbites tend to have a shorter treatment time compared to complex cases.

However, as mentioned earlier, addressing underbites between the ages of 6-12 can completely correct the underbite and achieve results of up to 99% in both bite alignment and aesthetic. Afterward, the orthodontist continues to monitor and make adjustments until the age of 18 when the upper and lower jaws have fully matured. For adults, the average duration of underbite braces treatment ranges from 2-3 years.

7. Which method is the best for correcting underbites with braces?

Below are the characteristics of three commonly used methods for correcting underbites with braces:

7.1. Traditional metal braces

Traditional metal braces are a well-established method for underbite correction. They are easy to implement, cost-effective, highly effective, and suitable for mild to severe underbites. However, they are less aesthetically pleasing, may be susceptible to wire breakage or bracket detachment during treatment, and require caution when eating hard or tough foods.

7.2. Ceramic braces

Ceramic braces are similar to traditional metal braces, with the main difference being that they are made of dental ceramic material, which is durable and resembles the color of natural teeth. This gives them a high level of aesthetics, making them less noticeable from a distance. However, they tend to have a higher cost compared to metal braces.

7.3. Clear aligners

Invisalign clear aligners are a modern method for correcting underbites, emphasizing facial aesthetics. This method utilizes custom-designed transparent aligners for each individual and addresses the drawbacks of the two types of braces mentioned above.

Clear aligners do not pose difficulties in eating, offer simple oral hygiene maintenance, and eliminate concerns about wires or brackets poking the lips. The cost of clear aligners is higher, approximately 2-3 times more expensive than traditional metal braces, but the effectiveness and comfort they provide are exceptional. In fact, you can even anticipate up to 80% of your treatment results in advance.

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When it comes to the three braces methods mentioned above, choosing the most effective one is a common concern. Typically, this decision should be based on the condition of your teeth and the orthodontist’s recommendation after a thorough examination. For example, children in the age of changing teeth (6-12 years old) may undergo underbite correction using specialized orthodontic appliances such as a facemask and traditional braces to bring the upper jaw forward relative to the lower jaw.

Adults may be recommended a combination of the Meaw technique and traditional braces. Meaw is an orthodontic technique that optimizes the correction of bite misalignments, especially Class III malocclusions (underbites) and dental crowding. This technique is complex and requires a highly skilled and experienced orthodontist with a deep understanding of craniofacial growth mechanisms.

In many cases, patients can opt for Invisalign clear aligners, which are considered an optimal choice due to their high aesthetic appeal, effectiveness, and convenience. However, it is crucial for patients to visit an orthodontist for a thorough examination and diagnosis of their current dental condition to determine the most suitable treatment method. Some patients may choose to combine clear aligners with traditional braces, and in such cases, orthodontists may recommend adding lower braces to provide extra force for secure tooth movement.

For example, a 45-year-old patient named V.H came to Elite Dental with an underbite condition in the molar region, tilted and crowded teeth. To move the teeth to their correct positions, maintain the natural teeth as much as possible, and avoid tooth extractions, the orthodontists at Elite Dental devised a treatment plan combining Invisalign clear aligners. After completing 32 aligner trays, V.H’s underbite was corrected, her bite alignment was restored, her teeth were straightened and well-aligned, and her facial aesthetics were improved.

Another patient, N.Y, had upper teeth positioned inward inside her lower jaw (underbite). This condition negatively affected her oral health, causing difficulties in eating, speaking, and chronic jaw pain. However, all these issues were successfully addressed after N.Y decided to undergo underbite correction at Elite Dental. With a highly skilled and experienced team of orthodontists, state-of-the-art equipment, and advanced orthodontic technology, Elite Dental successfully transformed her smile, making N.Y healthier and more confident in her daily life.

Another case, you confided in Elite Dental that every time you smiled, your mouth was skewed to one side, and chewing was difficult due to the upper jaw biting inside the lower jaw, causing pain in the jaw.

After a thorough examination through X-ray images and analysis of bite joints using X-ray and straight face drawings, it was found that your Class III bite (underbite) and overdevelopment of the lower jaw were quite complex. Therefore, to achieve the best results, the orthodontist planned a combination of treatments, including:

• Using a transparent tray for the upper jaw and braces for the lower jaw in the initial phase to stabilize the lower jaw.
• In the later stage, the patient wore trays for both jaws, combined with wearing transparent elastic bands diligently throughout the journey.

As a result, you now have a proper bite and a radiant smile, and your jaw pain has significantly improved.

