Most people do not have perfectly aligned teeth unless they
have received treatment. Malocclusion means that the teeth are not aligned
properly and there is a problem with the ‘bite’. The manner in which the upper
and lower teeth fit together is the ‘bite’. Ideally, the points of the upper
molars fit into the grooves on the lower molars. People whose teeth protrude
are often described as having ‘buck teeth’, a malocclusion known as an
overbite. When the lower jaw and teeth jut forward, it is called an underbite.
Malocclusion is most often hereditary and the condition is
passed down through families. If there is a difference between the size of the
upper and lower jaws, the teeth may be pushed outward. Crowding occurs when the
teeth are too large for the jaw space;while very small teeth in a large jaw may drift out of position causing
alignment problems.
There are a variety of other causes of malocclusion:
·Thumb sucking
·Prolonged use of a pacifier
·Tongue thrusting
·Mouth breathing
·Prolonged use of a baby bottle
·Premature loss of baby teeth
·Trauma such as a jaw fracture resulting in
misalignment
·Tooth loss may cause drifting of a tooth into
the empty space
·Impacted or abnormally shaped teeth
·Ill-fitting dental fillings, crowns, appliances
·Tumors of the mouth or jaw
·Congenital malformations such as cleft palate or
severely underdeveloped jaw
The most obvious symptom of malocclusion is protruding or
crooked teeth and the condition can range from mild to severe. Other signs and
symptoms include:
·Difficulty chewing and biting food
·Abnormal appearance of the face when the
malocclusion is severe
·Speech difficulties including a lisp and
slurring
·Pain in facial or jaw muscles
·Teeth may come in at the wrong position
·Problems with repeated biting of cheek or tongue
·Mouth breathing
Dental malocclusions are often first noticed by the dentist
who may suggest a visit to an orthodontist for evaluation. This will likely
consist of:
·Dental x-rays including panoramic and profile
x-rays to check the jawbone and dental structure
·Clinical examination of the teeth, gums, jaw
structure, jaw joint function
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