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Crooked Teeth and a Bad Bite

How's your occlusion today? When your jaws meet nicely and teeth are configured properly in your jaw, that's occlusion. When the fit's awry, it's called a malocclusion .

About 2,000,000 Americans know malocclusion inside and out. So what's wrong with a little overbite? For 20% of us, it's a handicap, for 5%, it's a physical and mental hardship. That's why there's orthodontics.

The gist of jaws

The upper jaw, or maxilla, is part of the skull and it doesn't move. In children, the maxilla is joined at the root of the mouth by soft tissue that grows into one bone mass by about age 17. Our upper teeth are a little bigger than the lowers. We call the lower jaw the mandible. When the maxilla and the mandible work properly, they chew, grind, and tear our food, facilitate normal speech, swallowing, and basic oral health. When your jaws don't align well, you may not be able to eat, breathe or communicate normally.

Getting the bite right

Orthodontic theory, and attempts at bite correction, can be traced to ancient Greek and Roman cultures. But until dentists could agree on the problem, each rigged his own correction device. Some of these 19th century "designer" orthodontic appliances were fanciful, some merely crude.

The early orthodontist Edward Angle classified occlusions into three types. His principles are still the standard today.

• Class I occlusion is a "normal" bite. Since there is argument what "normal" is, Class I could be defined as a jaw/bite relationship that seems to be okay and doesn't cause any problems, although there may be some tooth crowding caused by eruption of extra teeth or missing teeth.
• Class II brings us to true malocclusions, in this case, the buckteeth of Bugs Bunny fame. It's certainly more amusing as a cartoon than reality though. Class II lower jaws are usually small and crowded. Along with a protruding upper jaw, the chin recedes. Children with Class II bites, and adults, for that matter, seem especially subject to social derision. Aside from problems with keeping teeth clean, Class Iis can expect cruel jokes.
• Class III malocclusions are relatively rare (5%)and may include a jutting lower jaw and lower teeth that close in front of the uppers (think Dick Tracy). Treatment is complex, and may require bone surgery.

In any case, seeing your dentist on a regular basis is very important. In the case of Class Iis and IIIs, seeing an orthodontist could make a big difference in your self-esteem and make your life much easier.

With more adults seeking treatment their parents couldn't afford when they were youngsters, this is a very exciting time in orthodontics—we have a world of new orthodontic materials that work better and faster.

Heavy metal bands? Most of us have heard the news about braces. They're lighter, smaller, easier to clean—dare we say it—almost comfortable. Plastics and bonding adhesives mean no more heavy metal bands around teeth. Wire and brackets can be "super-glued" directly onto the teeth (Look, Ma, no bands!).

NASA's missile technology has given us Nitinol, a "memory" metal that retains its shape better than stainless steel. Arch wires made of Nitinol exert a light, steady force that stands up to the push and pull of orthodontic appliances. And lingual braces, glued to the back (tongue side) of the tooth, are proving effective in closing moderate gaps. It's like having invisible braces.

A new breed of patient

The best part of new orthodontics for your orthodontist, though, is a willing, and eager patient. Home care is critical to any orthodontic treatment plan. Careful, constant cleaning, wearing your retainers, and avoiding foods that make a mess of all the handiwork is a must. Most adult patients appreciate the investment of time and energy and tend to go about home care with vigor.

If you're considering adult orthodontic braces, use our search area above to find an orthodontist in your town. Whether nature planned your smile a little off, or a missing tooth changed the geography over the years, you now have the option of a bite made in heaven.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Ceramic Braces: It's Never Too Late To Get Braces as an Adult

Not so long ago, children usually had dental braces only if their family could afford them. Now adults are wearing dental braces in greater and greater numbers. And there's never been a better time to make this choice.

Dental braces are smaller, lighter, easier to clean and wear comfortably. A whole new world of orthodontic materials that work better and faster is available to us as adult braces . There are ceramic braces, invisible braces and many other choices for adults who want to improve their smile.

Ceramic braces offer a less-visible alternative to the more established metal braces. They blend in more with the natural color of teeth and may make the braces look more appealing. Ceramic braces may not be as strong metal and may require a longer treatment time.

Metal bands are only a memory. We use new plastics and bonding adhesives. Wire and brackets can be "super-glued" directly onto the teeth. There are some dental braces that seem "invisible."

Nitinol (thanks NASA!) is a new metal that retains its shape and is strong enough to withstand the force exerted by orthodontic appliances.

Moderate gaps can even be invisible with lingual braces glued to the back of the teeth.

If you think you need dental braces, or maybe you're interested in the visual appeal of ceramic braces, check out all your options, because there has never been a better time!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.