Key Takeaways

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Malocclusion is an abnormal alignment of teeth that can affect chewing, speech, and facial appearance.

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Causes include genetics, jaw-tooth size imbalance, birth defects, oral habits (like thumb-sucking), missing teeth, and trauma.

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Symptoms: Misaligned teeth, chewing difficulties, speech issues, facial changes, mouth breathing, cheek biting, and jaw pain.

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Diagnosis involves a dental exam, X-rays, and creating models or digital images of the teeth and jaw.

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Treatment may include braces, aligners, tooth removal, or surgery, depending on severity.

Ever see a person flash a smile and think, "I wonder if something is off about their bite? That slight asymmetry could be what dentists refer to as malocclusion of teeth. Malocclusion of teeth is a misalignment of teeth or teeth and jaws, and it is one of the most common dental issues, impacting millions of adults and children in the U.S. on an annual basis.

In some cases, it may simply be cosmetic; a tooth is slightly crooked and barely catches our attention. In other cases, it has more serious implications, affecting the way we chew, speak, and even breathe. It is absolutely important to identify it early on. If it goes untreated, it can develop into bigger issues such as chronic jaw pain, gum disease, or even changes to our facial structure.

Table of Content

Malocclusion definition: What it really means

In basic terms, malocclusion of teeth occurs when the upper and lower teeth do not fit together properly. Picture a puzzle that has been jimmied together; the pieces don't match perfectly, and over time, there is pressure on the entire structure. Misaligned teeth or a misaligned jaw can make simple tasks, like chewing a burger or making "S" sounds, more difficult than they should be. For some, it's not just about appearance; it's also about health, comfort, and self-confidence.

Do you have an asymmetrical smile?

With the help of clear aligner treatment, you can align your smile. Take a quick assessment to see your eligibility for the treatment.

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Types of malocclusion

Malocclusion isn't a one-size-fits-all issue. Dentists classify it into different categories based on how your bite looks and functions.

Class 1 malocclusion (Normal bite)

An illustration of a class 1 bite

The most common type. Your bite is technically “normal,” but there's crowding, gaps, or teeth that are slightly rotated. It's like a nearly perfect puzzle with just a couple of misplaced pieces.

Read more about Overbite vs Normal teeth

Class 2 malocclusion (Overbite)

An illustration of an overbite

This is when the upper jaw or upper teeth significantly overlap the lower jaw. Imagine a lid that sits too far down on a box. This type is what most people casually refer to as an overbite, and it can lead to jaw strain and wear on certain teeth.

Learn more about How to fix an overbite

Class 3 malocclusion (Underbite)

An illustration of an underbite

Here, the lower jaw extends past the upper jaw, creating something many refer to as an underbite. An underbite can be particularly problematic in the overbite vs underbite discussion, where an underbite can sometimes even warrant surgery if it is severe enough.

Quick Fact: There are other "bites" such as crossbite, open bite, and deep bite. Many people confuse deep bite vs overbite, but a deep bite is much worse than an overbite (in a deep bite, the top teeth cover most of the bottom teeth when you close your mouth).

Symptoms of malocclusion you shouldn't ignore

Some signs are easy to spot in the mirror, while others sneak up on you gradually.

  • Trouble biting or chewing certain foods

  • Speech issues, like a slight lisp

  • Breathing through your mouth instead of your nose

  • Crowded or crooked teeth that seem to get worse over time

  • Visible bite problems like an overbite, underbite, or crossbite

  • Pain or discomfort when chewing or biting

  • Subtle changes in your face shape or jawline

And here's a sneaky one: chronic headaches or jaw soreness. These can sometimes signal temporomandibular joint dysfunction symptoms, which are closely linked to severe malocclusion.

Causes of malocclusion

Illustration of all causes of malocclusions

So, what causes this puzzle to misalign in the first place?

  • Genetics: A small jaw or crowded teeth often run in families.

  • Jaw-tooth size mismatch: When teeth are too large for the jaw, or the jaw is too small, overcrowding happens.

  • Childhood habits: Thumb sucking, extended pacifier use, or tongue thrusting can push teeth out of alignment.

  • Birth defects: Conditions like cleft palate can cause alignment issues.

  • Trauma: An injury to the face or jaw can disrupt a previously balanced bite.

  • Other factors: Poor dental care, early loss of baby teeth, or impacted adult teeth.

Diagnosis: How dentists identify malocclusion

The process is simpler (and less scary) than you think.

  • Initial exam: Your dentist or orthodontist checks how your teeth and jaw fit together.

  • X-rays: These give a clear view of tooth roots, jawbone, and any hidden issues like impacted teeth.

