Key Points

  • An overbite occurs when the upper teeth misalign with the lower teeth, typically causing the upper teeth to overhang the lower teeth by more than 2-4 millimeters, leading to a condition called overjet.
  • Common signs of an overbite include jaw pain, tooth decay, gum disease, breathing issues, and speech challenges, all of which can worsen over time if untreated.
  • An overbite can be caused by genetics, nail-biting, teeth grinding, or prolonged thumb sucking in children, all of which can lead to misalignment of the teeth and jaw.
  • Overbite treatment includes palate expanders for children, braces for both children and adults, Invisalign aligners for mild to moderate cases, and retainers to maintain proper alignment after treatment.

All of us have unique facial features that make us who we are. This includes the color of our eyes, the position of our nose and mouth, and of course, our smiles.

While we might not think too much about it, the alignment of our upper jaw and the positioning of our teeth can also play a factor in how our face is structured. Because of this, it’s important to get regular dental checkups to make sure that our upper teeth and lower ones are in good condition and positioned correctly.

In some situations, a condition known as an overbite can happen – either at birth or later in life – that may need to be corrected by an orthodontist. Below, we’ll talk a bit more about what an overbite is, some common signs and symptoms you may have developed one, and what can be done to help treat it.

What is an Overbite?

An overbite occurs when there is a misalignment between your upper teeth and lower teeth. In most cases, most people’s upper teeth will slightly overhang the lower teeth when biting down. However, in some cases, the gap between the upper and lower teeth can be larger than 2-4 millimeters. This is when orthodontists will refer to this condition as an overbite, also known as an overjet.

How To Know If You Have One? Signs and Symptoms of an Overbite

At first, having an overbite may not seem to be a big deal – and in many cases, you may not be overly noticeable. However, over time, there may be certain signs that there is a misalignment in your upper jaw and point to needing a trip to an orthodontist sooner rather than later.

Some of the common signs and symptoms of an overbite include:

  • Ongoing Jaw Pain – Normal jaw function and alignment puts even amounts of pressure on your top and bottom teeth. However, when there is an issue with the alignment, it can start to put more stress on certain jaw joints. This jaw pain will become more pronounced when opening your mouth to chew or when yawning and usually worsens over time, creating difficulty chewing.
  • Signs of Tooth Decay – Most people develop eventually develop a cavity that needs filling. But when you have an overbite, there is a higher likelihood of experiencing rapid tooth decay due to grinding or added pressure to the surface of your teeth. This can eventually lead to severe overbite and could require tooth extraction or even corrective jaw surgery if not properly addressed.
  • Gum Disease – When you have an overbite, it can make your upper teeth overlap or lead to crowded teeth along your jawline. This makes it more difficult to remove food particles during brushing or flossing, which can be the main contributor to developing gum diseases like gingivitis.
  • Breathing Issues – Although not present in all cases of individuals with an overbite, more serious overbites can contribute to ongoing breathing issues. This is especially present when sleeping, as it can restrict nasal passages and make breathing through your nostrils more difficult.
  • Speech Challenges – Depending on the gap between the top and bottom rows of teeth, overbites can cause certain speech problems in individuals. Because of the position of the teeth, saying certain letters or words clearly can be a challenge.

Differences Between Overbite and Underbite

Both overbites and underbites are different malocclusions that affect the alignment of your jaw. In the event of an overbite, your top teeth will extend more than usual past your bottom teeth. An underbite is the same condition but in reverse. Both conditions have similar signs and symptoms and should be evaluated by a dentist or orthodontist to discuss possible treatment solutions.

What Causes an Overbite?

An overbite may not exist at first and can develop over time. In other cases, the condition could be present at birth and will be easy to diagnose on your first dental checkup. Below are some of the common causes of developing an overbite:

Inherited Traits

Your genetics will have a good bearing on whether or not you’re born with or develop an overbite. Even minor misalignments in your jaw can worsen over time and become more pronounced the older you get.

Biting Your Nails

Excessive biting of your nails can put too much pressure on your top and bottom teeth and cause an overbite. This happens when constant pressure on your upper front teeth starts to gradually shift your jawline forward and increase the gap between teeth.

Teeth Grinding

Teeth grinding, also known as bruxism, is a common symptom of certain sleep conditions like apnea. In these situations, individuals unknowingly will grind their teeth excessively while they sleep. When untreated, these conditions can increase tooth decay while also adding too much pressure to the top and bottom jawline and leading to misaligned teeth.

Thumb Sucking

When children suck their thumbs for an extended period of time or are overly dependent on using a pacifier, it can lead to an overbite to developing. The thumb sucking puts increased pressure on the upper and bottom teeth and can eventually cause misalignments in the jaw from occurring.

How is an Overbite Treated?

How Is An Overbite Treated?

Once an overbite is identified, the types of treatment recommended will depend on a variety of factors, including age, severity of the overbite, and any other pre-existing conditions. Below are some of the potential overbite treatment options and who they’re most intended for:

Palate Expanders

When children are diagnosed with having an overbite, palate expanders can be used to help gradually make improvements in jaw alignment. These appliances work by widening the upper jaw while creating more space for upper front teeth to grow in the correct position. Typically, a palate expander will be worn for several months and may require periodic adjustments from an orthodontist.

Braces

In many cases, braces may be the recommended treatment option for both children and adults for overbites. Braces will encourage gradual adjustments in both the vertical and horizontal alignment of upper teeth and lower teeth while lessening the gap between both. While traditional braces may be metal or ceramic, there are also transparent options to help provide the same treatment while being less noticeable.

Invisalign Aligners

Invisalign aligners are clear trays used to replace traditional braces to help support various dental imperfections. Each aligner is custom-molded to the individual and is usually a recommended option for mild and moderate overbites. Unlike braces, aligners are removable and typically have less discomfort. However, these solutions will require more user compliance to get the intended benefits.

Retainers

Retainers are alignment devices usually used after an Invisalign treatment or when wearing braces to help maintain the new jaw alignment. While most retainers won’t need to be worn indefinitely, the length of time they’ll be used will depend on each individual and the instructions of an orthodontist.

Frequently Asked Questions

Below are some of the most frequently asked questions regarding overbites

Can an overbite eventually correct itself?

No. If there is an apparent misalignment between your upper and lower teeth, it will likely become more pronounced over time. The earlier you’re able to intervene when you notice your upper teeth overlap extensively, the fewer complications it will cause and the easier it will be to treat.

How long does it take to correct an overbite?

After a thorough examination of your overbite and any other potential dental issues you may be experiencing, your orthodontist will discuss with you all of the available options you have to treat it. The length of time each orthodontic treatment type will take will depend on the severity of the condition, your age, and other unique variables. When getting braces or Invisalign treatments to correct an overbite, you can expect the total treatment time to be anywhere from 6-18 months on average.

How old do you need to be to have fan overbite treated?

It’s generally recommended that an orthodontist evaluate children for an overbite at around seven years of age. At this point, an appropriate orthodontic treatment plan can be selected if it’s noticed that teeth overlap more than they should. The earlier an overbite is detected and addressed, the fewer complications that will be presented and the shorter the timelines for effective treatment.

Will my overbite come back after treatment?

After your orthodontic treatment, there is always a risk that your upper front teeth could start to shift back to their original alignment. This is why orthodontists will typically recommend that you wear a retainer after using braces or aligners. This will minimize the risks of an overbite recurring after treatment and provide a more permanent fix for the condition.

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