Simple Dental Deformity

Tooth Crowding

crowding tooth

One of the teeth malocclusions is the excessive number of teeth which is called crowded teeth. As you can see in the images on this page, in the crowded teeth, the teeth are developed everywhere and parents and patients are worried and shocked. One of the questions preoccupying the patient’s mind is that why my teeth are misaligned? What is the best way to treat these misaligned teeth that are getting more crowded every day? Who should I go to for treating these maligned teeth? And questions like these. Read the full text and you will find answers to your questions.

crowding tooth treatment

The Reason for Crowded Teeth & Misalignment

Finding the reason for the misalignment of the overcrowded teeth is the first step for successful and permanent treatment. We recommend you to refer to an experienced orthodontist in this regard. The orthodontist will say one of the following reasons:

  • Heredity: The patient with crowded teeth might have inherited the small jaw from their mother and the large teeth from their father. In this case, the large teeth in small teeth arch lead to a lack of space which will result in teeth crowding.
  • Small Jaw: Sometimes the teeth are not too large but the patient’s jaw is too small or has not been developed completely.
  • Large Teeth: Sometimes patient’s jaw size is standards but the teeth are too large. However, the main cause of crowded teeth is the small jaw and dental arch.
  • Bad Habits: Bad habits like sucking finger, tongue, or nail could result in crowded teeth.
  • Poor Nutrition: This could lead to underdevelopment of jaws
  • Extra Teeth:  Some people have too many teeth, thus, having extra teeth could result in teeth crowding.

causes of crowded teeth

Orthodontics Treatment for Crowded Teeth & Misalignment

You need to go to an orthodontist to treat these types of malocclusion. Some people go to a dentist and extract their posterior or wisdom teeth. However, extracting posterior teeth without consulting an orthodontist is not helpful in the development of treatment. Because crowded teeth should be moved by a proper orthodontics appliance in order to be positioned in the right place. Bear in mind that the crowded teeth will not move by themselves. You cannot treat this type of malocclusion merely by opening the terminal spaces.

The orthodontist will determine how many teeth and in which locations should be extracted from the dental arch. In the orthodontics treatment of the crowded teeth, 2 to 4 teeth should be extracted. These teeth are extracted symmetrically. If one tooth is extracted from the upper right dental arch, the other teeth will be extracted from the left side of the same dental arch.

Extracting 4 Teeth in Crowded Teeth Orthodontics Treatment

In this procedure, 2 teeth are extracted from the upper arch and 2 teeth from the lower arch. But don’t worry about losing your teeth. By completing the course of the orthodontics treatment no one could ever guess that 2 or 4 teeth are extracted from your mount. Keep in mind that a professional orthodontist does not extract healthy teeth as much as possible and tries to extract the decayed teeth.

Is Extracting Teeth Necessary for Crowded Teeth Treatment?

No, the patients do not necessarily need teeth extraction in orthodontics treatment. In some cases, the physician decides to keep the patient’s teeth at their own discretion. Orthodontist places a screw on the jaws to open them and expand the dental arch. In order to make enough space for all of the patient’s teeth. Afterward, they align the crowded teeth using a proper orthodontics appliance.

Crowded Teeth & Malocclusion of Jaws

Besides crowded teeth, some patients have malocclusion in one or both jaws. Fixed and removable orthodontics are used in the treatment of this group of patients. To position the jaws in the right direction the removable orthodontics is used and fixed orthodontics is used to align the crowded teeth

Frequently asked questions about dental crowding and misalignment

1-How is the dental crowding and misalignment measured?

The orthodontist measures this abnormality on a millimetre scale. If the teeth are far apart, it means that the patient has got misaligned teeth and a diastema. If the patient’s teeth are too close or overlapping, the patient may suffer from the problem of tooth crowding.

2-Is extracting the tooth necessary for the orthodontics of crowded teeth?

If the patient’s jaw has enough space for an organized alignment of the teeth, there is no need to extract the tooth. If the orthodontist determines that the patient’s tooth needs to be extracted, they will usually choose the decayed ones for this purpose and will refuse to pull out the patient’s healthy teeth. The orthodontist avoids pulling out the patient’s teeth as much as possible, unless the patient has an extra tooth.

3-What are the classifications of dental crowding?

The orthodontists divide dental crowding and jaw malformations into three general categories. These irregularities are also called malocclusion and are labeled from grade one to three depending on the type and sternness of the abnormality.

4-Is it preferable to treat the problem of dental crowding by orthodontics or composite?

In cases the patient suffers from jaw deformities in addition to misaligned and crowded teeth, the composite cannot be effective even for a temporary amendment of the teeth. Also, the composite leads to disability in moving the teeth and putting them in the right place. So, composite cannot be a good choice for treating dental crowding.

5-What is the use of dental bandaging in an orthodontic treatment of misaligned and crowded teeth?

If a tooth is chipped or broken, it can be repaired by bandaging. An orthodontic treatment is used to move the teeth, and bandaging is only effective for fixing dental fractures and cracks.

About Dr Abdolreza Jamilian Orthodontist

Dr. Jamilian, an orthodontist, has a specialized fellowship in orthodontic surgery and maxillofacial abnormalities and is a full-time professor in the orthodontics department of the Dentistry School of the Islamic Azad University. He is member of Iranian and European Board of Orthodontics (EBO) and is a member of the Iranian, American and European Orthodontists Association.

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