it's dr amanda with straight smile solutions straight smile solutions.com and today we're going
to be talking about all kinds of malocclusions yay malocclusions this is going to be really
both a doctor facing and a consumer pacing video i just want to educate you on malocclusions what
their what's out there what should be fixed what is most important to be fixed it's going to be
kind of a long video so i'm super excited just to put it all together with some props and everything
and to tell you more hang on real quick let me get my props all right this is my mal occlusion poster
so you can see at the top we've got normal bite so normal bite should be if you've watched my
other videos when you bite down your top teeth should be right in front of your bottom teeth
without really any major space between your bottom and your top teeth and they should hang down and
overlap your bottom teeth a little bit so you can see when you bite down you see most of your
bottom teeth but not all your bottom teeth you should overlap by about 10 to 30 to 40 percent
that's normal okay now let's go to abnormal so let's go ahead and start with vertical so
vertical is one plane of space problem okay so for vertical we have two different things
see this here this is deep bite deep bite is when you bite down and you cannot see your bottom teeth
at all or mostly maybe you see only 10 20 30 percent of your bottom teeth as opposed to
you know 70 80 90 of your bottom teeth this is a problem so let's talk a little bit more about deep
bite and it's opposite which is open bite see that there that's where you bite down and the
top and bottom teeth don't overlap at all all right let's talk a little bit more about deep bite
open bite and vertical problems so big problems must be must must must be treated and as soon as
you see them you want to start treating them so if you see them in a three four five year
old you can already start doing things it's not going to get better it's only going to get worse
so definitely something that must be traded let's talk about deep bites first so again
deep bites like this when you bite down when you don't see the bottom teeth over time deep bites
will always get worse you'll start hitting the roof of your mouth you'll start damaging the gum
and likely loosening your top front teeth and possibly they will fall out that is basically
the sequelae over a period of time i was a deep bite patient it's one of those things i tell my
personal story just because i want dentists to understand and i want parents to understand why
you want to treat a deep bite so exactly what i said happened to me so basically i had a deep bite
nice teeth you know a little bit of spacing and stuff but big deep bite and i guess my pediatric
dentist didn't understand what a deep bite was and what the problem was because he kept saying
my teeth were fine even though i knew they weren't fine because when i was a kid i was biting up on
the roof of my mouth so over time i had traumatic occlusion front teeth got loose roots got damaged
front teeth were wiggly so had to get treatment right or i would have lost all these teeth in
high school so did get them fixed but they are still permanently damaged so
i can't like bite into an apple i can't bite into a bagel i'll lose my front teeth if i do that so
that's why you have to get it fixed it changes the way of your life you know permanently so
must correct deep bites when you see them in kids as soon as you see them start fixing them
it won't get better open bites are generally the opposite so those can be genetic deep bites can
also be genetic open bites can be genetic it can be a result of your jaw growing down
more than forward in addition it can be related to oral habits malfunctional problems problems
with airway problems with tonsils adenoids soft diet thumb sucking finger sucking
tongue thrusting those all cause open bites and it must be treated it will always get worse and
these can have you know whereas deep bites maybe causes problems with loss of teeth right and maybe
some speech issues with deep bites lisping open bites are very very very bad for your overall
total body health because in time your tongue will have to learn to adapt a different way in order to
speak properly and to breathe properly and to swallow properly and that incorrect placement
of the tongue will actually diminish your sleep at night time because you do swallow at night
so and that will actually lead to more systemic and actual physical body problems related to sleep
your brain how you feel how you act it's huge and i've seen it happening there's a lot of
studies that support this so malocclusion is something that's no joke open bites must be fixed
so really really important and i know speech and language pathologists also believe in that
malfunctional therapists also believe in that and more and more more dentists are understanding
the correlation between airway and open bites and speech so please please please if you see someone
with an open bike go get it treated really really important in addition you can't just do a liners
or braces to fix that because if you do not fix the bad habit that's behind the open bite it will
just continue to come back even if you're in a retainer so it's much more than just orthodontics
so if you have an open bite and they're just doing braces to fix it you probably want to ask about
what else you need because your doctor may not be aware of that all right let's move on to the
next plane of space which is transverse okay so transverse is also known as cross bite and that's
where the back teeth of one of your arches is either more in or more out than the other one
so let me go ahead and show you how to type it out real quick okay so you can see here on the
back teeth the top back teeth are supposed to be a little bit wider than the bottom back teeth and
it's kind of shown here right can you see that they should be out by a few millimeters more
and the cusps of the top teeth the lingual or palatal cusp the inside cusps this this
this and this should fit right in that groove of the bottom teeth it should go right down there so
if i checked with articulating paper you would see it right there when they bit down okay that
