Malocclusion

At iDental, we evaluate bite and alignment issues with a personalized approach, helping patients across Wisconsin achieve healthier, more comfortable smiles.

What Is Malocclusion

Malocclusion simply means your teeth or jaws are not aligned the way they should be. This can affect how your teeth fit together, how you chew and speak, and how easy it is to keep your teeth clean. Some cases are mild and mostly cosmetic, while others can impact oral health, comfort, and long-term function.

Orthodontic treatment focuses on improving both appearance and function by guiding teeth and jaws into a healthier, more balanced position.

Common Types of Malocclusion

Crowded or Overlapping Teeth

Crowded or overlapping teeth happen when there is not enough space in your jaw for all your teeth to line up properly. Teeth may twist, overlap, or get pushed forward or backward, which can make brushing and flossing harder and increase the risk of cavities and gum irritation. Orthodontic treatment can gently create space and guide teeth into a healthier, easier to clean alignment.

Class I type 2, by Kaidor, via Wikimedia Commons, licensed under Creative Commons Attribution-ShareAlike 3.0 Unported (CC BY-SA 3.0)

Gaps

Gaps, also called spacing, are spaces between teeth that can happen when teeth are smaller than the jaw, a tooth is missing, or teeth shift over time. Some gaps are mainly cosmetic, but others can affect how your bite fits together or allow food to pack between teeth, which may irritate gums. Orthodontic treatment can close or reduce spacing and help align your teeth so they look more even and function better.

close up of teeth showing gaps.

Overbite, Underbite, Crossbite

An overbite is when the upper front teeth cover too much of the lower front teeth when you bite down. A mild overbite is common, but a deeper overbite can lead to uneven tooth wear, gum irritation, and sometimes jaw discomfort.

An underbite is when the lower front teeth sit in front of the upper front teeth. This can make biting and chewing harder and may contribute to chipping, speech concerns, or jaw strain.

A crossbite happens when some upper teeth bite inside the lower teeth instead of outside. It can involve the front or back teeth and may cause uneven wear, gum recession in certain areas, and the bite shifting to one side. Orthodontic treatment can guide teeth and the bite into a healthier, more stable position.

Close up of mouth showing an overbite

Overbite

Deep Bite

A deep bite is a more severe form of overbite where the upper front teeth excessively cover the lower front teeth, sometimes causing the lower teeth to contact the roof of the mouth. This can lead to tooth wear, gum irritation, and discomfort when biting. Treatment focuses on opening the bite and balancing how the teeth come together.

Edge to Edge Bite

An edge to edge bite occurs when the upper and lower front teeth meet directly on their edges instead of slightly overlapping. This can increase the risk of chipping and wear over time because the teeth are not cushioned properly during biting. Orthodontic treatment can reposition the teeth to reduce stress and protect them.

Off Center Bite Midline Shift

An off center bite, also called a midline shift, means the center of your upper teeth does not line up with the center of your lower teeth. You might notice your smile looks slightly shifted to one side or your bite feels uneven. This can happen from crowding, missing teeth, early tooth loss, or the jaw shifting to avoid uncomfortable contact. Orthodontic treatment can help guide the teeth and bite back into a more balanced, centered position.

Jaw Shifting or Clicking

Jaw shifting or clicking can happen when the jaw joint, also known as the temporomandibular joint, and the way your teeth come together are not working smoothly. You might notice a pop or click when opening or closing, your jaw drifting to one side, or tightness when chewing. While clicking is not always serious, it can be a sign that your bite or jaw mechanics need evaluation. Orthodontic treatment may be one part of improving how your teeth and bite align.

Biting Cheeks or Frequent Chipping

Biting your cheeks often or experiencing frequent tooth chipping can be a sign that your teeth are not lining up in a balanced way. When certain teeth stick out, overlap, or hit first, it is easier to catch the inside of your cheek while chewing or to place extra force on specific teeth. Orthodontic treatment can help align the teeth and improve the bite so chewing feels more comfortable and teeth are better protected.

Protruding Teeth

Protruding teeth, also called increased overjet, occur when the upper front teeth extend too far forward compared to the lower teeth. This can make teeth more vulnerable to injury, especially in children and teens, and may affect lip closure and appearance. Orthodontic treatment can bring the teeth into better alignment for improved function and protection.

Missing or Impacted Teeth

Sometimes teeth do not come in properly or remain stuck under the gums, which is called impaction. Missing or impacted teeth can affect spacing, alignment, and how the bite fits together. Orthodontic treatment can help create space, guide teeth into position, or work alongside other dental treatments to restore balance to the smile.

Mandibular canine impacted in the chin

"Impacted 33 intraoperative photo" by Coronation Dental Specialty Group, via Wikimedia Commons, licensed under CC BY-SA 3.0.

When to Consider an Evaluation

If you notice any of these signs, it may be a good time to schedule an orthodontic evaluation. Early assessment can help identify whether treatment is needed now or if monitoring is the best approach.

A properly aligned bite is not just about appearance. It supports better oral health, comfort, and long term function.

Have more questions? Call us at (262) 223 0280

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