Correcting Toddler Overbite: When to Start Orthodontic Treatment? - Dentistry

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At what age can toddlers' biting behavior be corrected?


Doctor, my child is 3 years old and has an overbite where the lower teeth are positioned in front of the upper front teeth.
What should we do? Can it be corrected now, or should we wait until they are older and have their permanent teeth to see if it resolves itself? Thank you for your response.

dodo, 30~39 year old female. Ask Date: 2019/05/14

Dr. Zeng Guanghui reply Dentistry


If there is a dental crossbite, it is advisable to seek an evaluation from a dentist or orthodontist as soon as possible to assess whether preventive orthodontic treatment is necessary.

Reply Date: 2019/05/14

More Info


When it comes to correcting an overbite in toddlers, especially in a 3-year-old child, it's important to approach the situation with care and understanding of dental development. An overbite, where the upper teeth significantly overlap the lower teeth, can be a common issue in young children. However, the timing and method of treatment can vary based on the severity of the overbite and the child's overall dental development.

Generally, orthodontic treatment for children is often recommended to begin around the age of 7. This is because, by this age, most children have a mix of primary (baby) and permanent teeth, allowing orthodontists to assess the alignment of the teeth and the development of the jaw more accurately. However, in some cases, early intervention may be beneficial, especially if the overbite is severe or if there are other concerns such as difficulty in chewing, speech issues, or aesthetic concerns that may affect the child's self-esteem.

For a 3-year-old, it is usually too early to start formal orthodontic treatment. At this age, the focus should be on monitoring the child's dental development. Many children will naturally outgrow minor overbites as their jaws and teeth continue to develop. The primary teeth will eventually fall out, making way for the permanent teeth, which may align more favorably.
However, if the overbite is significant, it may be wise to consult with a pediatric dentist or an orthodontist who specializes in early childhood dental issues. They can provide a thorough evaluation and determine if any early intervention is necessary. This could include guidance on habits that may exacerbate the overbite, such as thumb sucking or prolonged pacifier use, which should be addressed as they can impact dental alignment.

In terms of treatment options, if intervention is deemed necessary, it might include the use of space maintainers or other appliances designed to guide the growth of the jaw and teeth. These appliances can help create the necessary space for the permanent teeth to erupt properly.
As for your concern about whether the teeth will "grow back" properly, it is essential to understand that while some alignment issues may resolve naturally, others may require orthodontic treatment later on. If the overbite persists as the child grows and the permanent teeth come in, more comprehensive orthodontic treatment, such as braces, may be needed.

In summary, while it is generally too early for formal orthodontic treatment at the age of 3, monitoring the child's dental development is crucial. Consulting with a pediatric dentist can provide peace of mind and ensure that any necessary interventions are taken at the appropriate time. Early assessment can help in planning for future treatments, ensuring that your child's dental health is on the right track as they grow.

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