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You’ve been told that you have a malocclusion called an “underbite.” Let’s look at just what this diagnosis means, and what it means for you.

Just what is an “underbite”?

A malocclusion is another way of saying that you have a problem with your bite, which is the way your jaws and teeth fit together when you bite down. In a typical bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth.

An underbite, on the other hand, results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

What causes an underbite?

Underbites tend to be genetic, and run in families, so, most often, an underbite is something you’re born with. The size of your jaws, the shape of your teeth, or both will affect your bite.

A smaller number of underbites develop because of injuries or early oral habits, such as prolonged and vigorous thumb sucking or tongue thrusting.

How do we treat an underbite?

Your treatment will depend on the type and severity of your underbite, and your age when treatment occurs.

• Braces and Aligners

If your underbite is a slight one, caused, for example, by crowded or overly large teeth, braces or clear aligners can help move the teeth into proper alignment.

• Functional Appliances

If the underbite is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still growing and forming.

If you’re a young patient, two appliances commonly used to help correct an underbite are palatal expanders, which gradually widen the upper jaw if it’s too narrow, and reverse pull headgear, which fits both inside the mouth and outside on the face, and provides a steady, gentle pull to encourage the forward growth of the upper jaw.

• Surgical treatment

In some severe cases, surgical treatment can correct an underbite by reshaping the jawbone itself and positioning it further back to align properly with the upper jaw.

Why treat your underbite?

A serious underbite can cause damaged teeth and enamel, painful problems with the temporomandibular joint, headaches and facial pain, sleep apnea, difficulty chewing, eating, and speaking, and can affect confidence and self-esteem.

By following your treatment plan, you’ll not only prevent these consequences, but you’ll achieve major benefits—a healthy, comfortable bite, and an attractive, confident smile. Want to know more? Talk it over with Dr. Rubin at our Far Rockaway office for all the information you’ll need!

You devote a lot of energy to your orthodontic treatment. Appointments, rubber bands, adjustments, cleaning (so much cleaning)—and why? Because you know that your attractive, healthy smile will be well worth the effort.

But if you find that keeping your teeth and braces clean requires more time and energy than it should, and you’re still not getting the results you’d like, a water flosser might be just the tool you need to help make your cleaning routine easier and more effective.

Plaque and tartar can be a real problem when you wear braces. Cleaning around braces and wires can be a challenge, and it can be difficult to get floss between your teeth and close to your gums, even with special threaders or floss designed to slip behind your wires.

But ignoring bacteria and plaque build-up can lead to cavities, weakened or discolored enamel, and gum problems. Fortunately, a water flosser can help wash away food particles, bacteria, and plaque even in tight, hard-to-reach spaces, while providing gentle cleaning along sensitive gums.

Water flossers use a pulsing stream of water to remove food particles and plaque between and around teeth. You can adjust the water pressure to apply just the right amount of cleaning power, and then direct the flow to your gum line, between your teeth, around your brackets, or anywhere else you need. Some models even offer tapered heads with brushes designed specifically for cleaning braces.

You might consider investing in a water flosser if you have:

• Mobility issues. If you have joint or mobility issues, a water flosser will let you clean those hard-to-reach areas more easily.
• Lingual braces. Because lingual braces are on the inside of the teeth, they can be more difficult to clean effectively with regular brushing and flossing.
• Problems removing plaque. If you find that you are brushing and flossing regularly, but still have plaque build-up around your braces, give water flossing a try.

A beautiful smile is well worth all the time and effort you are devoting to it. If you think a water flosser might save you a bit of that time and effort, and provide better cleaning power, talk to Dr. Rubin  about your options during your next visit to our Far Rockaway office. We’ll let you know if traditional flossing, a water flosser, or a combination of the two will give you your cleanest, healthiest smile.

It’s the season of giving and the start of a new year. What better time to gift yourself with the orthodontic treatment you’ve always wanted?

Orthodontic treatment isn’t just for children and teenagers. In fact, adults make up a significant—and growing—number of new patients looking forward to beautifully aligned teeth and a healthy bite.

And because today’s orthodontic treatments are more comfortable, take less time, and are less visible than ever before, they are a great fit for your busy adult life. You also have many more options from which to choose, including:

• Traditional Braces

Traditional braces are a proven method of aligning your teeth and bite, can be more economical than other options, and are often most effective in treating complicated orthodontic issues.