is a proper transverse but not everyone's like that some people have one side in some people
have both sides in some people have one side out so we need to get that to fit together if it's
not to get fitting together properly then your teeth will be at different angles they won't
be functioning properly it can cause damage to your teeth fractures of your teeth problems with
your jaw joints so it is as well as just general crowding and bite problems discomfort difficulty
eating speaking and chewing so it is something you want to correct it is much much easier to correct
this while child is still growing you can start working on it as young as three four five six
in early interceptive treatment really easy with some gentle appliance appliances that can just be
worn at night time or you can do it with braces and aligners as they get older but it's highly
recommended you do this before they finish creepy so it is really important to go ahead
and get started remember puberty can happen at all different ages and girls can start you can finish
as young as age eight so and some of you only have a few teeth in so parents and dentists
aren't thinking that timing is like that but it is so it's really important to get
get the ball rolling with fixing transverse issues i love the idea of doing expanders when a child's
young there's removable ones you can color them you can put glitter in them you can put decals
in them you can have fun you can also do it with aligners sometimes depending on what the problem
is so it is something you want to go ahead and address as soon as possible in addition the great
thing about fixing transverse problems is can often often help you with airway as well help
you breathe better sleep better and feel wetter all right let's go on to the next problem hang on
all right so the next problem we're going to talk about is sagittal so sagittal is another plane of
space um sagittal is basically front to back okay so somebody that has an underbite or an over jet
is a sagittal so see this here with the front teeth they're more forward the lower front teeth
are more forward than the top that is what some people call underbite or we call that negative
overchat the opposite to that is your regular overjet where the front teeth are more forward
than the bottom teeth let's talk a little bit more about that so in caucasian populations overjet is
actually relatively common with the front teeth more forward than the bottom teeth not a huge
problem it won't get worse over time you know only thing can get worse is if you're thumb sucking and
you're pushing them forward but it won't get worse over time it's usually related to a small lower
jaw but it can also be related to trauma or oral habits not so bad you might have speech issues
maybe your bite's not functioning together but in the whole realm of issues that we're talking about
i would call that the most innocuous it's the most harmless okay nobody's gonna die from having three
millimeters of over jet matter fact i have three millimeters of overdrive and i made a choice to do
that so it's fine right so um obviously if you're getting braces or aligners and that you've got a
kid you should you should make everything perfect for sure but sometimes in adults over jet isn't
corrected and that's totally fine ultimately up to you and in addition if you're correcting over jet
sometimes it can flatten your profile so let's go ahead and talk a little bit more about that
all right again i love being the demo person so you can see profile is your profile right
so there's something called as the aesthetic plane and the aesthetic plane is if you drew
a line from the tip of your nose to the tip of your chin your lips should just be right behind
it you know it shouldn't really be in front of it i mean this is it's basically that was
um created like decades ago so i think now more than ever actually having a full lips is much more
you know aesthetic for consumers so what we don't want to do is we don't want to um cave in a
profile we don't want someone has strong features strong nose and chin we don't want the lips to be
too far back so we don't want to do mechanics and orthodontics that can condition a profile which
is often what happens with a lot of orthodontics if it's done you know with extractions or a lot
of ipr or something like that so just things to keep in mind when you're correcting over
jet is you don't want to affect a profile so sometimes it's not possible so just many
different things to keep in mind so anyways we talked about transverse we talked about sagittal
and we talked about vertical problems today and of course we've got crowding and spacing as well
those are pretty self-explanatory so it's really important that you you talk about these things
with your dentist or orthodontist if you have any other questions or you want to talk more about it
if you're a consumer feel free to join our consumer facing facebook group which is a great
community where people who are either considering going through orthodontics or already currently on
the orthodontic journey can go ahead and join and it's moderated by lots of really great dentists
and orthodontists who are all usa licensed and hand-picked so it's just a community service
that you know value statement that they help to support consumers as well with this facebook group
if you'd like to join as a moderator feel free to reach out to me directly dentists are only allowed
to join if i've had an opportunity to check with to talk to them first to make sure that they have
the right values so in any case i'm excited to talk to you more if you are a dentist that has
any questions about orthodontics we welcome for you to reach out to our team you can reach us at
straightsmilesolutions.com contact that is only for dentists and people in the dental industry
if you are a consumer unfortunately we do not help consumers one-on-one you'll want to go ahead and
find a great dentist or orthodontist in your local area and connect with them if you don't have one
we know many of them would be glad to refer you to one of our favorites so you can still
reach out to us and we'll do our best to get you a referral or join our facebook group and there's
lots of great ones there too all right thanks so much we hope to talk to you more soon take