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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My orthodontist suggested Herbst appliance to treat my overbite. What are the other available treatment methods?

Query: Hi doctor,My orthodontist suggested Herbst appliance to treat my overbite as I am at the end of the growth phase. However, I feel uncomfortable wearing the appliance. I need your opinion. What are the other treatment methods? Please help.  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to A fixed functional appliance is usually prescribed during the end stage of the growth period. There are other options like Forsus or Advansync 2. These appliances are fixed to the mouth, appear bulkier, and make uncomfortable. You can also opt for elastics (removable), wh...  Read Full »

My upper teeth seem a little crooked. Do I need braces?

Query: Hi doctor,My upper teeth are slightly malaligned and have gaps in them. I visited the dentist. After the X-ray, he said braces will be used to correct the jaws and the result will be visible, that is up to 3 mm.  Read Full »

Dr. Tooba Qazi

Answer: Hi, Welcome to Your age is ideal for orthodontic treatment. If you will delay further then treatment will take more time to complete so it is better to start with it sooner. If you have a gummy smile and 3 mm of gum line will be visible after treatment, that is fine too. People look y...  Read Full »

How can I cure the clicking sound in my TMJ?

Query: Hello doctor, I have problems with my TMJ. When I wake up in the morning, I feel an annoying clicking in my TMJ. I do some exercise by opening and closing my jaw (while giving support to my chin with the thumb). It reduces that clicking to some extent but I want some permanent treatment. I do not f...  Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to I had gone through your question. I can understand your concern about your TMJ. There may be some cause associated with it, that means for a permanent solution you have to single out the cause and eliminate it. Some major causes are as follows: 1. Missing teeth, grossl...  Read Full »

I have class three malocclusion. Can micro-implants and elastics give the best results in distalizing mandibular posterior teeth?

Query: Hi doctor, I want your advice on a case that can be found online, and I have attached that case link. The girl has a class three malocclusion, and I have the same. She proposed a treatment of distalizing the mandibular posterior dentition with a micro implant combined with intra-arch elastics, but s...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to I understand your concern. I have seen the case link that you have posted along. I want to mention initially that the treatment protocols might be the same, but the end results may vary to some extent based on patient-to-patient biological responses. If you careful...  Read Full »

I have an underbite, and also my lower jaw protrudes out, and I want to avoid surgery. What is the best option?

Query: Hi doctor, I am 28 years old, have an underbite, and my lower jaw protrudes out. I researched a lot, and I want to avoid surgery. What is the best option available?  Read Full »

Dr. Kandi Disha Dnyanendra

Answer: Hello, Welcome to I have gone through your query and attachment (attachments are hidden to protect the patient's identity). For cases of malocclusion like this, clinical examination is mandatory, and one need investigation such as lateral cephalometry, orthopanatomogram, and diagnosti...  Read Full »

Can Invisalign be used for the upper teeth alone instead of for the upper and lower teeth?

Query: Hi doctor, I got a question about Invisalign, and it is cheaper to get Invisalign for the top teeth. I doubt if Invisalign can be used for the upper teeth alone instead of for the upper and lower teeth.  Read Full »

Dr. Mayank Khandelwal

Answer: Hi, Welcome to Hope you are doing well. Yes, Invisalign only for a single arch is cheaper than both arches. It depends on your malocclusion, the reason for undergoing the treatment, the actual and optimal treatment plan, and your requirement. Once you receive the three-dimensional fa...  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 »

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 Reddy 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 »

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