Crooked teeth: In the mixed dentition phase, the new teeth rarely come out of the jaw in their last position. As a result, many parents worry at an early age whether their children need orthodontic treatment. When the first permanent teeth grow out of the jaw, they are already as big as in adults. Only when the jawbones grow can the teeth align. Often, the position of the teeth gets better the bigger your child gets.
Misalignments after premature loss of milk teeth
If the milk teeth have been extracted early by the dentist, this can cause the permanent teeth to be misaligned. Deciduous teeth have a placeholder function. If we pull them too early, the gaps for those that remain often become too small and require orthodontic treatment.
But even in adults, crooked teeth can cause displeasure long after the tooth change.
How do crooked teeth develop in adults?
Misaligned teeth after accidents
Teeth can loosen in the event of severe injuries. They splint in the correct position. If you have injured your jaw, visit your dentist so he can assess whether you have damaged a tooth.
Misaligned teeth because of pressing and grinding
In addition, misalignments can occur if you clench or grind your teeth extremely hard. One solution is an occlusal splint that your dentist prescribes for you.
Tooth migration into an existing gap
If there are gaps in your dentition, it is possible that the other teeth may migrate or tilt into the existing gap.
In addition, it can happen that the teeth that are opposite a gap become longer and longer and grow into the gap. Not only can this look unsightly, but it can also lead to significant problems. The hike or tilt changes your bite, and a replacement with dentures becomes much more difficult.
Tooth migration in gum disease
If you have untreated gum disease, such as periodontal disease, bones and gums retract. Because of the lack of attachment in the bone, they can wander or tip over in severe cases. If there is also pain, extraction is often the only solution.
Front teeth become crooked: teeth migrate to the center of the jaw
In adulthood, despite orthodontic treatment, the anterior teeth often nestle in the lower jaw. The cause of this shift in the lower anterior region is the physiological mesial drift. This means that the posterior teeth have a natural urge to migrate towards the middle.
A common misconception is those wisdom teeth that are still in the jawbone and move the rows of teeth when they slide into the oral cavity.
With the daily stress of chewing, there is slight friction in the interdental spaces. As a result, the teeth continuously become a little narrower during life. To avoid gaps, there is the natural phenomenon of migration to the center of the jaw. By eating soft foods, the migration can be stronger than the abrasion in the gaps, so that the front pushes together.
How to avoid misaligned teeth
What can I do to prevent my child from getting crooked teeth?
You should avoid constantly sucking your thumb and pressing your thumb against the front part of the roof of your mouth.
Constant pressure causes the anterior palate to grow more quickly. The upper front teeth can come out of the jaw at an incline by constantly sucking the thumb. In severe cases, this can lead to a lack of contact between the front and front posterior teeth (open bite).
Excessive use of pacifiers can also lead to front teeth growing at an angle and brief contact or upper and lower teeth.
How can I avoid misaligned teeth as an adult?
There are many ways to do this.
If you want to avoid misaligned teeth, consider the following points:
- If milk teeth must be removed early, we should replace them with placeholders
- We should fill gaps with dentures so that the neighboring teeth do not move or tilt
- Loosened teeth, with periodontitis or after accidents, should be splinted
- When pressing or grinding, we should make a bite splint for protection
- After treatment with braces, a solid retainer, i.e. a thin wire, should be glued behind the lower incisors so they cannot shift. There is often not enough space behind the upper incisors for this thin wire.
Correcting crooked teeth: how do adults get teeth straight again?
If the teeth are already crooked, the orthodontist must correct them with braces.
A single crooked tooth can usually be done with loose braces or with transparent splints invisible to the layperson.
It corrects more difficult situations with fixed braces with brackets. Brackets can also glue to the inside of the teeth in the form of invisible braces. Adult patients must pay for these brackets themselves in most cases. Only with severe jaw misalignments does the statutory health insurance take over the treatment in orthodontics for adults.
Alternatively, there is the option of correcting teeth with dentures. Veneers, crowns, bridges, or removable prostheses can be used for this. Dentures for aesthetic reasons must be also paid privately by the patient.
My child has crooked teeth: what can I do?
There is nothing to worry about if milk teeth crook or twist.
Of course, at your next appointment, ask your dentist whether something needs to be done about the deformity. In most cases, however, this is unnecessary.
If children aged six to eight need orthodontic treatment, the orthodontist speaks of early treatment. Loose braces are made for this. This should influence the growth of the jaw in such a way that the permanent teeth can grow in the correct position.
Early orthodontic treatment is necessary if:
- the lower front teeth stand in front of the upper ones (reverse front tooth step)
- Your child cannot bite off because the front and first posterior teeth are not in contact (open bite)
- the lower posterior teeth are further out than the upper ones (crossbite, scissor bite)
- the position of your child’s teeth forces the lower jaw into an unnatural position (forced bite)
As parents, you cannot influence the development of an inverted anterior tooth step, scissors, cross, and forced bite. It bases them on dysregulation of jaw growth. An open bite is often caused by habits such as thumb sucking or extensive use of a pacifier.
Shortly before the first milk teeth fall out, gaps can also arise. These occur because the face and jaw grow, but the milk teeth remain small until they fall out.