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is an edge to edge bite bad

by Kamille Robel Published 3 years ago Updated 2 years ago

Edge to Edge, with Crossbite:
Upper and lower teeth meet edge to edge, causing significant trauma due to excessive force on the teeth. Patients will often crack their teeth or require root canal treatment. There will be excessive wear and tooth sensitivity.

Full Answer

What is an edge to edge bite?

Edge-to-edge bite. - This is when biting edges of the upper front teeth bite directly onto the biting edges of the lower front teeth. - This is unfavourable and leads to excessive wear of the incisor edges. - An edge to edge malocclusion prevents normal incisor guidance during chewing.

Do braces or aligners help with an edge-to-edge bite?

If the cause of the edge-to-edge bite is dental, then braces or aligners can help in aligning the teeth to the desired areas. An adverse effect of an edge-to-edge bite is pain in the temporomandibular region.

What happens when your teeth meet edge to edge?

Edge to Edge, with Crossbite: Upper and lower teeth meet edge to edge, causing significant trauma due to excessive force on the teeth. Patients will often crack their teeth or require root canal treatment. There will be excessive wear and tooth sensitivity.

What is the dental origin of edge-to-edge bite?

The dental origin of the edge-to-edge bite is due to abnormal axial inclination of the incisors. For the treatment of edge-to-edge bite, it is important to make a good diagnosis in order to know the basis of the malocclusion and to be able to distinguish and carry out an adequate treatment plan in each case.

What does edge to edge bite mean?

- This is when biting edges of the upper front teeth bite directly onto the biting edges of the lower front teeth. - This is unfavourable and leads to excessive wear of the incisor edges. - An edge to edge malocclusion prevents normal incisor guidance during chewing.

Is a slight overbite attractive?

Overbite It seems that the development of overbite coincides with the invention of the fork, and since then it has become a characteristic of teeth that we consider attractive. Of course, too much of an overbite can be just as unattractive as no overbite or an underbite.

What is the ideal overbite?

The ideal overbite range for an average “normal” dentition is 3-5mm. Sometimes this is expressed as a percentage of the amount of lower incisors that are covered by the upper incisors when looking at the smile (with teeth in full biting position) – normally this should be 20-30%.

Is it normal to have a bit of an overbite?

“Having an overbite is normal and ideal when the top teeth overlap the bottom teeth by 10-20%,” Kevin Walker, DDS, tells WebMD Connect to Care. According to Walker, there is cause for concern if your bite extends beyond this normal overbite range and does not allow your upper and lower teeth to touch at all.

Does Eva Mendes have an overbite?

Although some celebrities like Eva Mendes and Lea Michele have a slight overbite that can be very attractive… people or children with severe overbites or buck teeth choose to have them corrected. A new study finds that children with buck teeth may benefit from early orthodontic intervention.

Do overbites get worse with age?

Do overbites get worse with age? The space between the upper and lower front teeth can increase over time, worsening the overbite. In addition to this, the long-term effects of a deep overbite will cause more problems over time, meaning additional restorative treatment may be required.

How much of an overbite is too much?

Any overbite over 3-4 mm is considered excessive and should be corrected, to prevent the associated problems, including pain, trouble biting or chewing, or lasting tooth or gum damage.

What's considered a severe overbite?

Overbite is considered normal when the vertical overlap covers 30% of the teeth or is 2-4mm — when it is 4-6mm or more, it is known as a deep overbite or deep bite. When the lower teeth are completely covered by the upper and even go into the lower gum, it is known as a severe overbite.

How do I know if my overbite is severe?

A big, or deep, overbite — also known as a class 2 malocclusion — is a severe overbite where the top teeth significantly overlap the bottom teeth. You may be able to feel a gap between your front top and bottom teeth or even be able to push your tongue between your teeth when your jaw is clenched.

What is a healthy bite?

Your bite is the way your upper and lower teeth fit together. If your upper teeth fit slightly over your lower teeth and the points of your molars fit the grooves of the opposite molars, then you have a healthy bite. Sometimes a bite that fits properly is referred to as an ideal bite or a normal bite.

Which is worse overbite or underbite?

Apart from cosmetic concerns, an underbite can have a major impact on your quality of life. People with an overbite might find it difficult to bite and chew their food and experience pain in their mouth and face. It can also make you more prone to biting your cheeks or tongue and have problems when you speak.

Are your teeth supposed to touch?

You may not have realized this, but teeth are not meant to touch. It sounds odd, but think about it. They don't touch while you speak, smile or rest. Even when you chew, your teeth only have to be close enough to mash food, not necessarily touch.

What is the pain of a bite from edge to edge?

