Crowding is the lack of space for teeth to fit normally within the jaws. The teeth may be overlapping, sticking out, or ‘blocked out’ of line. Crowding occurs when there is an imbalance in the tooth to jaw size relationship, or when the teeth are larger than the available space. Alternatively, crowding can be caused by early loss of primary teeth and eruption of adult teeth improperly.
Treatment: creating space for crowded teeth by expanding the jaw or recontouring of wide teeth to make them more narrow – avoiding the need for removal of teeth. Dr. Sharma only removes teeth as a last resort if there is too much crowding.
If teeth are missing, when teeth are too narrow for a wide jaw, or when certain habits result in spacing between teeth. The most common complaint from those with excessive space is poor appearance, but the health of the gums can be compromised if space persists for long periods of time.
Treatment: involves closing the spaces between the teeth. Sometimes, the help of your dentist is required to build up teeth with veneers if the space is too excessive to close with orthodontics alone.
Options include metal braces, clear braces, Invisalign® or Lingual braces.
Commonly referred to as ‘overbite’, this scenario occurs when the front teeth stick out farther than the bottom teeth. This problem is especially common in specific ethnicities like Caucasians and South Asians. Again, the timing for correction of this problem is critical. If treated at the right time, with the use of appliances and braces – there is no need for a complex surgery as an adult.
Treatment: usually involves advancing the lower teeth via braces or the use of certain appliances that helps to reposition the jaws such as a Twin Block. Treatment options include: metal braces, clear braces, and sometimes Lingual braces and Invisalign®.
There are two types of crossbites: front and back. It is very important to correct crossbites as soon as they are detected. If left untreated, crossbites can lead to permanent changes in bone and face structure.
Front Crossbite: This occurs when one or more upper teeth are behind one or more lower teeth. Because of bad habits such as nail biting or pen biting, trauma, or even losing a baby tooth too early, Treatment: usually involves moving the tooth to its intended position via metal braces, clear braces, Invisalign® or Lingual braces.
Back Crossbite: This happens when the upper teeth are on the inside of the lower teeth, in the back. When this occurs, the patient will usually compensate by moving the lower jaw to one side. If this persists, it can lead to permanent changes in the face and jaws. Treatment usually involves expansion of the upper jaw followed by a certain period of braces to make sure that everything fits ideally. Treatment: options include metal braces, clear braces, and in some cases Invisalign®.
This occurs when the lower teeth sit in front of the upper teeth. This happens when the lower jaw grows at a faster rate than the upper jaw. It is very important to monitor the patients growth in these situations.
Treatment: will begin at age 7 or 8 and will involve advancing the upper teeth and jaw with special appliances. If the patient continues to grow into their 20s, then surgery may be necessary. Again, timely treatment is very important to correct this issue in hopes of avoiding surgery.