Dao Nguyen came to Elite Dental when she was about to turn 12, just in time for the correction of her severe jaw discrepancy. After a 4-year orthodontic journey to fix her jaw discrepancy, Dao Nguyen has undergone significant changes: a balanced facial appearance, the upper jaw is back in the correct position relative to the lower jaw, a more confident smile, and, most importantly, a significantly improved oral health.

To achieve this, in addition to the precise treatment plan of the doctor, the timing of the intervention is crucial. If orthodontic treatment is done during the golden age, the condition of jaw discrepancy can be completely corrected, yielding the optimal results. Therefore, parents should schedule an appointment for their children to see the dentist at Elite dental today to completely resolve the jaw discrepancy. Learn more about Dao Nguyen’s treatment journey HERE.

In cases of severe jaw discrepancies in adults, surgical intervention may be required. However, at Elite Dental, the team of dentists always strives to treat and improve jaw discrepancies as effectively as possible through orthodontic treatment without the need for surgery.

8. How much does orthodontic treatment for jaw discrepancies cost?

The cost of orthodontic treatment for jaw discrepancies depends on various factors such as:

The severity of the jaw discrepancy

Mild jaw discrepancies typically have lower costs as there is less misalignment of the jaw and bite.

Oral health condition

If the teeth have issues like cavities, gum inflammation, or swelling, additional treatment costs may be incurred before orthodontic treatment.

Orthodontic method

Traditional braces with metal brackets and wires generally have lower costs compared to Invisalign clear aligners.

The skill of the orthodontist

Orthodontists with high expertise will provide an accurate diagnosis and offer a treatment plan that maximizes effectiveness while optimizing costs.

Facility and equipment

Dental clinics equipped with modern technology and meeting healthcare standards often have higher costs compared to budget orthodontic clinics.

At Elite Dental, our orthodontists have years of experience and in-depth knowledge of correcting jaw discrepancies. Our clinic is well-equipped with state-of-the-art technology, providing efficient dental care and comfort to our patients.

The orthodontists at Elite Dental will analyze and recommend a suitable orthodontic treatment plan based on the individual’s jaw discrepancy and specific needs. Additionally, Elite Dental offers a 3-6-9-month installment payment plan through banks for invoices over 20 million VND, eliminating the need to pay the entire amount upfront, helping patients ease the financial burden and proceed with treatment.

For the latest price list of orthodontic treatment for jaw discrepancies at Elite Dental:

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9. To achieve the most effective and quickest results in orthodontic treatment for jaw discrepancies, what should you keep in mind?

In addition to getting orthodontic treatment at the right time, the success of correcting jaw discrepancies during orthodontic treatment also depends on how well the patient takes care of their teeth during and after the treatment. To maximize the effectiveness of jaw discrepancy correction through orthodontic treatment, here are some important things to keep in mind:

• Follow your orthodontist’s instructions during the treatment process, such as wearing elastics at home or using orthodontic appliances to apply the necessary force to move the teeth into the correct position.
• When you first get your braces or orthodontic appliances, you may experience discomfort and toothaches, but these symptoms usually subside within a few days. If you experience severe or persistent pain, it’s important to consult with your orthodontist for assistance.
• Avoid bad habits like biting your nails, biting pens, lip-biting, or pushing your teeth with your tongue. When playing sports, remove removable braces or wear mouthguards for protection (for fixed braces).
• If your braces or orthodontic appliances become damaged, seek immediate attention from your orthodontist for evaluation and repairs.
• During orthodontic treatment, opt for soft, cut-up foods. Avoid hard, crunchy foods, chewing gum, sweets, and carbonated beverages as they can damage the braces and promote tooth decay.
• After eating, make sure to clean your teeth promptly. Brush your teeth at least twice a day, use dental floss, and mouthwash.
• Schedule regular follow-up appointments as recommended by your orthodontist or whenever you notice any unusual signs with your teeth. This will help in assessing and adjusting the orthodontic forces and addressing any issues in a timely manner.

Therefore, the question of whether orthodontic treatment can completely correct jaw discrepancies has been answered in this article. It’s evident that orthodontic treatment is an optimal solution that helps patients restore proper bite alignment, improve oral health, and ensure facial harmony. One crucial aspect of orthodontic treatment is choosing a reputable clinic with highly skilled orthodontists to ensure safety and effectiveness.

Contact Elite Dental now for detailed consultations on orthodontic treatment for jaw discrepancies or to schedule an appointment at:

Elite Dental Aesthetic and Orthodontic Center:

• 75 Huynh Tinh Cua Street, Vo Thi Sau Ward, District 3, Ho Chi Minh City
• Hotline: 0902661100