There’s a mouthful (!). But malocclusion just refers to poorly aligned teeth. It’s quite a concern for many parents and a good number of adults too. Let’s explain a few key basics here…
By the Hollywood-standard it is probably true that well over 95% of us have poorly-aligned teeth! More realistically, malocclusion really refers to the more severe forms that may cause problems with dental hygiene, chewing, speaking clearly, and of course, appearance. It is worth mentioning that appearance may be of greater or lesser importance to different people, and that if we consider this to be entirely subjective, we could argue that anyone who says they have malocclusion, has….
Malocclusion can be caused by things such as injury, tumours of the jaw, excessive teeth, thumb sucking, and excessive pacifier use. But the vast majority of cases are hereditary (genetic) and related to jaw/face bone structure mainly. For most people, malocclusion is something they were simply born with.
There are two basic forms: over-bite and under-bite. Both can be mild or quite severe.
Many people go through life with imperfect teeth. And mange just fine. Perhaps they do not land the top acting or modelling jobs, but in almost all other walks of life, slightly imperfect teeth are just fine. And the norm.
When treatment is required (severe cases) or desired (borderline cases and those prioritising appearance), an orthodontist is consulted. The main treatment options involve the use of braces (metal rings are glued onto the teeth and then wires and bands used to “pull” the mouth into better alignment), which can be a costly and lengthy experience taking years in some cases. Surgery is only occasionally used. Overall, the results are usually very good and can be life-changing.
The biggest question regarding malocclusion is usually “Is it bad enough to warrant treatment?” (in the obvious cases, it’s, well, obvious what to do). This might be asked as a parent or perhaps regarding one’s own teeth. In all cases the key is to find a good dentist or orthodontist whom you trust to offer sound balanced advice rather than a sales pitch. Have a full discussion of pros and cons and costs. Then you are empowered to decide for yourself or your child.
Written by Dr Colin Burns
