Why misalignment matters
Managing misaligned teeth
Smiles never line up perfectly — and that’s okay. Having misaligned teeth (or malocclusion) is a relatively common dental issue for children and adults alike.
Misalignment occurs when teeth grow in crooked, are too crowded in the mouth, or don’t fit together properly when the jaw closes. Common types include:
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Overjet: The upper front teeth stick out too far over the lower row. -
Underbite: The lower teeth extend past those in the upper front.
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Crossbite: When one or more upper teeth sit inside the lower teeth, instead of outside.
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Open bite: There is a gap between the top and bottom teeth (a space where front teeth don’t touch) when the mouth is closed.
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Crowding or spacing: Teeth may overlap or have large gaps between them.
So why does this happen? Misalignment can be caused by several factors, including genetics, jaw size, early loss of baby teeth, thumb sucking, prolonged pacifier use, or injuries to the mouth and jaw.
Misaligned teeth range in severity and may not need correction. But sometimes they are more than just a cosmetic issue and can also negatively influence daily life and comfort:
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Chewing and speech can be more difficult.
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Unaddressed bite problems may lead to uneven tooth wear, gum erosion, jaw pain, or breathing issues like sleep apnea.
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Crowding or misalignment can make it more difficult to remove plaque when brushing and flossing, which increases the risk of cavities and gum disease.
If misalignment causes pain, speech difficulties, or problems chewing, it’s time to speak with a dentist or orthodontist.
How to reshape a smile
The good news is that misaligned teeth can often be treated effectively. The type of treatment depends on the severity of the issue and the age of the patient. Common options include:
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Braces: Metal or ceramic brackets and wires gradually shift teeth into better positions and are most common for teens due to compliance concerns.
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Clear aligners: Removable trays are often chosen by adults because they are less visible.
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Retainers: Used after braces or aligners, retainers help keep teeth from shifting back.
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Surgery: In severe cases, tooth extractions or corrective jaw surgery may be recommended to fix alignment and improve function.
Explore alignment options
Addressing misaligned teeth supports healthy teeth, gums, and jaws — if this is an issue for you, speak with a dental professional to begin treatment. Today, managing the issue is more comfortable and effective than ever.
