Understanding Class III Bite: Its Causes and Treatment Options

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 An illustration of an underbite

Dental alignment contributes to oral functioning, aesthetics, and wellness. Class 3 bite is another malocclusion; it ranks among the most complicated and difficult to treat. In this blog, let us delve into what exactly a Class 3 bite is, the reasons behind it occurring, therapeutic measures, and whether its improvement is possible without going through surgery.

What is a Class III Bite?

A Class 3 bite, also known as Class III malocclusion or prognathism, is one of the severe dental conditions in which the mandible jaw protrudes forward, resulting in the lower teeth overlapping the upper teeth. This can lead to a misalignment called an underbite.

Within dentistry, there are three types of malocclusions:

  • Class I- Normal bite also known as occlusion.
  • Class II-It is also known as an overbite.In this condition, the upper jaw overlaps over the lower jaw.
  • Class III-A condition in which the lower teeth overlap the upper teeth.

Class III bites can vary from very mild to very severe. In some instances, an edge-to-edge bite can occur, where the upper and lower teeth come together in perfect coincidence, or an open bite can occur, where the upper and lower teeth do not meet upon mouth closure.

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Class III Bite Causes

The cause of a Class III bite is a combination of several different hereditary, environmental, and developmental factors. Let’s discuss a few.

Genetics

Family history of misalignment of the jaw or alterations in the skeletal framework comes to be one of the largest determinants of a Class 3 bite. The case is that the more family members there are who have been afflicted by similar conditions, the higher the chances of the generation to come developing a Class 3 bite.

Jaw Growth Patterns

Overgrowth of the lower jaw, or under-development of the upper jaw, will lead to a Class 3 bite. Often the imbalance in jaw growth will become evident during childhood or adolescence.

Habits

Prolonged thumb-sucking, tongue thrusting, or use of a pacifier in childhood can affect jaw development and contribute to a Class III bite.

Trauma or Injury

Damage to the jaw or teeth due to accidents or incidents can break any kind of alignment and end up leading to a Class 3 bite.

Medical Condition

Certain syndromes or congenital defects such as cleft lip and palate may interfere with jaw development itself and further lead to a Class III bite.

Consequences of A Class III Bite

The consequences of a Class III bite can differ from person to person depending on the severity of the condition. It can affect both oral functions and general life. Typical signs include:

Food Chewing or Biting Problems:The alignment of teeth may inhibit one from actually biting and chewing properly, leading to digestive issues.

Speech Problems:A Class 3 bite may lead to speech difficulties, such aslispingor being unable to make certain sounds.

Jaw Pain and TMJ Dysfunction: The misalignment can cause strain on the temporomandibular joint (TMJ), resulting in pain, clicking, or locking of the jaw.

Facial Asymmetry:A protruding lower jaw may result in facial profile imbalance and further affect self-esteem and confidence.

Diagnosing a Class III Bite

An illustration showing the side view of an underbite
An illustration showing the side view of an underbite

The diagnostic process may involve:

Clinical Assessment:You can take a free online assessment that will examine the alignment of your teeth and jaws through a short survey.

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Dental Molds:Your dentist may use dental molds of your teeth to make models for further processing.

X-ray and Imaging Studies: A panoramic X-ray, cephalometric radiograph, and/or 3D imaging may help assess the underlying bony structure of the jaws.

Photography:Some photographs may be taken of the face and teeth to show the present condition of the teeth and the progress made during treatment.

Treatment Options for Class 3 Bite Correction

The treatment of Class 3 bite depends on how serious the issue is, the age of the patient, and how healthy the dental condition is overall. Some common approaches include the following:

1. Orthodontic Treatment

Orthodontic treatment aligns moderate and mild cases of the Class III bite. Class 3 cases could be treated through:

  • Braces:A traditional method of metal or ceramic brackets fixed onto the teeth. They create space using brackets and rubber bands to align the teeth into the correct position.
  • Clear Aligners: These plastic braces help you discreetly align your teeth by putting gentle pressure on them and moving them into the correct alignment.

2. Face Therapy

In face therapy, an orthodontic device is employed during the growth period of children to direct the growth of jaws and correct their bite to avoid severity before it develops more. Common appliances include:

An image of a protraction face headgear
An image of a protraction face headgear
  • Protraction Face Headgear: When you wear this headgear, the upper pad rests on the forehead while the lower pad rests on the chin. There are rubber bands (elastics) that are placed on the pins and connect to the hooks on the appliance in the mouth. When stretched, the rubber bands apply a light force to the upper jaw. This light force helps to move the upper jaw and upper teeth forward.
An image of a chin cap
An image of a chin cap
  • Chin Caps: They restrict the growth of the lower jaw, pushing it backward and attaining a balance between the relationship of both jaws.

