The Consequences Of Malocclusion And Its Treatment

The consequences of malocclusion and its treatment

The main negative consequence of malocclusion is the uneven distribution of the load on the teeth. Teeth that normally close take on all the chewing work, which is why they wear out and collapse faster. It is the incorrectly distributed load that causes caries, diseases and bleeding of the gums, mobility in the area involved in chewing teeth. Uneven load affects the temporomandibular joint – when moving, it moves unevenly, the articular head moves, which leads to pain, clicks, and “jamming”. With improper closure, the teeth are erased against each other or injure the mucosa. An incorrect bite not only leads to tooth loss, but also complicates their restoration: for implantation and crown, you need to create a place. In addition, an incorrect bite is usually accompanied by uneven, ugly dentition, which makes it difficult to feel confident.

Types of Bites

The teeth are closed in three planes: vertical (along the height of the dental crowns), sagittal (along the length of the dentition and jaws relative to each other), and transvezial (along the lateral ratio of teeth and jaws). Depending on the violation of the norm of closure in each plane, different types of occlusion are distinguished.

Distal bite

A distal bite is a violation of the closure of teeth in the sagittal plane, in which the upper jaw or dentition protrudes significantly relative to the lower. For a violation of occlusion in the sagittal plane (distal or mesial), the presence of a sagittal gap is characteristic – the distance between the upper and lower incisors. Common causes: early artificial feeding. Infants are born with a distal bite, and the lower jaw catches up with the upper jaw due to active work during feeding. Improper artificial feeding deprives the muscles of their natural stress and growth slows down. Typical consequences: TMJ dysfunction, tooth decay due to uneven loading.

Mesial bite

Mesial bite

With a mesial bite, the lower dentition, on the contrary, projects forward relative to the upper. It is characterized by (but not necessarily) reverse incisal overlap, that is, overlapping of the upper incisors with the lower ones. Mesial occlusion can be determined by a massive, protruding lower jaw, a sunken upper lip. Common causes: jaw growth abnormalities (heredity, diseases), supernumerary or very large teeth in the lower dentition. Typical consequences: TMJ dysfunction, aesthetic disturbances.

Open bite

Violation of closure in the vertical plane, in which individual teeth or departments of the upper and lower jaws do not close together. Common causes: the habit of holding something in the mouth for a long time (nipple, pencil, finger), especially during tooth growth. Characteristic consequences: problems of the gastrointestinal tract due to inadequate chewing of food, destruction of the teeth that are involved in chewing.

Deep bite

Deep occlusion also refers to vertical closure. But unlike an open bite, it is characterized by a too low position of the front upper teeth, in which they cover the lower incisors by more than half or completely. Deep bite is often the result of distal. Common causes: mouth breathing, bad habits, long absence of lower teeth. Typical consequences: mucosal injury due to touching the teeth.

Cross bite

Such a bite can be determined by unnatural overlapping of the dentition in different departments: the upper teeth “hide” behind the lower ones or, conversely, completely overlap the lower ones in the lateral departments (where they should be closed by chewing surfaces). It happens that not a department, but one or two teeth can occupy the wrong position, this is called a cross ratio in the area of one tooth. Common causes: forced position when closing (when individual teeth interfere with the entire dentition to close normally) Typical consequences: tooth abrasion, TMJ dysfunction.

Treatment of different types of malocclusion

In modern orthodontics, the dental form of any type of malocclusion can be treated with orthodontic systems, such as braces and removable appliances (if the treatment is before a permanent bite), Depending on the type of abnormality and tooth features, there are limitations on the capabilities of orthodontic structures. For example, internal braces are not recommended for severe crowding, ligature for complex pathology, since the treatment for them is significantly longer.

Modern self-ligating Damon Q braces with a well-designed treatment plan even out any bite. To expedite the treatment, dentists recommend an individualized Insignia system – with it you can predict the outcome of the treatment and eliminate errors. If we are talking about skeletal forms of bite, then not all of them can be treated only with the help of orthodontic appliances. Sometimes, to adjust the size or position of the jaw, the cooperation of the orthodontist and the orthognathic surgeon is required. Our clinic collaborates with trusted specialists and draws up a joint treatment plan for patients with complex skeletal pathologies.

What to choose: metal-ceramic crown or metal-free?

Metal free ceramic dental crowns

Metal-free ceramics or a ceramic-metal crown – what’s better?

Several factors are immediately put on the scales: cost, quality, service life, guarantees, impact on the body, the possibility of repair, and much more. The patient always wants to receive a high-quality, safe, long-term and inexpensive solution to his problems and a comparison of these prosthetic options will help you choose when you have to choose.


