What Causes Crooked Teeth?

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An illustration showing a normal bite and a misaligned bite side by side.

A smile is one of the first things people notice about us. It shows confidence, warmth, and personality. But not everyone is born with perfectly straight teeth. In fact, crooked teeth are much more common than you might realize. For some, it’s just a slight overlap or tilt, while others deal with severe misalignment that impacts both function and appearance.

So, what really causes crooked teeth ? Is it only genetics, or do lifestyle habits play a role too? And most importantly, can crooked teeth be fixed? This guide takes a closer look at what crooked teeth mean, why they develop, the treatment options available today, and answers to the most common questions about misaligned smiles.

Crooked Teeth Meaning: What Does It Really Mean?

Before talking about the causes, it helps to understand what crooked teeth actually are. Also known as misaligned teeth or malocclusion, crooked teeth occur when teeth don’t line up properly in the dental arches. Instead of sitting neatly in straight rows, they might overlap, rotate, protrude, or grow at unusual angles.

Crooked teeth can range from being a minor cosmetic issue to creating serious oral health concerns. In mild cases, they may simply affect how someone’s smile looks. In more severe cases, misaligned teeth can interfere with chewing, speaking, and jaw function, and sometimes lead to problems like TMJ disorders or gum disease.

Causes of Crooked Teeth

There isn’t just one cause. Crooked teeth usually result from a mix of genetics, environment, and lifestyle factors. Here are the most common reasons:

Genetics and Family History

Genetics plays a big role. If your parents had misaligned teeth, you’re more likely to as well. Inherited factors can include jaw size, tooth size, and natural bite alignment. For example, if a child inherits a small jaw from one parent and large teeth from the other, the mismatch often leads to crowding.

Childhood Habits

Certain habits during early years can affect alignment:

Thumb sucking: Prolonged thumb sucking pushes teeth and jaws out of place.

Pacifier use: Using a pacifier beyond age three can impact how teeth grow.

Tongue thrusting: Pushing the tongue against teeth while swallowing can cause open bites and crookedness.

Early Loss of Baby Teeth

When baby teeth fall out too soon, due to cavities, injury, or extraction, gaps can form. Neighboring teeth may shift into the space, blocking permanent teeth from coming in correctly.

Prolonged Bottle Feeding

Long-term bottle use, especially with sugary drinks, can cause cavities and even affect jaw development and bite alignment.

Jaw Size Changes

Today’s diets of softer, processed foods have been linked to smaller jaw sizes. With less room for teeth, crooked smiles are more common now than in past generations.

Facial or Jaw Trauma

Injuries, like a broken jaw, can change how teeth fit together. If the jaw heals improperly, it may cause long-term misalignment.

Poor Dental Care

Neglecting oral hygiene can lead to gum disease, which weakens the bone that supports teeth. As the gums and bone recede, teeth may loosen, shift, or become crooked.

Wisdom Teeth Eruption

When wisdom teeth come in during the late teens or early twenties, they can crowd other teeth, pushing them out of alignment.

Mouth Breathing

Children who breathe through their mouths due to allergies or nasal blockages may develop narrower dental arches, increasing the risk of crooked teeth.

Aging

Yes, teeth can shift with age. Changes in bone density, wear, and loss of support structures naturally cause teeth to move over time. Without retainers or dental care, even straight teeth can become crooked later in life.

Health and Emotional Effects of Crooked Teeth

Crooked teeth aren’t just about looks; they can affect health and confidence, too.

Oral Health Problems

Overlapping teeth are harder to clean, which can lead to cavities and gum disease. Uneven bites may also cause enamel wear, jaw pain, or TMJ disorders.

Speech and Chewing Issues

Severe misalignment can make it harder to speak clearly or chew food properly, which may even lead to digestive issues.

Emotional and Social Impact

Many people feel self-conscious about their smiles. While beauty is subjective, surveys show that straighter teeth are often associated with confidence and making a positive first impression.

Crooked Teeth Treatment Options: How to Fix Crooked Teeth

The positive news is that crooked teeth straightening options are now more advanced and widely available than ever. Modern orthodontic and cosmetic dentistry techniques provide customized solutions for both children and adults, ranging from traditional braces to innovative clear aligners, veneers, and even surgical procedures for complex conditions. Whether the misalignment is mild and cosmetic or severe enough to affect daily function, there’s a treatment designed to suit your specific needs, lifestyle, and budget. Let’s explore the most effective methods to correct crooked teeth.

Braces

Traditional braces are still regarded as the gold standard for correcting misaligned teeth. They use small metal brackets attached to each tooth, connected with wires and sometimes elastic bands. Gradual, consistent pressure moves the teeth into their correct alignment.

One of the greatest strengths of braces is their adaptability. They can fix almost any kind of misalignment, whether it involves crowding, spacing, rotated teeth, or major bite problems such as overbites, underbites, and crossbites. They are also customizable; patients can choose ceramic, tooth-colored brackets for a more subtle look, or lingual braces placed on the inside surfaces of teeth.

