What Does It Mean If You Have A Deep Bite? How To Fix It
Deep bite is a common orthodontic condition in which the top row of teeth significantly overlaps the bottom row of teeth. Also known as an overbite or closed bite, deep bite may cause no symptoms if the condition is mild. In more severe cases, however, it can cause pain, headaches and even mouth injuries.
Dentists and orthodontists can treat most deep bites using braces or clear aligners. They may also use additional orthodontic devices like magnets and twin blocks to assist in the treatment process. Severe cases of deep bite may only be treatable using orthognathic surgery, a process which repositions the jaw to improve your bite and correct problems like deep bite.
What is a Deep Bite?
A deep bite (also called an overbite or a closed bite) is a type of malocclusion, or “bad bite.” It is diagnosed when the top row of teeth significantly overlaps the bottom row of teeth. This is because the person's top teeth are positioned too far forward compared to their bottom teeth.
While it is normal for the top row to rest a few millimeters over the bottom row, deep bites take this feature to the extreme. In a normal bite, one-third of the lower incisors is covered by the top incisors. People with a deep bite often have just half of their lower incisors showing when they bite down. In severe cases, you may not be able to see their lower teeth at all.
Causes of a Deep Bite
Your lower jaw should allow your bottom teeth to sit just behind your top teeth, but in extreme cases, a jaw that does not develop properly can cause a deep bite. This is because the jaw itself is too small for the top and bottom teeth to align.
Jaws can grow or become misaligned over time, shifting to the side or sliding backward. This might be related to genetics, or it could be caused by poor oral health later in life.
A lower jaw with tight, overdeveloped muscles can cause damage to the teeth and force the lower jaw to be pulled backward.
When teeth come in too far, it forces misalignment with the matching tooth, which can then lead to further misalignment problems that shove the jaw too far back.
Even if you do not have an underdeveloped lower jaw, having teeth removed or never come in can cause alignment issues similar to having a small jaw. Teeth will not fit together properly. To correct this bite issue, the muscles in your jaw will become tense and pull the jaw backward.
How Common is a Deep Bite?
Deep bite is a relatively common orthodontic condition. Studies estimate that 21.98% of all people worldwide have a deep bite. They also indicate that deep bite is equally common in all countries and populations.
Studies of orthodontic patients have shown that over 80% of deep bite cases are mild. These same studies also show that female patients are more likely to have a mild case of deep bite than male patients.
However, this may be because women are more likely to seek orthodontic treatment for a minor dental problem than men are. Further research is needed to confirm whether men are actually more likely to have moderate or severe deep bite than women are.
Deep bite is also one of the most common conditions that patients choose to address with orthodontic treatment as adults. If you are interested in treating your deep bite at an older age, you should know that you're not alone.
Signs and Symptoms
Aside from the obvious visual presentation, there are a few other signs of deep bite. Depending on the severity of the problem, people with a deep bite may notice symptoms such as:
Worn-down lower teeth
Sores, ulcers, or other injuries to the roof of the mouth
Crooked teeth that have been displaced from excessive force
A deep bite that is not treated for a long time can also lead to increased tooth decay and gum disease. This is because patients’ crooked teeth are often difficult to clean, making them prone to plaque build-up. Since it is difficult to correct the position of crooked teeth without fixing a deep bite, these problems often occur alongside the condition.
Deep bite does not always need to be treated. In fact, mild cases usually aren’t treated.
But patients who are experiencing pain, shifting teeth and other harmful symptoms should strongly consider treating their deep bite to relieve those symptoms. Some people also choose to treat their deep bite for cosmetic reasons.
Deep bite can be corrected using braces, clear aligners, orthognathic surgery or some combination of the above. Orthodontists may also use devices like elastics, magnets, mini-screws, twin blocks, and other tools to produce the desired results.
Braces or Aligners
Treating deep bite with braces or clear aligners typically costs between $3,000 and $5,000 in the US. However, this is just a rough estimate. The actual cost varies significantly depending on how complex your case is.
It’s a good idea to get a consultation appointment with the orthodontist you want to work with before you commit to treatment. This way, you can build a budget for this expense based on accurate numbers.
If your deep bite is severe enough to require orthognathic surgery, the process will be considerably more involved. You will need to undergo a full course of orthodontic treatment before your surgery, then spend several weeks recovering from the surgery itself. In some cases, you may need to spend even more time in braces after your jaw heals.
Orthognathic surgery can be extremely expensive, often costing tens of thousands of dollars for the surgery alone. It is also usually considered a health insurance expense rather than a dental insurance one. This means that you may be able to get the procedure covered by insurance even if you don't have dental insurance.
Finally, patients with severe wear on their anterior teeth as a result of their deep bite often wish to have those teeth restored as part of their treatment. This can be done with bonding, veneers, or crowns and will typically cost somewhere between $300 and $3,000 a tooth depending on the type of treatment you choose.