POTENTIAL CONSEQUENCES of MALOCCLUSION - Page 1 of 2

Home , Malocclusion, Occlusal trauma, Occlusion (dentistry)

aligntechinstitute.com POTENTIAL CONSEQUENCES OF MALOCCLUSION - page 1 of 2

PROBLEM Crowding PROBLEM Spacing PROBLEM Deep Bite PROBLEM Excessive Overjet

BACTERIA & PLAQUE ISSUES BACTERIA & PLAQUE ISSUES MALOCCLUSION RELATED ISSUES MALOCCLUSION RELATED ISSUES

Can create the following issues Can create the following issues Can create the following issues Can create the following issues • Difficulty in properly brushing and flossing • Possible food impaction between • Improper function of anterior teeth • Upper anterior teeth are protruded all tooth surfaces posterior teeth o Little if any contact between the upper Can lead to or show signs of and lower front teeth, including canines Can lead to or show signs of Can lead to or show signs of • Occlusal trauma • Caries/tooth decay • Gum problems due to the lack of o Fremitus Can lead to or show signs of • Plaque and calculus accumulation leading to protection by the teeth o Periodontal problems, including bone loss • Anterior tooth trauma or fracture o Periodontal disease • Periodontal pockets • Abnormal wear, chipping of lower • Posterior tooth trauma or fracture from o Poor root support, progression of bone loss • Gum disease anterior teeth lack of canine guidance • Tooth mobility • Sore, tender tissue • Lower front teeth can over-erupt and • Abscesses damage palate behind top front teeth Potential patient symptoms Potential patient symptoms • Chipped/fractured anterior teeth Potential patient symptoms • Sore, tender tissue Potential patient symptoms • Patient complains of unattractive smile • Sensitivity. Discolored teeth in crowded areas • Inflamed and bleeding gums • Receding gums • Inflamed and bleeding gums • Abnormal wear of teeth • Receding gums • Loose teeth MALOCCLUSION RELATED ISSUES TMJ ISSUES Can create the following issues MALOCCLUSION RELATED ISSUES • Insufficient anterior support from lack of Can create the following issues canine guidance • TMD Can create the following issues o Tongue thrust may flare anterior teeth, • Improper occlusal function including canines Can lead to or show signs of • If teeth are not upright, vertical forces do • Tension of the chewing muscles not transfer down from crown to root to Can lead to or show signs of • Creating abnormal forces on TMJ and the bone during occlusion • Premature posterior wear may lead to TMD o Lateral stress on posterior teeth and • Periodontal problems • Retrognathic position of lower arch surrounding periodontal structures may exacerbate risk of TMD Potential patient symptoms Can lead to or show signs of • Increasingly flared anterior teeth Potential patient symptoms • Occlusal trauma – abfractions • Jaw joint pain • Uneven wear, chipping • Clicking, popping noise in jaw joint • Gum, periodontal problems when opening or closing mouth o Gingival recession, bone loss • Headaches, neck pain • Overlapping teeth that get worse over time if left untreated

Potential patient symptoms • Tooth sensitivity from wear • Receding gums • Loose teeth aligntechinstitute.com POTENTIAL CONSEQUENCES OF MALOCCLUSION - page 2 of 2

PROBLEM Cross Bite PROBLEM Edge to Edge Bite PROBLEM Anterior Open Bite

MALOCCLUSION RELATED ISSUES MALOCCLUSION RELATED ISSUES MALOCCLUSION RELATED ISSUES

Can create the following issues Can create the following issues Can create the following issues • Abnormal centric relation/centric • Improper function of anterior teeth • Improper function of anterior and occlusion mandibular shift o Upper and lower anterior teeth are in posterior teeth o Dysfunctional chewing patterns edge to edge contact o Lack of anterior contact, posterior • If teeth are not upright, vertical forces do contact overload not transfer down from crown to root to Can lead to or show signs of the bone during occlusion • Premature wear, chipping on anterior teeth Can lead to or show signs of o Lateral stress on posterior teeth and o Clinical crowns shortened as incisal edge • Premature wear on posterior teeth surrounding periodontal structures wears down • Occlusal trauma - abfractions • Periodontal problems Can lead to or show signs of Potential patient symptoms o Deep pocketing of posterior teeth • Occlusal trauma - abfractions • Abnormal wear - anterior teeth are short o Gum recession, bone loss, poor • Abnormal wear or chipping or worn down root support • Periodontal problems, including tooth • Tooth sensitivity movement and bone loss Potential patient symptoms • Abnormal stress on buccal sides of teeth • Abnormal wear on posterior teeth TMJ RELATED ISSUES • Small notch in teeth at gum line Potential patient symptoms • Gum recession • Increased sensitivity Can create the following issues • Loose teeth • Abfraction • TMD • Loose back teeth • Biting of own lips and cheek when eating Can lead to or show signs of TMJ RELATED ISSUES or talking • End to end anterior teeth relationship can result in TMD Can create the following issues • Limited range of motion, pain during chewing • TMD TMJ RELATED ISSUES • Jaw joint pain (TMD) that affects ability to chew food Can lead to or show signs of Can create the following issues • Wear on posterior teeth which may • TMD Potential patient symptoms cause jaw joint pain (TMD) • Jaw joint pain Can lead to or show signs of • Limited movement, locking of jaw Potential patient symptoms • Abnormal forces on TMJ and may lead • Clicking, popping noise in jaw joint when • Jaw joint pain to TMD opening or closing mouth • Dysfunctional chewing patterns and • Headaches, neck pain possibly jaw joint problems

Potential patient symptoms • Jaw joint pain • Limited movement, locking of jaw • Clicking, popping noise in jaw joint when opening or closing mouth