Class II problems represent an abnormal bite relationship in which the upper jaw and teeth are located in front of the lower jaw and teeth. Class II patients usually exhibit a convex facial profile with a recessed chin. A skeletal Class II problem occurs when the upper back molars are forward of the lower back molars. This gives the patient the appearance of having a recessed lower jaw, a protruding upper jaw, or both.
Crowding of the teeth is probably the most common orthodontic problem. Although many factors contribute to dental crowding, this problem typically stems from a discrepancy between the space in each jaw and the size of the teeth. Crowding can be the cause or result of other problems, such as impacted teeth, retained teeth or teeth that do not naturally fall out. Crossbite of the front or rear teeth can also cause the teeth to become crowded.
Spaces between teeth are another common problem associated with the need for orthodontic care. Like crowding, spacing may be related to a tooth-to-jaw size disharmony. Spacing may occur between the front and the back teeth. Tooth size discrepancies, such as smaller teeth or abnormally shaped teeth, can also create abnormal spacing.
An openbite can occur with the front teeth, known as an anterior openbite or with the back teeth, referred to as a posterior openbite. An anterior openbite is the lack of vertical overlap of the front teeth and can usually be traced to jaw disharmony or habits such as thumb sucking or the thrusting of the tongue against the front teeth. A posterior openbite is a problem in which the back teeth do not meet vertically.
An overbite is excessive vertical overlapping of the front teeth.
Overjet is when the upper teeth are located in front of the lower teeth.
Also known as a gummy smile, this orthodontic problem gives the appearance of excessive exposed gums on the upper arch. There are several treatment options for this problem.
A posterior crossbite will usually result from a narrow upper jaw or abnormally wide lower jaw. A narrow upper jaw will often force a patient to move the lower jaw forward or to the side when closing into a stable bite. When closed into this accommodating position, the lower teeth are located outside the upper teeth. A posterior crossbite can involve one side of the jaw, known as a unilateral crossbite, or both sides of the jaw, known as a bilateral crossbite.