POSTERIOR OPEN BITE (back teeth not touching) l Dr. Melissa Bailey Orthodontist
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- เผยแพร่เมื่อ 29 ส.ค. 2024
- Posterior open bite (back teeth not touching when aligners are off) can be problematic for clear aligner therapy. Learn the most common causes and what your orthodontist may do to correct it. Sometimes it requires refinements and sometimes it doesn't.
👩🏻⚕️Dr. Bailey is a board certified orthodontist and co-founder of TrayMinder®.
TrayMinder® is an app that helps busy aligner users to remember to wear their trays so that they can achieve their best possible smile.
📱Download the free TrayMinder® app today to help you get better results from your clear aligner therapy: app.trayminder.com.
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Disclaimer: This video is not intended to provide diagnosis, treatment, or medical/dental advice. Content provided on this TH-cam channel is for informational purposes only. Please consult with an orthodontist or dentist regarding any dental related diagnosis or treatment options. Information on this TH-cam channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure, or prevent disease.
Very helpful thank you.
Glad it was helpful! Thanks for watching.
Just took my trays out to eat and noticed the same thing! So helpful!!!
Glad to hear that the video was helpful!
After only 6 days of tray 1 I developed severe open bite and started to feel like a horse when trying to chew as well as had jaw tightness and vertigo. I do think I probably clench my teeth but I also thought I was supposed to use the chewy on the back teeth 😅I told my orthodontist and him as well as the tech basically berated me and said they’ve never heard of someone having vertigo and that there’s no way my bite shifted in that amount of time.
I’ve had 2 sets of braces as a kid, 4 root canals, 4 crowns, and probably 20 fillings (I’m only 29 yrs old) so the fact I ended up with what I felt was a perfect bite after all of that was a miracle, and am very familiar with what biting normally feels like. It was disheartening and discouraging to hear my orthodontist make me feel stupid. I am only trying to fix one canine that scooted forward since my upper teeth’s permanent wire was only placed behind my 2 front teeth as a kid and not all 4 like my bottom teeth, so I’m wondering if it’s worth messing my bite up even more. What should I do? See a new orthodontist? Just give up on the invisilign? Bite so bad I literally chipped my upper canine chewing 😭He’s the one who did my childhood braces and wires so I assumed it was the best to go back to him, but to have someone deny everything you are experiencing is the worst feeling.
Thank you so much for all your videos, they are immensely helpful! I've been wearing aligners for 11 months and recently I've noticed that my bite is no longer good, the teeth on the right side no longer touch when I bite down whereas the left side still touches. I'm really worried the aligners have ruined my bite and there's still 6 months of treatment to go at least. Is this a normal situation, that only one side doesn't touch? Thank you for your help in advance! 🙏🙏🙏
Thanks for watching and I’m glad to hear the video have been helpful for you. Yes, it is normal for the bite to feel off mid treatment. The bite should normalize at the end.
Same exact thing with my bite. My ortho does not listen and I am so unhappy with my smile now. Ome side touches and the other does not. This is a great video addressing this issue.
This is slightly off topic, but I've read that it can be harmful on tooth enamel to brush right after eating (especially after consuming acidic food or drink), and to wait at least 30 minutes to brush after eating. If true, this would make it harder to adhere to the 22-hour goal. So, I'm curious if you have an opinion. Thanks!
Great point. If you eat or drink acidic foods, it’s best to wait 30 minutes before brushing. You can always opt to rinse with plain water or water with baking soda (to neutralize the acid) in lieu of brushing and then wear your aligners. Of course, if you ate sweet sticky foods, it’s best to rinse and brush.
I got scared when this happened, thought I broke my entire mouth trying to fix my jaw😂😂
I have the same problem although that I had braces two times but my dentist isn't good enough to fix that problem...he even didn't notice that thing, I think I need to find another dentist to do my braces 😒🤦♀️
Sorry to hear that - hope everything works out at the end.
Thank you this has helped. So if the gap is not too big then itll go back naturally whne the treatment is complete
Yes, that’s the ideal. Your treating doctor should monitor during retainer checks.