Treatment usually lasts between one year to three years, depending on the case’s complexity. Costs often range from $3,000 to $7,500, though this varies by location, orthodontist experience, and insurance.

What is the ideal age for braces? Most orthodontists recommend beginning treatment between the ages of 10–14, when permanent teeth have mostly erupted but the jaw is still growing. This timing allows for faster, more effective results. Still, braces are effective at nearly any age, although adults may experience slightly longer treatment times due to fully developed bone.

Clear Aligners

An image showing how ALIGNERCO Clear Aligners work.
An image showing how ALIGNERCO Clear Aligners work.

Clear aligners have transformed orthodontics in recent years. Different brands offer a discreet alternative to braces, especially favored by adults. Instead of brackets and wires, patients use a series of clear, custom-made trays that move the teeth gradually.

Their biggest benefit is convenience. Because aligners are removable, patients can eat, brush, and floss without restrictions, a significant advantage compared to braces. They’re barely visible, which makes them attractive for those concerned about aesthetics. The treatment duration is usually shorter for mild to moderate misalignment, ranging from six months to two years. Costs typically fall between $3,000 and $7,000, depending on complexity.

Clear aligners are not suitable for every case. Severe crowding or bite issues may still require braces. They also require commitment; trays must be worn 20–22 hours daily for effectiveness. For dedicated patients, though, clear aligners provide a comfortable and subtle way to correct crooked teeth without metal hardware.

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Retainers

Retainers are primarily used after orthodontic treatment to maintain straightened teeth. They are often confused with clear aligners for teeth straightening. However, they only help to retain your newly achieved smile.

There are two main kinds: removable and fixed. Removable retainers, like Hawley or clear Essix retainers, can be taken out for meals and cleaning. Fixed retainers are thin wires bonded permanently to the back of teeth.

Although not effective for misalignment, retainers are essential in preventing relapse. Without consistent use, teeth can gradually shift back to their original positions, a process known as orthodontic relapse. In many ways, retainers are the unsung heroes of crooked teeth treatment, as they ensure long-lasting results.

Veneers

For those focused on appearance rather than function, veneers provide an excellent cosmetic solution. Veneers are ultra-thin shells, made of porcelain or composite resin, bonded to the front of teeth. They don’t physically move teeth but create the illusion of a straighter, more uniform smile.

They are ideal for slight overlaps, gaps, or teeth that are chipped, worn, or discolored. Veneers are custom-designed to mimic natural enamel and offer both strength and beauty. Porcelain veneers are more durable and stain-resistant than composite ones but cost more, typically $400 to $2,500 per tooth.

Because enamel is usually removed before placement, veneers are considered irreversible. This makes them more appropriate for adults seeking a long-term cosmetic upgrade rather than children or teenagers whose teeth are still developing.

Cosmetic Bonding

Bonding is a quicker, less invasive alternative to veneers. In this procedure, a dentist applies tooth-colored composite resin to reshape teeth and enhance alignment. It can close small gaps, fix uneven edges, and mask minor crookedness.

Bonding is more affordable than veneers, generally costing $300–$600 per tooth, and it can be done in one appointment. However, the material is less durable than porcelain and may stain or chip more easily, often needing replacement within five to ten years.

For patients seeking a fast, budget-friendly, and minimally invasive option, cosmetic bonding is a solid choice. While it won’t move teeth physically, it significantly improves appearance.

Surgical Options

In certain cases, crooked teeth are caused by structural jaw problems that braces or aligners can’t fix. For these situations, surgical options such as orthognathic surgery may be necessary. This surgery repositions the jawbones, creating a functional bite and proper alignment.

Surgery is often combined with braces for the best outcome. It’s usually reserved for severe cases that impact chewing, speech, or overall facial balance. Recovery requires several weeks, and costs are higher than other treatments, depending on complexity and insurance coverage.

While surgery may sound daunting, it can be transformative for patients with serious functional or structural problems. In addition to correcting alignment, it can improve facial symmetry, breathing, and overall quality of life.

Lifestyle Tips to Prevent Crooked Teeth

Genetics strongly influence how your teeth develop, but your daily habits and oral care choices can also make a big difference. While you can’t always prevent crooked teeth completely, you can lower the risk of misalignment or stop it from getting worse. Here are some simple lifestyle tips to help keep your smile healthier and straighter.

Break Childhood Habits Early

Habits like thumb sucking, long-term pacifier use, or tongue thrusting may seem harmless, but if they continue past age three or four, they put constant pressure on growing teeth and jaws. This can push front teeth forward or cause bite problems that last into adulthood. Parents should gently encourage kids to stop these habits early. In some cases, pediatric dentists can recommend strategies or special appliances to help children quit before the habits affect alignment.

Encourage Good Oral Hygiene

Keeping teeth clean isn’t just about fresh breath; it also helps prevent crookedness. Skipping brushing and flossing raises the risk of cavities and gum disease. Severe gum disease weakens the bone and tissues that support teeth, which can cause them to loosen, shift, or even fall out. Missing teeth leave gaps, and nearby teeth may drift into these spaces, creating crowding or tilting. Brushing twice daily, flossing regularly, and using mouthwash when needed go a long way toward protecting your smile.