Basic characteristics: crowns consist of a strong metal frame, which the technician covers with a ceramic mass. The crown is very durable and able to withstand large chewing loads without deformation.


The main advantages are:

  • Reasonable cost
  • Strength
  • Approximate color matching adjacent teeth

The disadvantages are:

  • The metal at the base of the ceramic-metal crown does not transmit light, unlike its teeth, so it loses the appearance of a natural tooth
  • Cyanosis of the marginal gingiva – in most cases, immediately after prosthetics or in the distant future, you can notice the appeared cyanosis of the gingival margin in the area of ​​crowns. This is due to the presence of a metal frame. If a person smiles widely (the gum is clearly visible with a smile), then cyanosis can be striking
  • The marginal fit of the crown to the tooth cult is often much worse on cermet crowns. With poor-quality marginal fit around the perimeter of the crown gingivitis begins to develop, caries and tooth slowly begins to decay
  • The manifestation of an allergic reaction to the metal, the phenomena of galvanism (the appearance of a metallic taste in the mouth), oxidation are possible – these causes can lead to gum disease and other problems

Metal-free crowns

They are made of high-strength dental ceramics without the use of metal components. Metal-free ceramics is the most popular type of prosthetics when it is necessary to solve aesthetic problems and the goal is to achieve maximum naturalness and the greatest service life of orthopedic work.

The main advantages of non-metallic crowns are:

  • Minimal turning of tooth tissues under non-metal structures, i.e. Preservation of the tooth vital (alive). There is no need to remove the tooth as in case of a ceramic-metal crown
  • High aesthetics of the results is achieved due to the special optical properties of the structure (translucency and opalescence) as in your teeth
  • Lack of blueness of the gingival margin in the area of ​​the crowns due to the lack of metal and the natural look
  • The absence of allergic reactions to the material and the biological compatibility of ceramics with the tissues of the teeth and gums
  • The use of cad / cam technologies in production (computer-programmable manufacturing) allows to achieve the highest precision of workmanship and its perfect and exact fit, and this is fundamentally different from manual casting in the manufacture of ceramic-metal crowns. At the same time, the edge fit is very accurate, which can significantly increase the service life of the work

The disadvantage of non-metal ceramics is:

  • Its higher cost compared to ceramics
  • Individual intolerance, which is extremely rare

It can be concluded that non-metal crowns are superior in all respects to ceramic-metal crowns and will replace them in the near future as well as they replaced stamped ones.

Why Are There Risks Of Using Activated Carbon Toothpaste?

Carbon Toothpaste

If this product is compared to normal paste, its benefits are poor, says Joseph Greenwall-Cohen, a professor at the School of Dentistry at the University of Manchester in the United Kingdom. The specialist participated in a study on the risks of using activated carbon toothpaste.

Greenwall-Cohen, together with another group of dentists, published an article in the British Dental Journal in which they warn that it does not favor tooth enamel. There are risks such as the appearance of caries, so it is important that you know how to detect them .

According to scientists, there is no evidence that you have beneficial effects on oral health, on the contrary, they detected that it is abrasive to enamel.

In this study they analyzed 50 pastes of activated carbon and only 8% contained fluoride. This ingredient, along with calcium and phosphate, favors the teeth, says Dr. Linda Greenwall, who is also part of the report.

Although fluoride can be toxic, at the correct doses it generates several benefits for patients. Some of its advantages are in making the dentures stronger, which is why it is so important that it is present in the dentifrices in the indicated amount.

There are more risks than benefits

Dental professionals who have done studies on this paste with coal recommend abandoning this practice, because it can cause irreparable damage. They suggest continuing using dentifrice that contains fluoride and go to the dentist on a regular basis. Since, for example, it has been proven in studies that those communities that have had greater contact with water with fluoride content are less likely to suffer from cavities.

Pediatric Dentist 1

There are celebrities who have echoed this product, and this has popularized using it in the general population. But dentists reject it because they do not fulfill their promotional arguments: “antibacterials,” “antifungals,” or “bleaches.”

The benefits that claim to have activated charcoal pastes have not been proven so far. Although they offer a “fast teeth whitening” it is far from being true. These products are ineffective and only bring risks, such as gum irritation, which should then be treated in the offices.

Why is charcoal so harmful?

Materials such as nutshells, coconut, bamboo, peat, wood and coal, are what integrate this new fashion of teeth whitening.

The continued use of carbon pastes is harmful. This material is used to purify water and absorb substances from the body in case of poisoning.

Active carbon pastes do not have the validation or disapproval of the American Dental Association.

