What is an Underbite?

An underbite refers to the structure and placement of the teeth and is often contrasted with an overjet, more commonly, if incorrectly, called an overbite. In an overjet, the front top teeth stick out far above the bottom teeth. An underbite is perhaps more pronounced; the lower front teeth are in front of the top teeth, and the lower jaw can be much more prominent. The condition can be minor or very noticeable, and it can result in greater risk of tempero-mandibular joint (TMJ) disorder, poor bite, and wearing of the teeth unevenly.

A discussion of this issue often leads orthodontists to explain why early orthodontic treatment may be essential for some kids. When children are young, usually under the age of eight, their mouths and jaws are much easier to reshape. Older kids, teens, and adults may have a challenging time getting an underbite corrected. Severe cases may require surgery on the jaws, teeth extraction, and very long use of braces to correct the problem. In most instances, the problem is correctable at any age via these interventions, but it is definitely easiest to address this issue when children are still young.

Some dental experts tie the position of the jaw to genetics, and it is pretty clear to see how this works in certain dog breeds, like bulldogs. Almost all bulldogs have the protruding lower jaw, which is a desirable breed trait.

Some populations of humans seem more prone to underbites. People of Asian descent tend to have them occur more frequently than do other racial groups. Behavior, especially tongue thrust and mouth breathing, can also result in the problem, even when this isn't something that shows up in a person's family. For instance, a child who suffers from significant allergies and nasal congestion might breathe through the mouth constantly, causing the tongue to sit against the front bottom teeth at all times, which can lead to protrusion of the lower teeth.

Many orthodontists state that it is impossible to fully correct an underbite if the underlying issues that may have caused or worsened the issue are not addressed. Even when things like jaw surgery are performed, the teeth may gradually move into the wrong position again if tongue thrust problems are not treated or a patient is not helped to find successful treatments for chronic nasal congestion. In these instances, the underlying issues may be addressed through the placement of orthodontic devices to prohibit the tongue from pushing against the lower teeth with force when a person swallows. Patients with allergies and chronic congestion are urged to see a medical professional to help get those issues under control so that mouth breathing occurs less frequently.