Protruding teeth: Classification and treatment

This is an automatically translated article.

The article is professionally consulted by Doctor of Dental - Jaw - Facial - Department of Examination & Internal Medicine - Vinmec Hai Phong International General Hospital
Protruding teeth is a common condition, affecting the aesthetics, the harmony of the overall face and making you lose confidence in life as well as when communicating. Protruding teeth have many classifications, so the treatment of protruding teeth should be based on the cause.

1. What is protrusion?

Protruding teeth, also known as protruding teeth, is a condition caused by teeth, bones or both protruding forward, causing aesthetic loss. At this point, you can intervene with orthodontics - jaw surgery or a combination of braces and surgery. Protrusion teeth have 2 levels:
Mild protrusion: Teeth move forward, grow not vertically but at a mild level. In some cases, if you want to know exactly if your teeth are crooked, see your doctor for a direct examination. Severe protrusion: This is a case that is easy to recognize with the naked eye because the upper teeth protrude quite a lot compared to the lower jaw. Protruding teeth can directly affect you as follows:
Reduce the aesthetics of the face due to the mouth protruding from the front, loss of natural asymmetry, bad mouth shape, chin and lips not reaching the aesthetic line . In the case of teeth growing in the direction of protrusion, the alveolar bone protrudes, making you smile, feeling a bit open, revealing a lot of gums. Directly affecting oral health, because if not treated early, teeth will protrude more and more, affecting the jaw bone structure, chewing system and adversely affecting your temporomandibular joint.

2. Causes of protruding teeth

Protruding teeth have many causes as follows:
Protrusion due to teeth:
Caused by misaligned teeth, specifically, incisors that grow not parallel to the vertical but protrude out. It is possible that the teeth are too large, causing the jaw frame not to have enough room for the teeth to grow, causing the teeth to protrude or become crowded. Due to bad habits such as thumb sucking, holding a pacifier for a long time or during tooth replacement, baby teeth fall out prematurely without any remedy, causing the teeth to grow crooked and crowded. When the permanent teeth do not grow in enough space, they will crowd or protrude, causing protruding teeth. Jaw prolapse:
Caused by normal teeth but the facial structure develops out of control. The upper jaw is enlarged and overgrown compared to the lower jaw. Protruding teeth due to jaws often originate from congenital causes. Protrusion caused by both teeth and jaw:
This is considered a severe protrusion due to both jaw and teeth mentioned above. Correction of crooked teeth will depend on the cause.

3. Classification of protruding teeth

There are following types of protruding teeth:
Maxillary protrusion: This is a form of maxillary protrusion with overdeveloped jaw bone structure, protruding upper jaw bone leading to a mismatch between the two jaws. disproportionate, pronunciation and chewing, aesthetic influence. Protruding teeth make lips thick: This is the case due to an imbalance between the upper and lower teeth, the bite is misaligned. Manifestations are that the upper teeth are pushed out too much compared to the lower jaw, the mouth will not close or the lips are pointed and thick, the teeth come out first. The cause of this phenomenon is due to teeth, bones, teeth and bones. Protruding gums: This phenomenon is also known as gummy smile, the gums are exposed a lot because the teeth are too short, not commensurate with the gums, so when smiling, even though the lip lift muscle is normal, it will cause the gums to be exposed. This problem often affects a lot of aesthetic problems. Mandibular protrusion: Expressed as a misaligned chin, the lower teeth are outside the upper teeth. When the mouth is closed, the chin may be deflected. If the lower jaw teeth are not treated, the teeth and jawbone will be affected, the bite is misaligned, and the ability to chew is not normal. Crooked chin: The chin is crooked because the chin bone structure is too short, the chin is missing. A receding chin only affects aesthetics and is caused by genetics, accidents, loss of teeth that cause jaw bone loss or dental diseases ...

4. Treatment of protruding teeth

To fix the problem of crooked teeth, it is necessary to know the cause. Here are some methods of treating protruding teeth according to their causes:
Treatment of protruding teeth due to teeth:
Orthodontic treatment of protruding teeth with orthodontic methods: This is the most commonly used method. This method will use a system of wires and brackets fixed to the teeth, increasing the force, increasing the orthodontic efficiency and ensuring the aesthetics during the orthodontic treatment. This method is very suitable for people who have too many misaligned teeth, excessive protrusion. Straightening teeth with Invisalign: Unlike braces with brackets, Invisalign braces are meant to move teeth based on the operating principle of transparent, comfortable and convenient aligners. use, completely confident to communicate, eat normally during the orthodontic process. This method is suitable for adults who communicate a lot. Orthodontic treatment of protruding teeth with porcelain crowns: In case the teeth are protruding with bad or uneven surfaces, the method of straightening orthodontic teeth is porcelain crowns. But the porcelain crown requires grinding the real tooth that is chipped, so when the protruding teeth protrude too much, it will be difficult to do. Therefore, porcelain crowns for orthodontic treatment are only applicable in cases where the teeth are slightly chipped. Treatment of protruding teeth due to jaw: The best treatment method to fix protruding teeth due to jaw is to surgically intervene in the jaw bone, affecting the structure of the bone. This method of remedy is very quick, but the cost is high and the doctor who performs it needs to have high expertise and modern medical equipment for the safest jaw surgery. Correction of crooked teeth due to both teeth and jaws:
In the case of protruding teeth due to teeth and jaws, the treatment will appoint a combination of jaw surgery and orthodontics.

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