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We can assess and advise you on the most suitable method and best timing of treatment, based on our many years of experience in treating many thousands of cases.
One of the most common reason why people seek orthodontic treatment is because their teeth are crowded. Very few people have naturally ‘perfect’ tooth alignment. When there is insufficient room for the normal complement of adult teeth, the imbalance may be due many factors. In deciding when and how best to treat, we fully assess our records, growth potential and identify the factors that may have caused such imbalance.
A deepbite occurs when there is an excessive overlap of the front teeth. Severe deepbites can lead to excessive wearing of the front teeth and bite trauma to the gums. We can restore the proper bite, which will then allow your dentist to repair any damage done to your teeth.
An ectopic tooth is when a tooth erupts into a displaced or incorrect position in the mouth. The ectopic tooth is often also tilted at an angle. It can obstruct the space required for another tooth to erupt and affect the alignment of the neighbouring teeth. With the correct orthodontic treatment, these teeth can be aligned and don’t need to be extracted. This avoids asymmetries and other long-term problems.
A tooth may not erupt properly because it is blocked by overlying tissue, bone or adjacent teeth. This is known as tooth impaction. The impaction can sometimes be due to the tooth itself being severely tilted. Wisdom teeth (third molars) are one of the most common impacted teeth, followed by upper canines.
We are very experienced in aligning even the most challenging canine and tooth impactions imaginable. Aligning the teeth also creates the gum and bone tissue around these teeth, something which is not done as well with artificial implants and prostheses.
Missing adult teeth can result in unattractive gaps in your smile and unwanted movement of adjacent teeth. Where possible and appropriate, our first choice is to close up these gaps to give an “all-natural” smile. However, if the gap is too large or there is not enough teeth, a space in the arch may be created for tooth prosthesis to fill in the gap.
Openbite exists when opposing teeth do not meet, causing chewing and speech problems. This can be due to a finger sucking habit, unfavourable jaw growth or failure of teeth to erupt. Early treatment of finger sucking during childhood is recommended. Treatment of some openbites may be deferred till adulthood, especially if it is caused by unfavourable jaw growth. Severe cases will need jaw surgery to help fix the problem while cases of moderate severity can be fixed by orthodontics combined with TAD’s.
A crossbite is when the upper side teeth bite inside the lower teeth. Often the upper jaw is narrow and may give rise to crowding of the upper front teeth. A crossbite can also cause the lower jaw to deviate when biting down – this can lead to jaw joint and facial asymmetry problems in the future. Early expansion of the upper jaw will often help to fix this.
A protrusive bite is where the upper front teeth sit far out over the lower teeth. It puts the upper front teeth at an increased risk to trauma and fractures. We tailor treatment according to the underlying cause, be it a jaw size discrepancy, digit-sucking habit, poor lip posture or poor tooth alignment. We find it best to assess a child with a protrusive bite by the age of 7 – 9 years of age. We have been able to achieve amazing results in treating children and teens and even some adults using Bite Jumpers.
Spacing between teeth can lead to an unattractive smile. This is often due to the teeth being too small for the jaws. Other factors may include missing teeth and habits such as a tongue-thrust. Orthodontic treatment can help to close the spaces or relocate teeth to improve your smile. Long-term retention is important as these gaps are very prone to re-opening.
A young child often sucks on their fingers, blanket or toy for comfort and security. The effects of this can include a protrusive bite, spacing between the upper front teeth, and/or a posterior crossbite especially if the habit persists into the late childhood.
It is recommended to stop the habit during early childhood, in particular before the adult front teeth erupts. If the habit is persistent, we will advise you of various treatment options available, including self-assessed home care and/or appliance therapy.
An underbite occurs when the lower front teeth bite in front of the upper incisors. The chin may also look too prominent, the upper lip too thin, and the cheeks too flat. Biting into food can be a challenge due to the lack of front tooth contact. The underbite can cause uneven wear of the front teeth and other problems. Many cases progressively get worse as the child or teen grows older. In some cases, it is a family trait.
Diagnosis is critical, as some cases will treat out extremely well with orthodontics alone (with or without extraction of teeth). Other cases are best treated by orthodontics combined with corrective jaw surgery. Early assessment and diagnosis gives us an the best opportunity to guide parents and patients on the long-term care and treatment of such cases.
Disclaimer: The cases here have all been treated by the Doctors at Smile Council Orthodontics. Each case shows the before and after treatment images of the same person. This does not imply that all cases will have an identical outcome. Your consultation appointment with the Doctors at Smile Council Orthodontics will include a discussion of all your treatment options and their likely outcomes.