Constipation, dark stools, blockage of the intestinal tract and dehydration are some of the side effects of this practice, says the National Library of Medicine of the United States. Even, the Organization of Consumers and Users has warned of the risks of these superficial changes.

Patients who use some type of filling have more severe damage because it is difficult to get rid of this element. Active carbon is as abrasive as the use of bicarbonate for teeth.

How To Care For Braces

Closeup of beautiful girl on dental braces check up

For successful care of braces, there are three main rules to remember.

For many years, bracket systems have been helping people correct their bite and make their teeth even and beautiful. Throughout its existence, braces have gone from cumbersome clumsy structures that interfered with eating and talking, to thin, almost invisible wires. However, the period of wearing braces, although greatly reduced, is still from several months to several years.

Happy smile of young woman with dental braces

Throughout this time, it is necessary to carefully monitor the structure in order to achieve the maximum effect from wearing it and not to remove the braces prematurely. To successfully care for braces, you need to remember three main rules: pay attention to hygiene, monitor nutrition and follow all the recommendations of your doctor.

Braces Care: Cleaning

To keep braces for a long time, observe proper oral hygiene. Installation of the system makes some parts of the teeth inaccessible, which provokes the accumulation of food and the appearance of bacteria. In the future, this can cause tooth decay and other problems with the teeth. If you wear a bracket system, you are told to brush your teeth more than the standard twice a day – it is recommended to do it after each meal, combining with rinsing (it is best to rinse with special means).

For a more effective result, use specialized brushes – their shape is designed to clean all hard-to-reach places under the arc. Remember that the duration of cleaning should be at least four minutes.

Mandatory use of dental floss. However, it is highly advisable to use a thread even if you do not have braces. It shows excellent results in removing food particles and plaque from hard to reach places. Remember not to leave pieces of food under it –after removing braces you will not get other problems with your teeth. Therefore, for carriers of the bracket system, the use of a thread plays a particularly important role.

When brushing teeth that have braces, do not forget about caution: the slightest awkward movement can displace the system, because of which it will not work as planned by the doctor, or even damage it. Be careful, thorough and unhurried.

Products to avoid with Braces

First of all, refrain from those foods and drinks that contain dyes. Do not abuse food and sweets that crumble heavily. Reduce your intake of nuts, waffles, sweets, and similar foods. Crumbs easily clog under braces and are difficult to clean out from there. The same is true for sticky foods – forget about chewing gum, jam, marmalade and fresh muffin. Too hard food can damage the structure – say no to nuts, crackers and other similar foods. Therefore, if you want to keep the bracket system intact and your teeth healthy, watch your diet.


The Answers to Your Questions about Dental Implants

Anatomy of healthy teeth and tooth dental implant in human denturra.

What is a dental implant?

The dental implant is an artificial root, usually made of strong titanium, which is inserted firmly into the jawbone. It acts as the root of a natural tooth and can support the dental prosthesis or tooth attached to it.

Who is responsible for the placement of dental implants?

Only a dental surgeon specializing in the placement of dental implants ensures the installation. Denturologist Isabelle Gaudette works with a few dentists and, if necessary, she can recommend competent professionals.

Is the pose painful?

The placement of dental implants is done with local anesthesia to prevent patients from feeling pain. A mild sedative may also be given if necessary. After that, the placement of dental implants may create a slight discomfort, since the gums remain swollen for some time. We recommend that our patients take a painkiller.

Do dental implants give the impression of having real teeth?

Dental implant detail

Dental implants give the impression of having real teeth but with a few more. You benefit from a renewed dentition, very esthetic and solid, which allows you to eat all that you wish, with incomparable comfort and durable.

How long do dental implants last?

Dental implants, well placed and well maintained, can last a lifetime. They are made of resistant metal, very well tolerated by the body, and are implanted firmly in the jawbone.

Can I normally eat after implant placement?

Following the placement of your dental implants, a transition period should be considered. Thus, it is recommended to consume liquid foods during the first two weeks: soups, soups, smooties, grits, yogurt, etc. By the third week, you can complete your menu with pasta, fish, eggs, finely chopped foods, and cereals.

In the second month, slightly firmer foods can be added: tender meats cut into pieces, cooked vegetables. Finally, after three months, your mouth will be ready to savor everything that makes you want!

The Answers to Your Questions about Dental Implants

After how long can I install dental prostheses?

As soon as the dental implants are placed, it is possible to wear so-called transitional prostheses. Or, to benefit from a temporary modification to the dental prosthesis that you had before. 

So there is not a period when you live without teeth. You can smile, resume your activities and feed yourself properly, taking into account, however, a process of progressive food integration. After about three to five months, your denturologist installs your new dentures on the implants, when the healing of your gums is completed.