What is an Anterior Open Bite?

An anterior open bite is a type of malocclusion (misalignment of the teeth) where the upper and lower front teeth do not touch when the mouth is closed. This condition is characterized by a visible gap between the upper and lower teeth, primarily in the front portion of the mouth, even when the person bites down. Essentially, the teeth don't meet properly, leaving a noticeable open space in the front.

This issue can occur for various reasons, ranging from genetics to habits like thumb sucking or prolonged pacifier use. It’s important to understand the different aspects of an anterior open bite to fully grasp its impact and how it can be addressed.

Causes of Anterior Open Bite

1. Genetics: In many cases, an anterior open bite can be inherited. If your parents had dental or skeletal issues like this, there’s a chance you might experience a similar condition.
   
   
2. Thumb Sucking: Prolonged thumb sucking, especially in children, is one of the most common causes of an open bite. The constant pressure from the thumb on the teeth can prevent them from developing properly and cause the upper and lower teeth to fail to meet.
   
   
3. Prolonged Use of Pacifiers: Similar to thumb sucking, using a pacifier for an extended period can affect the growth of the teeth and the development of the jaw, leading to an open bite.
   
   
4. Tongue Thrusting: This is a condition where the tongue pushes against the front teeth during swallowing or speaking. Over time, this pressure can cause the teeth to shift, leading to an open bite.
   
   
5. Jaw Development Issues: Sometimes, the problem may not be with the teeth themselves but with the way the upper and lower jaws align. If the jaws are mismatched in size or structure, it can lead to a misalignment that results in an open bite.
   
   
6. Accidents or Injury: Trauma to the face, especially to the mouth or jaw, can affect the alignment of the teeth and result in an open bite.
   
   

Symptoms of Anterior Open Bite

The most obvious symptom is the gap between the upper and lower front teeth when biting down. Other symptoms may include:

• Difficulty biting or chewing food properly, especially harder items.
  
  
• Speech difficulties, such as a lisp or difficulty pronouncing certain sounds.
  
  
• Jaw discomfort or pain, especially if the bite affects the jaw's alignment or causes strain on the muscles.
  
  
• Aesthetic concerns or self-consciousness about the appearance of the teeth.
  
  

Treatment for Anterior Open Bite

Treatment for an anterior open bite depends on the severity of the condition and its underlying cause. Here are some common treatment options:

1. Orthodontics (Braces): Traditional braces are one of the most effective ways to address an anterior open bite. They work by gradually shifting the teeth into better alignment over time. If the bite is caused by tooth misalignment alone, braces can close the gap and improve the bite.
   
   
2. Invisalign: For those with less severe cases or those who prefer a more discreet option, Invisalign aligners can be an alternative. These clear plastic trays help align the teeth without the use of traditional metal braces.
   
   
3. Jaw Surgery: In more severe cases, especially when the issue is related to the structure of the jaws themselves, jaw surgery might be necessary. This typically involves realigning the upper and lower jaws to ensure a proper bite.
   
   
4. Speech Therapy: If tongue thrusting is contributing to the open bite, speech therapy may be recommended. A speech therapist can help teach proper tongue placement during swallowing and speaking to avoid further misalignment.
   
   
5. Behavioral Therapy: For open bites caused by habits like thumb sucking or pacifier use, a pediatric dentist or orthodontist might recommend behavioral therapy to help children break these habits.
   
   
6. Retainers: After the braces or Invisalign treatment is completed, a retainer may be required to maintain the new alignment and prevent the open bite from returning.
   
   

Why is it Important to Treat an Anterior Open Bite?

Beyond the cosmetic appearance of the teeth, an untreated anterior open bite can lead to several complications, including:

• Difficulty Chewing: The gap between the teeth can make it harder to properly chew food, which could lead to digestive issues or discomfort.
  
  
• Speech Problems: An open bite can cause speech difficulties, such as a lisp, which may affect a person’s ability to communicate clearly.
  
  
• Jaw Pain: Misalignment of the teeth can put additional strain on the jaw muscles, leading to headaches or temporomandibular joint (TMJ) issues.
  
  
• Increased Wear on Teeth: An improper bite can cause uneven wear on the teeth, which may lead to further dental problems like cavities or tooth fractures.
  
  

If you suspect you or your child may have an anterior open bite, it’s important to consult with an orthodontist in Northridge or Woodland Hills to explore the best treatment options. Early intervention can prevent further complications and improve overall oral health. Contact our team at Blooming Smiles to schedule a consultation!