If traditional braces are best for your needs, you’ll be happy to hear that today’s braces are better than ever. Brackets are smaller. Innovative wire technology makes the orthodontic process even more efficient. And with self-ligating brackets, there’s no need for those colorful little bands around each bracket to hold those wires.

• Ceramic Braces

If you’re looking for something more inconspicuous, consider ceramic brackets. These ceramic or porcelain brackets are color-matched to your teeth, and, especially used with clear bands and lighter wires, create a less visible profile.

• Lingual Braces

This is your most discreet option, because these braces are located on the inside of the teeth. Lingual braces are custom designed, so they can be more expensive, and treatment can take a bit longer, but they are perfect for those who want invisible braces for personal or professional reasons.

• Clear Aligners

Clear aligners can treat many orthodontic conditions, including some complicated malocclusions. Your orthodontist can let you know if these removable, comfortable, and subtle aligners will work for you.

Adult orthodontics can give you the confident smile you’ve always wanted, which is reason enough to seek orthodontic treatment at our Far Rockaway office. And perfectly aligned teeth and a healthy bite have dental benefits as well as mental benefits!

• Reduce the Risk of Cavities and Gum Disease

Crooked and overlapping teeth are harder to keep clean. Getting in between the teeth to remove all the food particles and plaque can be difficult even with the most careful brushing and flossing. Built up plaque increases your risk of cavities, irritates delicate gum tissue, and causes gum disease.

• Prevent Tooth and Jaw Injuries

If your jaws have never fit together properly, you’ve probably experienced at least some of the consequences of a malocclusion, or bad bite. Worn and cracked teeth, damaged fillings and crowns, jaw pain, headaches, difficulty breathing—all of these problems can be caused by a misaligned bite.

If you’ve always wanted orthodontic treatment, talk to Dr. Rubin to discover the possibilities. A more confident appearance, reduced risk of cavities and gum disease, a comfortable, pain-free bite—there’s no better gift to give yourself than a lifetime of healthy smiles!

Perhaps you’ve heard from parents or older relatives what braces used to be like years ago—obvious, uncomfortable, hard to clean, and with inevitable tooth extractions to start off the whole lengthy process.

Today, brackets are much smaller and wires are more pliable. You can even choose ceramic brackets or clear aligners for an almost invisible effect. New tools make cleaning your braces easier than ever. And new braces technology means that treatment is often shorter. But what about extractions? Are they still inevitable?

For orthodontists like Dr. Rubin, the objective is saving teeth. And modern practices and technology have made this goal more attainable than ever before. There are several ways that modern treatment procedures can help avoid extractions.

• Early Intervention

We recommend that children visit our Far Rockaway office for an orthodontic evaluation by age seven. Because a child’s jaw is still forming at this age, early intervention can lead to orthodontic treatment that expands the jaw in order to make room for permanent teeth, or starts correcting bite problems before they become more serious.

• High-Tech Planning

Today’s technology allows us to map out the progression of your treatment before we begin. Scanners, X-rays, and computer programs help us to design a treatment plan which will accurately predict how best to move your teeth and correct your bite, taking into account the size and development of your teeth and jaw.

• Surgical Options

By the time you reach your late teen years, the jaw bones have stopped growing and it’s no longer possible to expand them without surgery. Oral surgery can treat serious jaw problems that impact your teeth and bite, usually as part of a combined treatment plan designed by your orthodontist and your oral surgeon.

Because we always work to keep teeth intact—using these methods and others—you can be sure that, if we recommend extraction, it is absolutely necessary. What could make an extraction necessary?

• Severe overcrowding. Sometimes, there’s just not enough room in the jaw for all of your teeth.
• A tooth or teeth that prevent us from correcting a problem with your bite.
• Wisdom teeth. Usually, orthodontic work takes place before a patient’s wisdom teeth start to erupt. If yours do make an appearance before or during treatment, we can adapt our treatment plan accordingly.
• An extra tooth. It’s rare, but an extra, or supernumerary, tooth sometimes develops, and your jaw is not designed to accommodate extras!

It’s important that you talk to Dr. Rubin about every step of your treatment, including extractions. We want you to understand the treatment plan which will give you your best outcome. If we recommend extraction, it is because this decision is the best way to achieve a healthy bite and alignment, creating your beautiful smile—and protecting it—for a lifetime.