@@TrayMinder awesome I'll get back to you I gor very worried but thanks for the information
Thank you so much dr Bailey! After correcting posterior open bite, is it very likely that the teeth will move up and down again after after the treatment is done? I could see now the retainers could stop them from moving horizontally, but not sure they help with vertical movement. Thank you
Full coverage retainers (essix, Vivera)
do hold in horizontal and vertical directions.
What are your thoughts on cutting the posterior parts of the aligners to let the bite settle? My dentist did that for me instead of ordering new aligners. I have to wear these cut aligners to let my bite settle. I’m a bit confused how it will settle if I still have plastic on my teeth
That’s a common method to settle the bite.
My dentist said he will get my braces off but I have this problem…
I have an acquired posterior open bite even with aligners in
Thank you for this video! I am 3 months into my treatment and have already noticed a gap on my left back teeth. Do you have advice on how to fix it while wearing my Aligners 22 hours a day?
You're welcome - glad to here the video was helpful. Because the causes of posterior open bites can vary between patients, it's best to consult with your treating orthodontist. Best of luck with your treatment.
Is it too hard to move molars with Invisaligns? A lot of orthodontists recommend braces for that..
It depends on the type and degree of movement and the location. Terminal molars are difficult to move, for both aligners and braces.
I had it after braces, and when I asked my orthodontist he told me not to worry and that it’s “normal” 🤨
Was it fixed?
Due to stress, I've been clenching my jaw in my sleep and have developed this recently. I have never had any orthodontic work done. Will this fix itself over time if I wear a bite guard in my sleep?
Is that why my upper teeth feel raised and uneven and swollen because I grind?
Thanks for all your helpful videos. I will be done with my Invisalign treatment next week. Unfortunately, I have posterior open bite because of anterior interferences. In the video you explain that ipr (in my case bottom teeth) can be a solution. In general: do you need refinement aligners after ipr in such case? Many thanks.
Each individual case is different and without records or in person exam, it’s hard to say. It’s best to ask your treating doctor.
I just finished full-time Invisalign wear (full treatment, then 6 months full-time retainers), moving on to overnight wear. I'm noticing that my lower teeth are pressing pretty hard against my upper right incisor and I can't get a comfortable resting position because of it. Is this something that is likely to improve with overnight wear? Should I cut the backs of the trays off to allow the molars to move/erupt?
I recently got Invisalign and when I bite down I feel like only my right side touches while the left side feels a little more open. Is this normal?
That’s a great question. It can feel that way for some patient. I wonder if it has to do with slight thickness difference of the aligner on the right vs left side….
I have the same issue, update?
@@markiis2fly-music400 it went away after a while my teeth just needed to adjust
I have only two teeth (pre molars on right side, top & bottom) that are touching & are preventing my molars from touching. If this were resolved, I think the rest of my molars would likely touch. I do clench my teeth (day & night while I sleep). He said adding attachments to my molars was the way to fix this even though it's the interference of the premolars (which have attachments) that is causing my molars not to touch. I'm very confused as to why he's going about it this way instead of just refining the offending two teeth & seeing where my back molars touch once there aren't two teeth blocking them.
What if the back teeth aren’t touching with braces? I just got braces and my front teeth are interfering with a bracket and therefore I can’t take a good bite. :( will that go away?
Did it go away?
How to prevent posterior openbite in the back of your teeth
For the patient: try not to clench your back teeth. Of course, there are some doctor treatment planning factors as well that I won’t go into as it is irrelevant to patients.
I got my braces off on Friday and I didn't realize till today that my bottom front teeth are hitting into the back of top front teeth so my molars are not quite touching (it's a little uncomfortable), but when I use my retainers my molars do touch and my front don´t which I think is normal. What should I do or tell to my dentist?
You can certainly mention it so they can check for anterior interferences. Molars do tend to settle after braces off so you’re likely to see an improvement.
Hi Dr Bailey, I am halfway through treatment my back teeth touch (not comfortably) but my front teeth dont and I have a slight open bite. Will this correct itself? Thank you
That’s a good question. It depends on the specifics of your treatment plan. You can have your doctor send you the final prediction video (clin check video) to see. Good luck with your treatment.
i forgot to wear retainer just for 2 days at night and now my posterior teeth don't touch and it guves me so anxiety what should i do
Dr. Bailey. Is it normal for this to cause a lot of pain when this happens? I am currently experiencing this issue and my orthodontist has prescribed for me to wear my trays only in the evenings for the next four weeks and then re-scan and start again. I’m wondering how long before the pain goes away? Or, do I possibly have something different going on that is causing the pain?