3. Surgery

In case of severe jaw misalignments or treatment of an adult, orthognathic surgery might be necessary. This involves repositioning the upper or lower jaw correctly. Orthognathic treatment is usually carried out in conjunction with orthodontic treatment for maximum effectiveness.

4. Dental Crowns & Veneers

These treatments do not help with the functioning of the bite but only make it look aesthetically good. They cover the structure of the tooth to conceal any defects in shape and size, creating an appearance that looks more natural.

Living with a Class III Bite

If left untreated, a Class III bite can lead to long-term complications, including:

Chronic Jaw Pain or TMJ Disorders:Misalignment may cause undue strain to the jaw joint, which in turn can lead to pain and dysfunction.

Difficulty Maintaining Proper Oral Hygiene:Misaligned teeth will be more challenging to clean, increasing the risk of decay and periodontal disease.

Greater Risk of Tooth Damage:Improper alignment can cause excessive wear on teeth, leading them to crack, chip, or fracture.

Lowers Self-Esteem: In general, facial asymmetry and unbalanced profiles may have strong effects on an individual's confidence and demeanor.

Early diagnosis and treatment should be pursued to prevent these complications and establish an ideal functional bite.

Preventing a Class III Bite

While one can not prevent genetic factors, some actions are possible on the part of a parent to try to minimize the risk of a Class 3 bite for their children:

Eliminate Thumb-Sucking and Pacifier Use:These habits have been shown, particularly in children after the age of 3, to affect jaw growth.

Keep Track of Jaw Growth: Regular dental check-ups may lead to early detection and timely intervention of any potential problems.

Encourage Healthy Oral Habits: Teaching children to maintain good oral hygiene and avoid harmful habits can promote proper dental development.

Why ALIGNERCO for Class III Bite Correction?

AlignerCo is among the best options you can have if you are thinking of Class 3 bite correction without surgery. AlignerCo provides inexpensive, quality clear aligners that are custom-made for the perfect fit on your teeth. Here are several reasons why AlignerCo stands apart:

Cost Effective:ALIGNERCO provides clear aligners at prices that are a fraction of those involving traditional braces or other aligner brands.

Custom Treatment Plan: Each aligner is designed using advanced 3D imaging technology to ensure the precise fit for effective results.

Convenient and Discreet:The aligners by ALIGNERCO are almost invisible, meaning you can straighten your teeth without anyone noticing.

Expert assistance:A team of professionals, made up of dental experts from AlignerCo, is always on call to guide you through every step of your treatment journey.

Final Thoughts

Class III bites are not only an aesthetic issue; they also impact oral health and quality of life. Treatment for a Class III bite may include orthodontic treatment and appliances, or surgery, depending on the individual case. If you or your child may have a Class III bite, it’s best to treat it sooner than later.

For those interested in clear aligners to treat a Class 3 bite, ALIGNERCO is an affordable, convenient, and effective solution. Don't let a Class III bite hold you back. Take that first step toward a healthier, more confident smile today!

FAQs

1. Is Class III underbite serious?

Class III skeletal malocclusion with a prognathic jaw is one of the most serious malocclusions.

2. How to fix a Class III bite?

There are various treatments to treat Class III bites such as clear aligners, fixed braces, or other removable orthodontic appliances. Severe cases might also require surgery.

3. What is the early management of Class III malocclusion?

The early treatment of Class III malocclusion with protraction headgear is quite effective in children.

Citations:

Maxilofacial, I. (2019b, November 15).What is a class I, class II or class III bite? - Instituto Maxilofacial. Instituto Maxilofacial.https://www.institutomaxilofacial.com/en/2019/11/15/bite-classification/

Lassus Tandartsen. (2021, December 21).Lassus Tandartsen | De Tandarts Bij U in de Buurt.https://lassustandartsen.nl/en/education/malocclusion-class-iii/

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  • Meredith Barker

    Meredith Barker

    Content Contributor

    Meredith Barker is a renowned health science and public health writer with a proven track record of delivering insightful content for ALIGNERCO....

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  • Dr. Anas Athar

    Dr. Anas Athar

    Medical Reviewer

    Dr. Anas Athar is a highly sought-after orthodontist with nearly two decades of experience in dentistry. He is the only dual-trained Oral and Maxillofacial Radiologist...

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