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Orthodontist Munich Lehel - Dr. Gabriele Gündel

Treatment of malpositioned teeth in Munich

A malpositioned teeth refers to the situation where one or more teeth are not correctly positioned and, for example, are crooked or grow out in the wrong place. Malpositioned teeth are not only an aesthetic burden for the person concerned, but can also make speaking, chewing or teeth cleaning more difficult.

Typical tooth malpositions that are treated in our Seehofer dental practice in downtown Munich include:

  • Cross Bite

    What is a cross bite? A cross bite is one of the most common dental malocclusions, where the front or side teeth in the upper jaw are too far inwards or too far outwards in the lower jaw. Normally, the teeth fit into each other like a gear wheel. A cross bite causes the teeth in the upper and lower jaw to pass each other laterally. Depending on the severity of the cross bite, treatment with removable braces or fixed braces can be used. In very extreme cases, oral surgery with combined orthodontic treatment may be necessary to correct the bite. 

  • Overbite (Maxillary Prognathism)

    One speaks of an overbite if the upper jaw is too large in comparison to the lower jaw or the lower jaw is too small. This causes the upper jaw to be much higher than the lower jaw. A slight overbite can be treated with removable braces or transparent dental splints from Invisalign®. If the overbite is very pronounced, we recommend a correction with fixed braces. 

  • Deep and Closed Bite

    Normally, the upper row of teeth should cover the lower row of teeth by about 2-3 millimetres. In case of a very pronounced deep bite, the lower row of teeth is not visible. The cover bite follows the same principle, but the teeth of the upper row of teeth stand inwards and mostly rub against the lower front teeth. Deep and overbite are often accompanied by overbite and can be treated effectively in childhood or adolescence with fixed braces. If the correction is not made until adulthood, oral surgery is usually necessary.

  • Protrusive Occlusion

    With a Protrusive Occlusion, the lower jaw is too large or the upper jaw too small compared to the upper jaw. This type of malocclusion prevents the teeth from biting together and the lower incisors are positioned above the upper front teeth, which is also called frontal cross bite. Treatment methods in childhood are fixed braces, but with advanced age, oral surgery is often necessary. 

  • Narrow Teeth

    One speaks of a narrow teeth, if the teeth in the jaw do not have enough space. In children and adolescents, a jaw that is too narrow can be widened. Then a fixed brace is inserted to move the teeth into the correct position. In adults, the teeth are treated with fixed braces or Invisalign®. If the teeth are very tight, it may be advisable to remove them in order to rearrange the position of the remaining teeth with fixed braces.

  • Open Bite

    An open bite is a malocclusion where there is too much space between the upper and lower incisors and biting together is not possible. In children, the open bite can usually be normalized well with functional orthodontic appliances. In adulthood, only an orthodontic correction is usually considered.

  • Tooth gaps (diastema)

    In the case of a tooth gap, there is too much space between the middle incisors in the upper jaw. In order to close a tooth gap successfully, fixed braces, lingual technique or an Invisalign® splint can be used.

  • Displaced and retained teeth

    A tooth is called a retained tooth if the tooth is still completely or partially in the jaw after the expected time of breakthrough. The reason for this is usually that it grows out in the wrong place. Displaced teeth are not aligned, i.e. crooked, in the jawbone and can therefore endanger the roots of other teeth. Retention and misalignment of teeth often occur with wisdom teeth. Depending on which tooth is affected, tooth extraction, treatment with fixed braces or oral surgery may be considered for treatment. 

  • Agenesis (missing teeth)

    In the case of agenesis (hypodontia), permanent teeth are missing for genetic reasons. In this case, an orthodontic gap closure with the help of removable braces, Invisalign® splints or fixed braces or even the use of a dental implant is possible.

  • Hyperdontia

    Hyperdontia is when there are too many teeth in the jaw. As a rule, a tooth removal is necessary to remove the excess teeth. Afterwards a removable brace, a transparent Invisalign® splint or lingual braces are used to give you a seamless smile.