Hey Dr and thanks for the video. I have been on invisalign for nearly 8 months and I have 3 more trays to go. On my last visit to my dentist, she mentioned there was a gap in my back bite, so she advised to start wearing the tray during night only. It’s been 4 days I’m practicing that, but I experience bad headache when the tray is off. When I put the tray back, the headache goes away. My Dr said this is normal! Is it true?
That's terrible to hear about the headaches. Please reach back to your treating orthodontist and let them know what's happening. Hope you feel better soon.
Dr suggested to a Tmj splint for me but i think this is the problem splint use it usefull??
I have only posterior open bite does it settle with orthodontic braces or it needs surgery especially in the left side which oftenly i dont chew in the left side and i am 22 years old... Is it necessary to fix it or it doesnt need i actully want to do the braces because my upper central teeth are not well aligned? But i want do it when i become 24 until i Finish College so whats your advice dr? And thank you.. And sorry for my bad English.
Get an orthodontic consultation to see what your options are. You can do it before you are ready to begin treatment, just to get an idea of what your treatment would entail. Best wishes.
I took braces off today after 2cywas and my back teeth are touching and front teeth are touching instead. Can't chew thin food as the front teeth are in the way. Should I give a few months to settle? Will it be okay?
It seam to me today most of the doctors are a very bed doctors, Look like they cheated on there final all year long, then they become a doctors to make your life a nightmare????
I spend this past year $14,500.00 to take an old bridge out and replace that with one implant and 2 crowns. I spend 4 months googoling a good dentist, then I find this dentist with 396 good reviews I purchased a dental insurance to get some discount. After working with this dentist for 7 months, he did a terrible work on my teeth, the crown didn't fit well they are too low and I started to bite inside my cheek and some time the cheek bleed and burn and my front upper teeth lying down on my lower lips and when I am in a relax mood my lower front teeth touching my upper front teeth in the middle, it is so uncomfortable feeling, very irritating and cause me so much pain.
It is just a nightmare and I want to wakeup from it? I am still searching for a doctors to fix this.
I don't have any trust left on me for doctors and it is so exhausting finding some one honest you can trust with out getting screwed?
I wonder how my bite screwed that much???
Please any advice?
Thank you,
I have bite ramps, which seem to be artificially creating this situation. Are the bite ramps to bring down the rear molars?
Good question, it depends on your situation and treatment plan. Inquire with your doctor to find out.
Hi Doctor! I'm desperate for help with POB. I recently had cavity fillings in my molars and the dentist shortened the molars, so now my front teeth are hitting causing pain. My teeth were perfect before. I'm willing to do anything to fix this problem. Any advice? Not finding a lot of info online. Thank you!
Sorry to hear that. Definitely contact your dentist and explain what you are experiencing. They can often adjust the bite. Hope it goes well.
I have a question. I’ve recent got braces and I’ve notice one of my front teeth is tilting inward as if it’s crossing each other and my right side of my mouth in the back isn’t touching but the other side does first. Is this normal or is my orthodontist making a error during the process? I’m worried bc it wasn’t like this before the braces
Hey I just finished my invisalign treatment and got posterior overbite but my dr is not is saying we cannot do anything about it because if we try to correct posterior overbite then again anterior overbite will develop, please guide me if he is saying right or not?
my dentist told me the back molars shouldn't be touching. Is he wrong?
It may be helpful to ask your dentist for further explanation?
@@TrayMinder I did. He said in a healthy 16 year old, only the k9 teeth should be touching. This is done to protect the other teeth. So again, my question to you is, is he wrong?
He’s talking about canine guidance in excursive movements, not centric occlusion. Those are two different things.
@@TrayMinder soooooo, are teeth supposed to touch or not?
Molars should touch in centric occlusion but ideally not touch during excursive movements. This means that when you bite down on your back teeth, they should touch. When you move your jaw side to side or forwards, they should not.
