Overbite and Underbite issues can, in most instances, be corrected nonsurgically. This creates an aesthetic result that many call a Facelift in the Dental Office. This can change the proportions and add to facial beauty. The photos below show some examples:
There are several ways this can be accomplished. First, it is important to note that any TMJ pain (or jaw joint comfort), airway, and neck comfort all need to be considered. There is usually a reason that these types of bites develop and many times it is related to airway issues or neck issues.
Being comprehensive and addressing these issues as opposed to just looking at teeth allows for a more predictable long term result. Generally speaking, with TMJ pain patients, the first goal is to treat the patient to get them out of pain and ascertain corrected muscle and joint posture for the head and neck. When this is achieved, a special type of appliance can be utilized to develop the jaw and airway. Porcelain can be used to restore the teeth as well.
The appliance we find most useful is an Anterior Growth Guided Appliance (AGGA). There are several others that some use, such as a DNA appliance or Alf Appliance. This helps to develop the upper jaw to the correct physiologic and aesthetic position determined by careful 3D analysis. If an appliance is used, the second phase can be followed with Controlled Arch Orthodontics to protract the teeth and not retract the teeth as conventional orthodontics does. Other times, patients elect to do porcelain after this phase in place of orthodontics. When using porcelain, the bite position is most important as opposed to the type of porcelain used. Some use Emax, feldsphathic, or some use Venlay® porcelain.
If you have questions regarding Underbite or Overbite Nonsurgical treatment or TMJ Pain, please feel free to contact our office, Ronald W. Konig DDS, FAGD, LVIF, 713-668-2289.