Are Underbites Permanent, or Can They Be Corrected?

November 22, 2024

Your teeth play a significant role in your overall health and well-being. A straight, white smile can boost your confidence and self-esteem. However, achieving straight teeth isn’t always simple—it often requires time and effort. 

Imagine looking in the mirror and noticing your jaw doesn’t quite align as it should. For many people, this subtle misalignment—called an underbite—can be more than just a cosmetic concern. 

So, are underbites permanent, or are there ways they can be corrected? Let’s find out!

Understanding Underbites

A properly aligned jaw typically features the upper teeth slightly overlapping the lower ones. However, when this alignment is disrupted, issues like an underbite can arise.  

An underbite occurs when the lower jaw extends further than the upper jaw, causing the bottom teeth to sit in front of the upper teeth when the mouth is closed. This dental condition can impact both function and appearance.

Causes of an Underbite

Childhood Habits 

Certain childhood behaviours can play a role in the development of an underbite, including: 

  • Thumb sucking. 
  • Prolonged pacifier use past the age of three.  
  • Tongue-thrusting habits.  
  • Extended bottle-feeding beyond infancy.  

Genetics

Your genes significantly influence the shape and structure of your jaw and teeth, making underbites hereditary in many cases. If a close family member has an underbite, your likelihood of developing one increases.  

Injury

Severe facial injuries can lead to lasting damage to the jawbones. While surgery can often repair broken jaws, improper healing may result in an underbite.  

Tumors

Growths on the jawbones or within the mouth can alter the jaw's structure, causing it to protrude and creating an underbite.

Are Underbites Permanent?

Untreated underbites can gradually worsen over time and may become more challenging to correct as the jaw continues to grow or adapt to the misalignment. Without intervention, the uneven bite can lead to excessive wear on the teeth, jaw pain, and even temporomandibular joint (TMJ) disorders. 

Over time, the constant strain on the jaw and teeth can cause the misalignment to become more pronounced and potentially permanent, making treatment options more invasive and complex in adulthood.

How Untreated Underbites Worsen Over Time

Underbites are not necessarily permanent and can often be corrected with the right treatment. While they don’t resolve on their own, advances in dental and orthodontic care offer effective solutions for people of all ages. 

The key to determining if an underbite can be treated lies in early diagnosis and consultation with a dental professional. Left untreated, an underbite can lead to discomfort, difficulty chewing, and other oral health problems. With personalized care, it’s possible to achieve a balanced, comfortable bite and improve both function and appearance.

Treatments to Correct an Underbite

Braces

For mild underbites, braces can effectively straighten teeth and help realign the jaw. An orthodontist will evaluate your specific condition and fit you with braces. After treatment, wearing a retainer may be necessary to maintain the corrected alignment.

Facemask Therapy

This treatment involves wearing a device on the face that rests on the forehead and chin. Elastic bands connect the facemask to the upper jaw, gently pulling it forward to align it with the lower jaw.  

Facemask therapy requires dedication, as it typically needs to be worn for around 16 hours a day for about a year. While it is most effective for children aged 8 and younger, it can also yield positive results for teenagers.

Elastics

Similar to facemask therapy, elastic treatment involves using bands to reposition the upper jaw. The elastics are connected to mini-plates securely anchored in the skull and are worn inside the mouth. These bands work to gently pull the upper jaw forward, helping to achieve a balanced alignment.

Surgery

In severe underbite cases, surgery may be necessary to correct the condition. It can help address sleep apnea, realign the jaw, and alleviate pain. Typically, surgery is considered once growth has stopped, usually in adulthood.

Why Does it Become Necessary to Treat Underbites?

An underbite can impact your health in several ways, from affecting your appearance to disrupting your sleep. Here are some of the health issues that can arise from an underbite:

  • Temporomandibular Joint Disorder (TMD): An underbite can interfere with your temporomandibular joint (TMJ), potentially causing a disorder (TMD). The TMJ connects the skull to the jaw, but an underbite can restrict its movement, leading to pain and popping sounds when you try to move it.
  • Chronic Bad Breath (Halitosis): An underbite can lead to bacterial buildup in the mouth, resulting in persistent bad breath.
  • Mouth Breathing: If you frequently breathe through your mouth or snore at night, an underbite may be a significant factor contributing to these issues.
  • Sleep Apnea: This condition causes interruptions in breathing during sleep, leading to poor rest and daytime fatigue.

The negative effects of an underbite should not be ignored, so it's important to consult with an orthodontist and seek treatment as soon as possible.

Conclusion

While underbites are not necessarily permanent, they can become more difficult to correct over time if left untreated. Addressing an underbite as soon as possible can help prevent further complications, such as jaw pain, sleep issues, and difficulty chewing. 

If you suspect you have an underbite, consulting with a dental professional is the first step toward finding the right treatment and ensuring long-term oral health.

Struggling with an Underbite?

Contact Innovative Dental & Orthodontics for a consultation today and find the best solution for your smile!

Book your appointment now.

FAQs

Yes, underbites can often be corrected without surgery through orthodontic treatments like braces, elastics, or facemask therapy.
Treatment for an underbite typically takes anywhere from 1 to 3 years, depending on the severity and type of treatment used.
Yes, underbites can be corrected at any age, but early treatment often leads to faster and less invasive results. Adults may require more extensive treatments for underbites, like surgery.
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