Deep Bite Treatments

Deep bite before and after braces

Deep bite corrected with full braces in 22 months. Actual patient of Dr. Viechnicki.

A Deep Bite occurs when the front teeth overlap too much.

A Deep Bite is considered “impinging” when the front teeth bite against the gums instead of biting against the teeth as they should.

That can cause problems with excessive front tooth wear and, in the case of an impinging Deep Bite, gum recession. It occurs in 15 to 20% of the population and 20% of 8-year-old children with a deep bite will develop an impinging deep bite.

Deep Bites are caused by:

  • Excessive eruption of the top front teeth
  • Excessive eruption of the bottom front teeth
  • Insufficient eruption of the back teeth
  • Insufficient vertical growth of the jaws

Treatment options include jaw surgery, increasing eruption of the back teeth, and intruding the upper or lower front teeth.

1. Jaw Surgery

Advantages:

  • Highest level of facial and self-image improvement
  • Best jaw alignment possible

Disadvantages:

  • Requires jaw surgery

2. Removable Bite Plate

Advantages:

  • Restricts eruption of bottom front teeth
  • Increases eruption of back teeth
  • Can be removed to eat and brush

Disadvantages:

  • High cooperation required
  • Longer treatment because part time (6-9 months)

3. Fixed Bite Plate

Advantages:

  • Same as removable bite plate except not removable
  • Full time wear so shorter treatment (4-6 months)

Disadvantages:

  • Difficulty chewing
  • Tissue irritation

4. Rubber Bands

Advantages:

  • Increases eruption of back teeth

Disadvantages:

  • High cooperation required

5. Bite Opening Wire

Advantages:

  • Intrudes front teeth
  • Increases eruption of back teeth
  • No additional appliance

Disadvantages:

  • Does not affect jaw position
  • Longer treatment than with bite plate (12-18 months)