Open Bite Treatments

An Open Bite occurs when there is no vertical overlap of the front teeth.

An Open Bite often causes problems with speaking and biting into foods. It affects 61% of children between 2 to 3 years of age and 9% of 8 year olds.

An Open Bite does not improve spontaneously after the age of 8 for factors including heredity, thumb sucking, tongue position, and airway issues. Open Bites are caused by:

  • Insufficient eruption of front teeth
  • Excessive eruption of the back teeth
  • Excessive vertical jaw growth
  • Degeneration of the TMJ

Treatment options range from jaw surgery, developmental guidance, intrusion of back teeth, and extrusion of front teeth.

1. Jaw Surgery

Advantages:

  • Highest level of profile and self-image improvement
  • Best jaw alignment possible

Disadvantages:

  • Requires jaw surgery
  • Open bite may return (82% of treatments are stable)

2. Thumb Crib or Tongue Crib

Advantages:

  • Stops thumb habit or tongue thrust
  • Allows natural eruption of teeth (87% successful closure)

Disadvantages:

  • Additional appliance
  • High cooperation needed
  • Tissue irritation especially with young patients
  • Depends upon favorable jaw growth

3. Miniscrew Intrusion

Advantages:

  • Intrudes back teeth
  • Allows jaws to rotate closed

Disadvantages:

  • Miniscrew placed in bone
  • Additional appliance
  • Tissue irritation
  • Open bite may return (82% of treatments are stable)

4. Rubber Bands

Open bite before and after braces

Open bite corrected with palatal expansion, full braces, and rubber bands in 22 months. Actual patient of Dr. Viechnicki.

Advantages:

  • Moves front teeth together

Disadvantages:

  • Does not affect jaw position
  • High cooperation required
  • Open bite may return (75% of treatments are stable)

5. Removal of Teeth

Advantages:

  • Lower cooperation needed compared to rubber bands

Disadvantages:

  • Requires removal of teeth
  • Does not affect jaw position
  • Open bite may return (75% of treatments are stable)


Make it a great day!

Dr. Bryon Viechnicki DMD, MS Orthodontist, Owner, Smile Logic Orthodontics

Dr. Bryon Viechnicki (like Vick-Nikki)