Should You Correct Your Toddler's Reverse Bite? Expert Advice Inside - Dentistry

Share to:

Should early childhood dental crossbite be corrected?


Hello Doctor, my son just turned three years old, and we noticed that since he was two, his teeth are in a crossbite.
When he closes his mouth, his lower teeth are positioned outside of the upper teeth.
Neither my husband nor I have this issue, but my grandfather did.
Is it possible that this is hereditary? I'm worried that it might worsen as he grows older.
Should we take him for treatment or orthodontic evaluation now, or should we wait until he loses his baby teeth and gets his permanent teeth (around 6 to 7 years old) to address this? Is there a chance that his bite will correct itself after he loses his baby teeth? I'm very concerned, and I would appreciate your advice.

Xiao Kai, 30~39 year old female. Ask Date: 2019/05/13

Dr. Lin Jiayong reply Dentistry


Hello: Due to the rapid and significant growth and development of infants and young children, there is no need for excessive concern.
If there are no skeletal or other health issues, a three-year-old child does not require orthodontic treatment.
It is recommended to have regular check-ups with a dentist every three to six months.
If orthodontic intervention is necessary, it typically begins after the mixed dentition stage (which starts after age six, as prior to that, children have only primary teeth).
Therefore, please ensure regular check-ups! Thank you!

Reply Date: 2019/05/13

More Info


When it comes to addressing a toddler's reverse bite, also known as an anterior crossbite, it's important to understand both the potential genetic factors and the timing of treatment. A reverse bite occurs when the lower front teeth sit in front of the upper front teeth when the mouth is closed, which can lead to various dental issues if not addressed.


Genetic Factors
You mentioned that your grandfather had a similar dental issue, which raises the question of heredity. Dental alignment and bite issues can indeed have a genetic component. If there is a family history of malocclusion (misalignment of teeth), it is possible that your son may inherit similar traits. However, genetics is just one piece of the puzzle; environmental factors, such as thumb sucking or prolonged pacifier use, can also contribute to dental alignment issues.


Timing for Treatment
In terms of treatment, the age of your son is significant. At three years old, many children are still developing their primary (baby) teeth. It is generally recommended to wait until children are around six or seven years old, when they begin to lose their primary teeth and their permanent teeth start to emerge. This is often the ideal time to assess the bite more accurately and determine if intervention is necessary.


Natural Correction
There is a possibility that as your son grows and his permanent teeth come in, his bite may self-correct. Many children experience changes in their bite as they transition from primary to permanent teeth. However, this is not guaranteed, and if the reverse bite is significant, it may not resolve on its own.


When to Seek Treatment
While it might be tempting to wait, it is advisable to consult with a pediatric dentist or an orthodontist sooner rather than later. They can provide a thorough evaluation and monitor your child's dental development. If the reverse bite is causing functional issues, such as difficulty chewing or speaking, or if it is likely to lead to more severe problems later on, early intervention may be warranted.


Potential Treatment Options
If treatment is deemed necessary, options may include:
1. Orthodontic Evaluation: A specialist can assess the severity of the reverse bite and recommend appropriate treatment, which may include braces or other orthodontic appliances.

2. Space Maintainers: If there are concerns about the spacing of teeth, space maintainers can help ensure that there is enough room for the permanent teeth to come in correctly.

3. Behavioral Modifications: If habits like thumb sucking are contributing to the issue, addressing these behaviors can be beneficial.


Conclusion
In summary, while it is possible that your son's reverse bite may self-correct as he grows, it is essential to have him evaluated by a dental professional. Early intervention can prevent more severe issues down the line and ensure that his dental development proceeds as smoothly as possible. Keeping an eye on his dental health and maintaining regular check-ups will be key in managing this situation effectively.

Similar Q&A

Correcting Underbite in Toddlers: Treatment Options and Specialist Recommendations

My child has an inwardly curved lower jaw and is currently two years old. All of his teeth have fully erupted, but he tends to bite the soft tissue of his upper jaw while chewing, which makes him reluctant to eat. Currently, he only consumes rice porridge daily. Is it possible to...


Dr. Wang Cunzhen reply Dentistry
Hello: We apologize! Dr. Wang Chun-Cheng has left our hospital and is no longer providing services here. We will respond to your inquiry once another physician has addressed it. Dear Yang Yang: Regarding the questions you posted on the website, some parts are not easily underst...

[Read More] Correcting Underbite in Toddlers: Treatment Options and Specialist Recommendations


Understanding and Managing Toddler Biting Behavior: Tips for Parents

My son is currently 2 years and 2 months old, and his language and physical development are both normal. His teachers say he is very smart and learns quickly, and he has a sociable personality. Since he was about 18 months old, he has frequently bitten other children at school. S...


Dr. Li Guanying reply Psychiatry
From your letter, it is clear that you are experiencing discomfort and distress due to the pressure of having a young child who has a habit of biting. However, the aspect of child development requires a personal evaluation. Please bring your child to see a doctor and discuss this...

[Read More] Understanding and Managing Toddler Biting Behavior: Tips for Parents


Addressing Your Baby's Crooked Front Teeth: When to Seek Dental Advice

Hello Dr. Lin: My daughter is currently 10 months old. Last month, she got her first incisor, which appears to be crooked. From my perspective, it is leaning to the left. Yesterday, she developed her second incisor (just the tip is showing), and it is leaning to the right, making...


Dr. Lin Qingye reply Dentistry
Hello Miss Lin: Before a baby develops teeth, the dentist's focus is on the overall health of the oral environment. Once teeth begin to emerge, it is even more important to have regular dental check-ups. I understand you may be a new mother, so I want to remind you to consid...

[Read More] Addressing Your Baby's Crooked Front Teeth: When to Seek Dental Advice


Improving Jaw Alignment: Solutions for TMJ Issues in Adolescents

Dr. Huang: Hello! My daughter is currently 12 years old. When she was about 7, she fractured the growth plate on the right side of her mandible. Now, due to an abnormal bite, she is injuring the inner cheek muscles, and there is a protrusion on the crown of her lower left molar t...


Dr. Huang Zhicheng reply Dentistry
Hello, if you accidentally bite the side of your tongue, it is recommended to consult a dentist to smooth out any sharp edges of your teeth to prevent further injuries. You may return to the clinic to discuss with your doctor the possibility of creating an occlusal splint. Wishin...

[Read More] Improving Jaw Alignment: Solutions for TMJ Issues in Adolescents


Related FAQ

Teething

(Pediatrics)

Baby Teeth

(Dentistry)

Pediatric Dentistry

(Dentistry)

Losing Baby Teeth

(Dentistry)

Bite

(Dentistry)

Oral Thrush

(Pediatrics)

Occlusal Splint

(Dentistry)

Tooth Alignment

(Dentistry)

Tooth Trauma

(Dentistry)

Tongue Pain

(Dentistry)