An adverse effect of an edge-to-edge bite is pain in the temporomandibular region . This is the area near the region where the mandible (lower jaw bone) fits in the depression in the skill. This is the joint, whose movement allows us to speak, chew and move our lower jaw with ease. A temporomandibular disorder (TMD) can develop in case of an edge-to-edge bite due to the excessive force. This pain or discomfort can be relieved upon the correction of the bite.

When should an edge to edge bite be corrected?

An edge-to-edge bite must be corrected as soon as it is recognized. Since this form of malocclusion can have direct effects on the vertical height of the face, it is important to restore the normal functionality of the orofacial structures.

How long does it take for a tooth to develop an edge to edge bite?

At the age of 2 years, the relation of the upper and lower front teeth is such that the overjet is between 2 to 5 mm. By the age of 5 years, the mandible grows downwards and forwards to compensate with the growth of the upper arch. This is when an edge-to-edge bite develops for the first time. However, this malocclusions is temporary and soon ends when the permanent incisors erupt between 6 to 8 years of age. The real concern arises when the edge-to-edge bite occurs after the all permanent teeth have erupted in the oral cavity. The patient can experience wearing away of the biting surfaces of the upper and lower front teeth. This gives these teeth an attrited look which is certainly not aesthetic upon smiling. An edge-to-edge bite will exert unnecessary forces on these front teeth, which can damage the periodontium. The periodontium is the tissue complex around each tooth that supports it functionally.

How is this type of bite defined?

Edge-to-edge bite is defined as a type of malocclusion in a vertical and sagittal direction in which the overjet and the overbite are zero. That is, the upper and lower incisors make contact in their incisal portion.

Conclusion

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Clinical Case Overview

A healthy, 63-year-old male presented for dental care with a primary request to improve his smile. Specifically, he was concerned with lower anterior crowding, “jagged edges” of his upper anterior teeth, and the color and shape of his teeth ( Figure 1 and Figure 2 ).

Diagnosis, Risk Assessment, and Prognosis

Periodontal: Periodontal examination revealed localized probing depths of 2 mm to 4 mm with numerous bleeding points. Radiographically, horizontal bone loss of approximately 2 mm to 3 mm was observed throughout the dentition. Teeth Nos. 3, 6, and 11 each had 2 mm of recession with moderate cervical abrasion on teeth Nos. 3 and 6.

Treatment Goals

The treatment goals were created by scale of importance to the patient and by objective risk assessment of all pertinent dental conditions. 2

Treatment Plan

For this patient, current dental technology presented several options for ideal correction, including orthognathic surgery. Risk-to-benefit ratios, patient tolerance, and the clinician’s judgment were necessary to render an acceptable plan. The treatment would be divided into four phases and was expected to take 10 to 12 months.

Treatment Phases

Phase 1: Periodontal Therapy Scaling and root planing was accompanied with the use of systemic antibiotics. Metronidazole and amoxicillin have been shown to enhance the results of scaling and root planing.

Discussion

Taking into consideration the initial risk assessment, the clinician establishes criteria that are important for risk reduction. All too often, we see perfectly executed, and sometimes elaborate treatments that, in their essence, did not reduce but merely replaced one risk for the another (eg, esthetic risk for biomechanical risk).

Conclusion

The edge-to-edge position of the front teeth is often a restorative challenge. If patients are fervently opposed to optimal comprehensive orthodontic treatment or surgery, both upper and lower teeth need to be considered and included in the final restorative planning.

What is the big deal about your bite?

Your Bite: What’s the Big Deal? A person’s bite, or the way the top and bottom teeth come together, is a crucial aspect in the way a person speaks, eats, swallows, and rests. The muscles of the face and jaw, the positioning of the teeth and the bite, the joints of the jaw, and the muscles of the head and neck, play a significant role in ...

What is a deep bite?

Deep Bite: The lower incisors ( front teeth) are hitting the roof of the mouth instead of the incisal one third of the upper teeth. The lower jaw is significantly pushed back, predisposing patients to TMD.

What happens when you bite your back teeth?

Anterior Open Bite: Only the back teeth ( and sometimes only one tooth) touches when you bite. Because the chewing forces are not distributed among all the teeth, the teeth that do contact get overstressed which means they will wear, crack, and may require root canals and crowns in the future.

What happens if you have too much space between your teeth?

Patient has too much space between teeth, causing an unattractive smile and food impaction between teeth. Patients tend to develop periodontal disease. The tongue will take over the excessive space and will continue to spread teeth further apart ( flared out). Excessive tooth wear will be evident throughout the patient’s life.

What is it called when a person's bite is not coming together?

Malocclusion is when a person’s bite is not coming together with the way it is meant to form an anatomical and neuromuscular perspective. Malocclusion can lead to all sorts of problems and pain. The following pictures are examples of the more common bites.

Can a crossbite cause TMD?

There will be excessive wear and tooth sensitivity. In this picture, the patient also has a crossbite which could lead to TMD.

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