Doctor insights on:
Underbite Surgery Risks
"Underbite" is a lay term indicating an anterior cross bite, lower incisors in front of upper incisors, or upper incisors behind lower incisors. Cause may be dental malposition, skeletal malrelationship, or both. This is a serious malocclusion requiring the services of a ...Read more
Consultations: I would have consultations with both an orthodontist & an oral-maxillofacial surgeon to determine the best route for your needed correction. If underbite is extreme, it is common to need both of them to work together to prepare you for jaw advancement surgery. Usually orthodontics is required to set up your existing "bite" to permit accurate advancement surgery. ...Read more
Yes: With combination of Orthodontic Care and Jaw Surgery teeth and jaws will be placed into correct relationships with each other, improving your chewing ability, reducing tooth wear and fractures, improving your appearance, making it easier to care for teeth and gums, and many other reasons. Start with a qualified Orthodontic Specialist who will already have an experienced Oral Surgeon on his team. ...Read more
Communicate: Talk to both Oral Surgeon and Orthodontic Specialist about pre-op preparation. Keep your mouth scrupulously clean...don't forget to clean between teeth. Don't damage your braces...watch what you eat. Lay in a supply of liquid high protein supplements. You'll be thrilled with the outcome. ...Read more
Complex Surgery: Ivro stands for intra oral vertical ramus osteotomy. That is part of the lower jaw bone that is the furthest back on the cheek and you can feel the lower turn and go vertically. Forward of this border is where the surgery is done. This a more complex procedure and you should really seek a good orthodontist first to discuss the options with you and have them refer you to a oral surgeon for more.... ...Read more
Hi. I'm 18 and I have a slight underbite. Can it get any worse and can I still correct it without surgery?
Braces may help: You say your underbite is "slight" which means there is a good chance you can have it corrected with braces or invisalign. The dentist who evaluates you needs to be well qualified in diagnosis since many underbites are due to skeletal alignment issues and not misaligned teeth and if so surgery may be the only correct option. ...Read more
I'm 18 and I have a underbite is there any way to fix it without getting surgery? I really don't want to get surgery
Depends on severity: Underbites go from A-Z in severity. Mild under bites can be corrected orthodontically by changing inclination of anterior teeth. Moderate underbites can be corrected orthodontically by removing two lower bicuspids and retracting lower front teeth. Sever underbites generally require a combined orthodontic/surgical treatment. Seek a consult to see what your options are. ...Read more
Days: With today's surgical techniques and anti-inflammatory medications swelling is less problematic than in the past. That said, no two people are alike. Please discuss this with both your Orthodontist but especially your Oral Surgeon. ...Read more
Generally: No. Please talk this over with your surgeon and orthodontist to relieve any doubts you may have. ...Read more
I'm thinking about getting surgery for my underbite, but I'm not sure how long I would have to stay inside for, because of the swelling.?
It depends: You don't have to stay inside because of the swelling. It usually takes 10-14 days before they swelling is completely gone. You have to refrain from strenuous exercise for 6 weeks and maintain a soft diet for about the same length of time. We now use plates and screws to fixate the bones, so it is extremely rare to be wired shut for any length of time. ...Read more
Yes, likely: As cross bites and under bites treated surgically are significant, they deal with severe facial asymmetries. When your work is done it should be a very favorable change! ...Read more
Yes: You will need both an Orthodontic Specialist and an Oral Surgeon, working as a team, to resolve your dento-facial imbalance. ...Read more
I have a bad underbite and was told that I would need surgery to correct my jaw. I was wondering does my insurance cover that procedure?
I'm 18 and I have a very slight underbite. Could it still get worse and can I still correct it without surgery if I've already have braces?
Check growth: If problem slight braces may correct underbite. If more intense, braces & jaw surgery may be required. At 18 you may still have more jaw growth to go. An orthodontic specialist can track this for you. Seek a qualified evaluation, understanding that lower jaw growth should be entirely completed before jaw surgery. ...Read more
Surgery hurts: There's no getting around it. Much less problematic today than just a few years ago because of improvements in surgical techniques and medications. Sometimes there's no choice, it's the only way to resolve your problem. Having one jaw not match the other is like having one leg shorter than the other, eventually everything gets thrown off. Talk to BOTH qualified Orthodontic and Oral Surgeon. ...Read more
Many: Yes, Better overal occlusion and chewing efficiency. Opens airway to decrease breathing problems. Helps maintain dental and periodontal health. Enhanced esthetic balance of face. Possible decrease in TMJ dysfunction. ...Read more
Not bad at all: Some underbites can be corrected with tooth movement alone (ie. Orthodontics) but, if the bite is unstable or unattractive a jaw surgery procedure is necessary to achieve the optimum results. This discussion should start with the orthodontist and include the oral surgeon. Make sure to go to an orthodontist who feels comforatable doing "surgical" cases and doesn't try to overcompensate. ...Read more
I am 20 years old and have an underbite despite wearing braces during my teenage years. Can wearing braces again fix my bite to prevent surgery?
Maybe: Please see an orthodontist for a thorough evaluation. This answer can only be addressed with an individualized treatment plan. ...Read more
I'm 18- my ortho said my underbite can be fixed without surgery because its not that big. What's difference in end result between surgery/ just braces?
Listen to orthodont: In most cases before the orthognatic surgery, you will have braces on your teeth to move them into a new position. These braces will stay on during your surgery and be adjusted about six weeks to six month after you've had jaw surgery. Your orthodontist is given you the best advice. ...Read more
Ok, so I have a class 3 maloclussion underbite. I am 22 years old. Is there anyway I can get rid of this underbite without the possibility of surgery?
It depends: Whether or not your class iii malocclusion can only be corrected surgically can only be determined by an orthodontist analyzing comprehensive diagnostic records of your case. Seek an initial consultation and move forward from there. ...Read more
If I get my underbite fixed with just braces and not surgery-does that mean my "bulldog" look always be there? I really don't want it to be! I hate it.
Can you fix a 12 year old's underbite without surgery? She can fit the tip of her tounge into the gap and she already has braces.
Both: If underbite is dental (teeth out of alignment) but jaws are ok, braces alone may fix the problem. If both teeth and jaws don't match (sometimes u jaw too far back, more often l jaw too far forward) a combination of orthodontic rx and orthognathic (jaw) surgery is the answer. Start with a consultation with a qualified orthodontic specialist who can asses your personal requirements. ...Read more