Concerns with Overcrowding - 29


A common problem in cosmetic dentistry is the issue of overcrowded teeth. This sometimes occurs because of a misaligned bite, extra teeth, previous dental work, cleft lip, cleft palate, too large or too small teeth, or even because the size of the teeth are disproportionate to the size of the jaw. Whatever the root cause, having overcrowded teeth can cause unfortunate pain and problems.

The Skinny

Overcroweded Top and Bottom Teeth, what is it?

Overcrowded teeth, or dental crowding, refers to a discrepancy between the size of the teeth and the size of the jaw. This orthodontic concern can lead to speaking difficulties, chewing difficulties, and much more serious concerns such as gum disease. The overcrowding of either the top teeth or the bottom teeth can make it difficult to maintain proper oral hygiene habits. If this is true for you, seek the help of a dentist, orthodontist, or oral surgeon as failing to prevent gum disease can lead to tooth decay and even tooth loss.

The Specifics

Overcrowed Teeth and Children

Childhood is the best time to address the issue of overcrowded teeth because catching it early can prevent long term problems. While overcrowding is generally a hereditary issue, it can also be caused by other factors, such as thumb-sucking, cleft lips, and cleft palates. Whatever the cause of overcrowding, early treatment can prevent long-term and more difficult problems including tooth impaction. Tooth impaction refers to a phenomenon in which permanent teeth get stuck to either the roof of the mouth or the lower jaw.

Overcrowding and Wisdom Teeth

There is certain discord concerning impacted wisdom teeth or third molars, which contributes to the development of overcrowded teeth. A study specifically done to understand the correlation between the wisdom teeth and the problem of overcrowding found that while US practitioners, namely oral surgeons and orthodontists, may differ in opinion concerning wisdom teeth and overcrowding, many still agree that the wisdom teeth create added pressure to the existing teeth, leading to the problem of overcrowding. Therefore, despite their preferences, most still recommend removing the wisdom teeth to prevent issues from occurring. Not only can impacted wisdom teeth cause unnecessary pain, but they can also put pressure against existing teeth. This pressure can cause the teeth to shift and become overcrowded. Removing the wisdom teeth prevents overcrowding by ensuring the teeth get the space they need to be properly aligned.

Overcrowed Teeth Solutions; Braces

The best way to correct the problem of overcrowded teeth is through braces. There are a few different options, and they are each defined below:

Traditional Metal Braces The most common choice for correcting overcrowded teeth is that of traditional metal braces. This is the system that most of us are familiar with, and includes metal brackets cemented to the enamel at the front of the tooth. You will need to see an orthodontist for the application and should expect regular appointments for tightening, realignment, and adjustments. The main drawback to this method is the visibility of the brackets and wires. This method sometimes causes issues with self-confidence, but keep in mind that the braces are a temporary means of achieving permanent results.

Lingual Braces If you are concerned that traditional metal braces would impact your self-esteem or daily life, lingual braces might be an option. These work in much the same way traditional metal braces work, but whereas traditional braces are attached to the front enamel, lingual braces are cemented to the back of the teeth next to the tongue.

Damon Braces This orthodontic treatment is said to work more quickly and painlessly than more traditional methods. That, in part, is due to the passive way the system works. Damon braces operate through a high-tech wire that easily slides through the brackets of the lower and upper teeth, allowing for a passive system of orthodontic braces that requires minimal readjustments compared to regular braces. This method rarely needs the extra work of palatal expanders, teeth extractions, or other orthodontic appliances to move teeth into the correct positions, which is a bonus of the self-ligating Damon system.

Clear Aligners and Invisalign® These are great crowded teeth treatment options for those who might feel self-conscious about having to wear braces. You may need x-rays of the upper jaw and lower jaw to determine the extent of the overcrowding issue, but these aligners, such as Invisalign®, ClearCorrect, and Simpli5, are purposefully created to blend in with the natural tooth enamel. This method requires continuous wear (20+ hours per day) of customized aligner trays that are made from strong, clear plastic. Each tray is worn for a prescribed period before treatment is complete. Afterward, results are maintained by wearing a retainer. A benefit of this option is that these are removable braces, meaning that if you wish to remove them for a short period (wedding, family pictures, etc.), you can do so without any major complications.

The Takeaway

Speaking with a Dental Professional

Although you may not see overcrowding as being a big problem, it can lead to significant concerns, and you shouldn’t waste time seeing a dentist, an oral surgeon, or orthodontist. Their trained eyes will be able to let you know the severity of your overcrowding to advise you about the best approach to consider. Children, especially, should be seen by a professional to prevent permanent or severe damage structure of the teeth. Overall, addressing the issue of overcrowding will help you maintain proper and consistent dental health, which will ultimately help prevent further complications, such as gum disease or continual headaches caused by pressure in the teeth.

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Source List


AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Medline Plus Medical Encylopedia Malocclusion of teeth
  2. Medline Plus Malocclusion of Teeth
  3. Francesco Cairo Periodontal plastic surgery of gingival recessions at single and multiple teeth; 2017-10-02


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