Overbite Treatments

Excessive overbite occurs when the upper teeth bite too far ahead of the lower teeth. It occurs in 15% of the population and is caused by the following:

  • Large upper jaw (15%)
  • Small lower jaw (85%)
  • Protrusion of upper teeth
  • Retrusion of lower teeth

Treatment options range from restricting upper jaw forward growth, increasing lower jaw forward growth, and moving teeth to camouflage the skeletal problem.

1. Jaw Surgery

Advantages:

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

Disadvantages:

  • Requires jaw surgery

2. Headgear

Advantages:

  • Restricts upper jaw forward growth

Disadvantages:

  • Removable appliance (58% success rate with cooperation)
  • Longer treatment (1-3 years) because part time wear
  • Depends upon continued lower jaw growth

3. Herbst

Advantages:

  • Restricts upper jaw forward growth
  • Increases lower jaw forward growth
  • Full time wear so shorter treatment time (12-15 months)
  • Immediate profile and self-image improvement

Disadvantages:

  • Additional appliance
  • Tissue irritation, especially in small mouths
  • Depends upon continued lower jaw growth

4. Forsus

Advantages:

  • Restricts upper jaw forward growth
  • Increases lower jaw forward growth
  • Full time wear so shorter treatment time (6-12 months)
  • Less cooperation needed than rubber bands

Disadvantages:

  • Same as Herbst
  • Used for less time than Herbst so smaller correction (4mm)

Example:

5. Rubber Bands

Advantages:

  • Moves teeth to improve excessive overbite

Disadvantages:

  • Does not affect jaw position, so smaller correction (3 mm)
  • High cooperation required

6. Removal of Upper Teeth

Advantages:

  • Better result compared to not removing teeth
  • Lower cooperation needed compared to rubber bands
  • Does not depend on lower jaw growth

Disadvantages:

  • Does not affect jaw position
  • Requires removal of teeth

Make it a great day!

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

Dr. Bryon Viechnicki (like Vick-Nikki)