Does it cause speech problems?
Not usually.
Where are you located
Hi, I’m 25 years old and my molars have never touched from top to bottom, there is a huge gap. Basically only some of the front teeth touch and that’s what I chew with. I got braces 2 years ago to fix this problem and was supposed to have them off in Sept but they said it will be longer because my teeth are still not touching and that I am a “difficult case”. Multiple teeth have now chipped because of wearing rubber bands resulting in my top teeth slamming against the bottom brackets and they keep telling me “it won’t happen again” so I can’t even wear my rubber bands because it WILL happen again. Maybe I just have a stupid doctor. What is your advice for me? :( I get jaw pain because there’s just no support back there and there’s so many foods I can’t chew. I’m so sad. Spent $6600 on these braces
I also have a severe over bite
I just got my braces off today and I notice that last teeth upper and lower are not touching my teeth at all is this normal or should this be address ?
It’s hard to say without an exam. Settling does occur with time and it is best to check with your doctor.
Hello, I mixed my trays up tray 2 and tray 5 I was trying to compare them and I switched them up. Is there anything my orthopedic could do? It was a mistake I didn’t realize there so clear and look the same I have 4 more days of tray 1! Which is great but due to my grinding my right teeth feel tight and raised and the invisiliners are tight on the right but loose and good fitting on the left. I feel like my mouth is not even due to my right side I grind it’s gotten so tight and swollen could I have messed my treatment up due to my right side feeling diffent?
If you have Invisalign, you can find out which aligner is which. I have a video on that on TrayMinder. It sounds like you should contact your ortho office so that they can examine your mouth and aligners to make sure everything is okay. Switching to a more advanced aligner when you’re not ready will make it so that the trays will not seat properly and evenly, causing more pain and tracking issues.
I've had braces and an expander on for over a month and this has started to happen so now my whole one side doesn't touch and it's so annoying and uncomfy. And its noticeable when looking in the mirror too.😭 I'm not sure if this is normal...
The bite feels quite off after using an expander. The braces will help but the process can take a while.
@@TrayMinder Thank you this has kinda eased my worries since I'm not sure if it's a bad thing. 😊
What’s IPR?
Iterproximal reduction. There’s a video on IPR on the channel.
I have a posterior open bite due to anterior interference after having aligners. I'm almost done with my treatment and I also clench my jaw at night. Does IPR shave the bottom teeth down so their shorter, or does it shave in between the teeth? Hopefully my bite will correct itself when im done with treatment. I went with cheap teledentistry aligners and have been regretting it. :(
IPR polishes between teeth so that they become very slightly slimmer. That space is used to bring the lower teeth lingually (back towards the tongue) to reduce anterior interferences.
@@TrayMinder interesting, thank you! my current 'natural bite' has a lot of anterior interference. in order to bite down, i have to physically move my jaw backwards a tad. I will definitely need to see an orthodontist for an evaluation at some point. im just hoping i dont need braces again!
@@clubsilencio4514 Hey how has it gone in the end?
Hello, my roommate told me I grind my teeth in my sleep and I woke up today and my back teeth no longer touch. My front teeth do when I close my mouth but not back and I’ve never had aligners, any advice? Until today they lined up perfectly and my jaw does hurt on one side I wonder if I dislocated my jaw or if it could solely be from grinding, I never grind my teeth when awake but I’ve been told I grind my teeth in my sleep when stressed
Night time grinding and clenching increases with stress. Usually the back teeth will touch again as you go through the day. If you have pain, it’s best to see your dentist to do a TMJ evaluation and see if you’re a good candidate for a night guard. A night guard distributes the forces of grinding and clenching.
TrayMinder thank you so much, I appreciate it!! I used to wear a mouth guard when I slept when I was younger due to suspicion that I grinded in my sleep because my teeth randomly became very sharp sometimes after I wake up. I will have to start wearing one again or go get an actual one for my mouth from a dentist
@@jameshunt5316 yeah, it sucks that we grind teeth. Best thing is to wear a night guard.
@@TrayMinder wouldnt the night guard make the open bite worse?
How do you get his back teeth to touch again?