Malaligned teeth or jaw leading to an improper bite, occlusion, and jaw relation is known as malocclusion. Edward angle, also known as the "father of modern orthodontics," coined the term "malocclusion." Some of the causes are a hereditary predisposition, tumors, enlarged adenoids, cleft lip and palate, missing teeth, habits like thumb sucking, tongue thrusting, etc. If left untreated, they can cause temporomandibular joint disorders, speech difficulty, and mainly displeasing esthetics. A dental malocclusion can be corrected with orthodontic therapy, while a skeletal malocclusion needs surgical intervention and orthodontic treatment.

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I have proclined upper and lower front teeth with increased overjet. How can I correct them to an esthetic position?

Query: Hello doctor, I am a candidate for orthognathic surgery and would like to know how much I can increase my overjet by changing my teeth' inclinations (they were treated before with camouflage orthodontics). My current overjet is 5 mm. My IMPA (incisor mandibular plane angle) is 106 degrees. Am I corr...  Read Full »

Dr. Bhargav Gutha

Answer: Hello Welcome to Upon review (attachments removed to protect patient's identity) I find an overjet of 5 mm with a normal overbite and camouflage orthodontic treatment. Ideally, the overjet is 2 to 3 mm. As in your case mandible stands behind and the X - ray shows proclined lower anterio...  Read Full »

I am being treated with compensation orthodontics for class two malocclusion. How much with the overjet be increased?

Query: Hi doctor, How much can the overjet be increased by decompensation of incisors inclination in a class two patient treated with compensation orthodontics? I have attached my current angles list for your reference. Please help.   Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to I read your query and can understand your concern. Overjet is usually better if it is between two to five millimeters. If you already have a five-millimeters overjet, we have to determine whether any increase is required. So, please post the pictures of your face fr...  Read Full »

I want to change my tongue posture but have a high-arched palate. What should I do?

Query: Hello doctor, I am 20 years old with braces and want to change my tongue posture. I always had my tongue in the wrong place, so I wanted to place my tongue on the roof of my mouth. I have read that the right tongue posture can fix a recessed jawline, etc. But the problem is that I have a high-arched...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Tongue posture is something that is very important for your jaw growth as well as one of the main factors causing malocclusion or malalignment. Tongue posture can be wrong in two aspects: forward than normal posture and lower than normal posture. If it is forward, y...  Read Full »

Can Class II elastics correct my mal-aligned lower teeth?

Query: Hello doctor, I have been wearing braces for about three years now, and I am getting them off in a few months. I am wearing Class II elastics, but I found my lower teeth are tilted: the left is higher than the right. How can I use elastics to correct this?  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to Class II elastics are given mainly to correct the anteroposterior relations (meaning front back relations) mainly of molars and canines. Apart from these, they might also be used to settle the occlusion properly as desired. Before proceeding to answer your specific que...  Read Full »

What could be the reason for upper jaw pain due to which I am not able to close my mouth?

Query: Hello doctor,From my left front tooth, all the way to the back of my teeth on top hurt. I cannot close my mouth and it feels like the pain is going up into the bone under my nose. What could that possibly be?  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hello, Welcome to From your description, it seems to me that you have an apical periodontitis. If you have any cavity related to this area, the tenderness is because of it. Or you must have malocclusion, meaning there is more pressure on these teeth. You need to visit a dentist who will...  Read Full »

Please help me identify the reason for pain in my jaw and face.

Query: Hello doctor, I have pain in my teeth when I chew for the last two months. I have some pain in the face also. The doctor is unable to identify. Kindly help.  Read Full »

Dr. Prerna Jain

Answer: Hello, Welcome to I have gone through the files uploaded (attachment removed to protect the patient's identity). Having looked at the picture and the X-rays, there are no cavities. There is some generalized bone loss and the widening of PDL (periodontal ligament) spaces. This is i...  Read Full »

How to straighten teeth that are not in order?

Query: Hello doctor, My teeth are not in order. How to correct them?  Read Full »

Dr. Subha

Answer: Hi, Welcome to Improperly aligned teeth are said to be in malocclusion. They cause problems like difficulty in breathing, speaking, eating and might cause dental cavities also. So, orthodontic intervention is necessary. Depending upon the severity of the malocclusion, removable or fi...  Read Full »

On chewing, my upper and lower teeth touches only on my left side. What is the cause?

Query: Hi doctor, I have some problems with my jaw muscles due to clenching or grinding at night. It causes a variety of symptoms such as headaches. When I chew, I feel like my upper and lower teeth touch only in my left side and I seem to have overdevelopment of masseter muscle on the same side. I have c...  Read Full »

Dr. Ummah Mohammad

Answer: Hi, Welcome to I understand your concern and I will try my best to provide you a proper diagnosis and treatment plan. There are several reasons for your problem and there are several types of treatment depending upon your cause. If it occurs due to malocclusion or misaligned teeth, th...  Read Full »

Will X-ray not show fracture in the bone behind the front teeth?

Query: Hi doctor, Four years ago front right central incisor pushed back 1 mm. I had a root canal done three months later. I had an X-ray from the dentist and also an endodontist. They said they could not see bone behind the tooth fractured at all. However, when I eat certain foods, I feel clicks and hear...  Read Full »

Dr. Ummah Mohammad

Answer: Hello, Welcome to I understand your concern and shall try my best to get some solution. The clicking and popping you are mentioning might not necessarily be due to the bone behind the top teeth. It might be just due to some movement in your teeth only or maybe if there is some mal...  Read Full »

Can dental problems cause head and shoulder pain?

Query: Hi doctor, I am a 47-year-old male with a height of 162 cm and a weight of 74 kg. I have tooth pain, and pain in the upper and lower jaw, the backside of the head, and the shoulder. The pain is mostly on the right side of the head and jaw. Can you please help me with this?  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to I can understand your concern. I went through your question and CT (computed tomography) report (attachment removed to protect the patient's identity). Your CT report is normal, which means there is no major issue to be concerned about. The problem looks muscle-related...  Read Full »

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