What type of teeth can braces not fix?

Answered by Robert Flynn

Braces are a common and effective treatment option for correcting misaligned teeth. They can address a wide range of dental issues, such as crooked teeth, overcrowding, and gaps. However, there are certain cases where braces alone may not be sufficient to achieve optimal results. In these situations, corrective jaw surgery may be necessary to align both the jaw and teeth properly.

One type of dental problem that braces alone cannot fix is a severely misaligned jaw. Sometimes, the upper and lower jaws do not align correctly, leading to an improper bite or malocclusion. This can result in difficulties with chewing, speaking, and even breathing. In such cases, braces alone cannot correct the underlying issue of the misaligned jaw.

Corrective jaw surgery, also known as orthognathic surgery, is performed to reposition the jaws and correct any skeletal discrepancies. It is typically done in conjunction with braces treatment to ensure proper alignment of the teeth and jaw. The surgery involves making incisions in the jawbones and repositioning them to achieve a more harmonious bite and facial profile.

There are several types of malocclusions that may require both braces and corrective jaw surgery to correct:

1. Overbite: When the upper front teeth significantly overlap the lower front teeth, it is known as an overbite. In severe cases, braces alone may not be enough to correct the overbite. Jaw surgery may be necessary to reposition the upper and lower jaws, bringing them into proper alignment.

2. Underbite: An underbite occurs when the lower front teeth protrude farther than the upper front teeth. Braces can help align the teeth, but if the underbite is due to a misaligned jaw, surgery may be required to reposition the lower jaw.

3. Crossbite: A crossbite is when the upper teeth sit inside the lower teeth when biting down. Braces can address the dental component of a crossbite, but if the misalignment is caused by a narrow upper jaw or a misaligned lower jaw, surgery may be needed to correct the underlying skeletal issue.

4. Open bite: An open bite is characterized by a lack of vertical overlap between the front teeth when biting down. Braces can close the gaps between the teeth, but if the open bite is due to a skeletal issue, surgery may be necessary to reposition the jaws.

It is important to note that the decision to undergo corrective jaw surgery alongside braces treatment is made on a case-by-case basis. An orthodontist and an oral and maxillofacial surgeon will evaluate your specific situation and determine the most appropriate course of treatment.

While braces are effective for correcting many dental issues, they may not be sufficient for severe jaw misalignments. In these cases, combining braces treatment with corrective jaw surgery can help achieve optimal results by aligning both the jaw and teeth properly. It is essential to consult with a qualified orthodontist and oral surgeon to determine the best treatment plan for your individual needs.