When Does an Underbite Need Surgery?

An underbite is a dental condition in which the lower teeth rest in front of the upper teeth when the mouth is closed. Some underbites are mild and cause few problems, while others make chewing, speaking, and oral health more difficult. Many people often wonder when an underbite calls for surgery.

Well, the answer depends on factors such as the severity of the underbite, the patient’s age, and how it affects daily activities. Let’s take a closer look at it in this blog.

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    What Causes an Underbite?

    Before discussing surgery, it helps to know why underbites happen. Common causes include:

    • Genetics
    • Childhood habits
    • Injury
    • Tumors

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    When Can an Underbite Be Fixed Without Surgery?

    Not all underbites require surgery. Non-surgical treatments work best in children and teens because their jaws are still growing. Options include:

    • Braces or Clear Aligners: These gradually move teeth into the right position
    • Upper Jaw Expanders: A device that widens the upper jaw over time
    • Facemasks or Headgear: These encourage proper jaw growth in children

    If caught early, these methods can correct an underbite before surgery becomes necessary.

    When Is Underbite Surgery Needed?

    Underbite surgery is usually the last option, but sometimes it’s the best way to fix the problem. Here’s when doctors might recommend underbite surgery:

    1. Severe Jaw Misalignment

    If the lower jaw is much longer than the upper jaw, braces alone won’t fix it. Surgery repositions the jaw for proper alignment.

    2. Difficulty Chewing or Speaking

    An extreme underbite can make eating tough and cause speech problems. Surgery helps restore normal function.

    3. Chronic Jaw Pain or Headaches

    A misaligned jaw strains muscles, leading to pain. If non-surgical treatments don’t help, surgery may be the solution.

    4. Excessive Tooth Wear

    When teeth don’t meet correctly, they wear down faster. Surgery prevents long-term damage.

    5. Breathing Problems or Sleep Apnea

    In some cases, an underbite affects breathing. Correcting the jaw can improve airflow.

     

    What Does Underbite Surgery Involve?

    Underbite surgery, or orthognathic surgery, is performed by an oral surgeon. Here’s what to expect:

    1. Consultation and Planning: X-rays and 3D imaging help plan the procedure.
    2. The Surgery: The surgeon repositions the jawbone and secures it with small plates or screws.
    3. Recovery: Swelling and discomfort are normal for a few weeks. A soft-food diet is needed initially.
    4. Follow-Up Care: Braces or retainers may be used afterward to fine-tune the bite.

    Most patients see a big improvement in their bite, appearance, and overall comfort after healing.

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    All in All

    Only an experienced dentist or orthodontist can determine if underbite surgery is needed. They’ll examine your bite, take scans, and discuss the best treatment plan.

    If you’re considering underbite surgery, consult a specialist who can guide you through the process.

    At ACE Dental of Texas, our team provides expert care for underbites, from braces to advanced surgical solutions. If you need an evaluation, contact us at (833) 777-7223 to schedule a consultation.

    Location:

    ACE Dental of Texas
    201 Sparta Road Suite 201
    Belton, TX 76513
    Phone: (833) 777-7223

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    We are dedicated to providing our patients with complete dental care, no matter the complexity of their needs. From regular exams and cleanings to more intricate treatments like crowns or root canals, we have the knowledge and equipment necessary for maintaining a healthy smile. Our offices are located all over town; come visit us today!

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