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Dental Care: Malocclusion (Bad Bite) In Children

Malocclusion means "bad bite." It's when the upper and lower teeth are not meeting correctly, or when the teeth and jaws are not positioned for good dental health. This condition affects jaw growth, speech development, facial appearance, gum tissue health, and the ability to clean teeth properly.

What Causes Bad Bite In Children?

Many malocclusions are inherited. This includes crowding of teeth, too much space between teeth, extra or missing teeth, or irregularities in the jaws, face, and teeth.

Malocclusions also can be environmental in nature, caused by accidents, thumb sucking or sucking on a pacifier, obstruction by tonsils and adenoids, dental disease, or premature loss of primary (baby) teeth.

Why Is Dental Treatment Important?

If dental care is delayed or not taken, many problems get worse and more complicated (and expensive) to remedy. Malocclusion can cause excessive wear of tooth enamel, poor chewing, stress on both the gums and jawbone that support the teeth, chronic headaches, and facial and neck pains. Correcting the malocclusion can improve overall oral health and eliminate other potential problems.

Does the Pediatric Treatment Involve Removal of Some Teeth?

Sometimes when permanent teeth are crowded and their spacing and proper positioning is being affected by the primary teeth, removing primary or baby teeth is necessary. Otherwise, the severely crowded permanent teeth will either remain "stuck" (impacted) and unable to erupt, or they will erupt in an undesirable position.

Treatment of a malocclusion involves a thorough evaluation of your child's specific condition by a pediatric dentist and/or orthodontist. This may include recommendations for removal of some primary or permanent teeth because some malocclusions cannot be treated successfully without doing so. Extraction of some teeth in severely crowded conditions enhances proper alignment, function, and appearance, too.

How Is a Diagnosis of a Malocclusion Performed?

Each child's specific condition dictates the diagnostic procedures, but they often include several or all of the following:

• Clinical exam.
• Medical and dental history.
• Impressions of the teeth for making plaster models.
• Photographs of the face and teeth to provide a record of the child's facial appearance prior to treatment.
• Panoramic X-rays showing all the upper and lower teeth in biting position, and teeth that are not yet visible.
• Lateral (cephalometric) X-rays of the entire head showing the relationship of the teeth and jaws to the face and skull.

How Long Does Dental Care Treatment Take?

Each condition is unique and must be treated individually. The actual time is dependent on the growth of the child's mouth and face, the severity of the problem and the cooperation of the child in following instructions. Mild correction problems or early treatment may take only a few months. Treatment for more complex malocclusions range from one to three years.

An attractive smile, proper alignment, and healthy teeth are valuable rewards gained from a custom-designed treatment program made for smile after smile!

by Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Fresh Talk For Your Mouth

As a teen, you've got plenty to do -- going to school, homework, participating in after-school activities, spending time with friends, perhaps working a job, and other time commitments. Caring for your appearance also is a top priority, including your teeth. By doing so, you're rewarded with a bright, winning smile that really attracts attention!

Sometimes I Come Home So Tired After Long, Busy Days, I Don't Feel Like Brushing My Teeth. Does it Really Matter?

Yes, it does! If you haven't brushed your teeth since the morning, your mouth is filled with cavity-causing bacteria. When the sugar and starch from the day's food, snacks, or drinks combine with plaque (that sticky film on your teeth), an acid is produced. That acid attacks your tooth enamel. If this is repeated often, those acid attacks can break down enamel and cause cavities while you sleep. So, those few extra minutes it takes to brush your teeth really are important for cavity prevention.

What Can I Do to Make Sure My Breath Is Really Fresh?

Commercial products claim they will make your breath fresher, but the only way to make sure your breath is truly fresh is to practice good oral hygiene. In fact, too many breath mints and hard candies with sugar can lead to tooth decay. If you are constantly using breath mints, breath sprays, or mouth rinses in an effort to cover up bad breath, you may have a problem that needs correction.

If you neglect daily hygiene over time, bad breath can become a symptom of more serious dental problems. Teeth that are not cleaned properly become a place for bacteria to multiply in your mouth, causing cavities and gum disease. Gum disease produces bad breath and that's gross! So brush, floss, and brush or scrape your tongue.

If you smoke, bad breath comes with the habit. Smoking also puts you at an increased risk for developing gum disease. Brushing and flossing your teeth may slow the development of gum disease but smoking can lead to serious oral health problems, including oral cancer.

Can Dieting or Taking Medications Affect My Oral Health?

Hunger can contribute to bad breath. This is because of the chemical changes that occur as your body turns fat and protein into the energy it needs. Chemical changes caused by taking prescription or over-the-counter medications can also affect mouth odor.

Isn't a Mouth guard Just for Those Who Wear Braces?

No! Every year, more than 200,000 people are treated by dentists and oral surgeons for sports-related injuries, including broken and knocked-out teeth, concussions, jaw fractures, and neck and head trauma. Many of these could be avoided if athletes and sports enthusiasts used a mouth guard. Anyone participating in sports, especially contact sports, should wear protective mouth guards for safety.

Different types of mouth guards provide various advantages and degrees of protection -- from off-the-shelf to custom-fitted.

If you let good oral care habits slip away, you might be setting yourself up for some undesirable or painful events. Taking care of your teeth by brushing at least twice a day, cleaning between your teeth, avoiding smoking, and protecting yourself from injury by wearing a mouth guard does make a big difference. It matters to your mouth -- just a few minutes daily for clean teeth, fresh breath, and a magical smile!

by Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.