  • Orthodontic classification: Finally, they categorize it as Class 1, Class 2, or Class 3 malocclusion.

  • 3D scans: These scans provide a 3D image of your teeth.

  • Impressions: With Capsersmile, you can also take easy at-home impressions with our impression kit.

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Confused about how to take an impression from home?

Here's an easy step-by-step tutorial for you

Treatment options for malocclusion

The best treatment depends on the type and severity.

When it comes to fixing malocclusion of teeth, treatment depends on the type and severity of the issue. Here's how different solutions work:

Braces: The traditional approach

Braces have been around for decades and are highly effective for moderate to severe cases. They use metal brackets and wires to gradually move teeth into proper alignment.

While they work well, they can be uncomfortable, very noticeable, and require regular adjustments. Many patients also find it difficult to maintain oral hygiene with traditional braces because of the wires and brackets.

Clear aligners: The modern, comfortable solution

A girl holding Caspersmile Clear Aligners in one hand and its case in the other

For those who want a nearly invisible, comfortable, and removable option, clear aligners are the way to go.

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“Clear aligners are effective for most types of bite issues, such as spacing, crowding, overbite, underbite, open bite, and crossbite.”

Dr. Ardra Kilaparti

At Caspersmile, our custom-made aligners are designed to straighten your teeth without the hassle of wires or painful adjustments.

  • Discreet: Almost invisible, so you can smile confidently during treatment.

  • Comfortable: Smooth edges mean no irritation to gums or cheeks.

  • Removable: Eat, drink, brush, and floss with total freedom.

  • Fewer dental visits: No tightening appointments, just switch to the next set of aligners at home.

If you have mild to moderate malocclusion, Caspersmile aligners can give you a straighter, healthier smile in as little as six months.

Achieve the bite you deserve

Correct your malocclusion effectively with Caspersmile's best-in-class clear aligners that ensure a perfect bite.

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Other treatment options

  • Tooth extraction: Sometimes used to create space in cases of severe overcrowding.

  • Dental restorations: Reshaping or capping certain teeth to improve bite balance.

  • Jaw surgery: Necessary only for extreme cases of skeletal misalignment.

  • Early intervention for kids: Growth-modifying appliances can help guide jaw development and prevent future issues.

When to see a dentist or orthodontist

  • Children: The American Association of Orthodontists recommends an evaluation by age 7.

  • Adults: If you notice pain, difficulty chewing, or visible bite issues, don't wait.

Addressing malocclusion early often means avoiding surgery later, and it's usually more affordable, too.

How to relieve jaw pain at home

If you're dealing with mild discomfort while waiting for treatment, try these tips:

  • Gentle jaw stretches are recommended by your dentist.

  • Warm compresses to ease muscle tension.

  • Avoid chewing gum or hard foods.

  • Over-the-counter pain relievers (if approved by your dentist).

  • These steps won't fix the root cause, but they can temporarily relieve jaw pain.

Why treating malocclusion matters

Untreated malocclusion isn't just about a crooked smile. It can cause:

  • Tooth wear and fractures

  • Chronic headaches and TMJ issues

  • Gum disease or cavities from hard-to-clean areas

  • Self-consciousness that impacts social confidence

Maloclussions: Types and treatments explained

Malocclusion isn't only about looks. It's about creating balance between your teeth, jaws, and your overall health. If you have been procrastinating on treatment, think about how much easier life could be with a harmonised bite and confident smile.

At Caspersmile, we're here to help you take the first step. Book your free smile assessment today, because your best smile deserves professional care.

Frequently asked questions

faqs
It’s when your teeth or jaws don’t align properly. Signs include crooked teeth, bite problems, or jaw discomfort.
Absolutely. It can lead to speech difficulties, jaw pain, and even digestive issues from improper chewing.
Around age 7. Early detection helps guide jaw growth.
For mild to moderate cases, clear aligners work beautifully. Severe cases may need braces or surgery.
Yes. Even painless malocclusion can lead to tooth wear and gum problems over time.
Anywhere from 6 months to 2 years, depending on severity.
It can worsen over time, leading to pain, tooth loss, and facial changes.

Citations

Malocclusion. (2025c, August 27). Cleveland Clinic.
https://my.clevelandclinic.org/health/diseases/22010-malocclusion

Burke, D. (2022, November 9). Malocclusion of the teeth. Healthline.
https://www.healthline.com/health/malocclusion-of-teeth

Baum, A. (2025, July 28). Understanding deep bites: causes, concerns, and corrections. American Association of Orthodontists.
https://aaoinfo.org/whats-trending/what-is-a-deep-bite/