Visit the Dentist Regularly

Routine dental checkups are key to preventing misalignment. Dentists and orthodontists can spot early signs of shifting or jaw growth issues that might not be obvious at home. For kids, regular visits help track how permanent teeth are coming in and allow for early treatments, like spacers or partial braces, if needed. For adults, dentists can monitor subtle changes that occur with age or other oral health problems. The earlier the issues are caught, the easier and less expensive the treatment tends to be.

Wear Retainers after Orthodontic Treatment

One of the top reasons teeth shift after braces or aligner treatment is not wearing retainers as directed. Teeth naturally want to move back toward their old positions, especially during the first few years after treatment. Retainers, whether fixed or removable, help keep them in place until the bones and ligaments stabilize. Think of them as your orthodontic “insurance policy.” Wearing retainers consistently protects both your smile and the investment you made in straightening it.

Maintain Healthy Daily Habits

Every day choices also play a role in keeping teeth straight. A balanced diet full of vitamins and minerals supports strong jaw and bone growth, while limiting sugary foods lowers the risk of decay-related shifting. Staying hydrated keeps gums healthy, and avoiding habits like nail biting, chewing ice, or using teeth as tools prevents unnecessary wear that can move teeth out of place. Even small things, like practicing good posture and avoiding constant mouth breathing, can positively influence jaw alignment and dental health.

ALIGNERCO - Your Smile Partner

An image showing ALIGNERCO Clear Aligners.
ALIGNERCO Clear Aligners

Your smile plays a keen role in your overall appearance. It not only enhances your look but also boosts your confidence on the whole. When it comes to a straighter, radiant smile, not everyone is lucky to be born with it. Malocclusions have become common around the world, impacting the smile aesthetics of many. Traditional braces have always been a known and effective approach to teeth straightening.

However, since it includes metal brackets and wires, people often hesitate to get their teeth aligned with braces. Over time, clear aligners have emerged as a perfect alternative to traditional braces. When it comes to clear aligners, ALIGNERCO has the best treatment options for you. From daytime teeth alignment to straightening while you sleep, ALIGNERCO has you covered.

Don’t Let Your Crooked Smile Hold You Back Anymore.

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Why Choose ALIGNERCO?

An illustration showing why to choose ALIGNERCO Clear Aligners.
An illustration showing why to choose ALIGNERCO Clear Aligners.

There are varied brands that offer clear aligners for a smooth smile transition. Here is why choose ALIGNERCO for your smile journey.

Remote Treatment

With ALIGNERCO, you can get your teeth straightened from the comfort of your home. Yes, from the initial smile assessment to getting your customized aligners, everything is delivered to your doorstep. An ideal approach for people with busy schedules who cannot take time out for clinic appointments.

Nighttime Straightening

Teeth straightening isn’t just about the daytime hassle. With ALIGNERCO, you can straighten while you sleep. With our night-only aligner plan, wear your aligners while you sleep and get a picture-perfect smile in just six to eight months.

Budget-friendly

At ALIGNERCO, we offer affordable teeth straightening. Moreover, you can avail yourself of different offers to make it even more accessible.

How to get ALIGNERCO Online?

Steps to get your ALIGNERCO Clear Aligners at home.
Steps to get your ALIGNERCO Clear Aligners at home.

Here is a step-by-step procedure on how to get your ALIGNERCO Clear Aligners at home.

  • Initial Smile Assessment
  • Create Your Impressions
  • Smile Projection
  • Aligner Fabrication
  • Start your Journey

To learn more about treating crooked teeth with clear aligners, call us at +(877) 271-7417

Crooked Teeth Smile

Crooked teeth are nothing to feel embarrassed about; they’re very common and often give a smile its own unique charm. Still, if misaligned teeth are impacting your oral health, confidence, or daily comfort, you don’t have to live with them permanently. Options like traditional braces, advanced clear aligners, veneers, and bonding provide solutions for nearly every need and budget.

The important step is understanding what leads to crooked teeth in the first place, so you can take preventive and corrective action. Whether you’re asking, “Is it okay to have crooked teeth?”, wondering, “Am I too old to straighten my teeth?”, or looking for a treatment that matches your lifestyle, the answer is encouraging: today’s dentistry makes it possible for anyone to enjoy a healthier, more confident smile.

FAQs

1. Can crooked teeth be fixed?

Yes, absolutely. From braces and clear aligners to veneers and bonding, there are numerous treatments available. The best option depends on the severity of misalignment, your goals, and your budget.

2. Is it okay to have crooked teeth?

From a health perspective, mild crookedness that doesn’t cause pain, bite problems, or hygiene difficulties is generally okay. However, if it affects your confidence or oral health, treatment may be worthwhile.

3. At what age is it too late to straighten teeth?

It’s never too late! Orthodontic treatment works at any age, though results may take longer in adults since bone density is higher. Adults may also need additional care if gum disease or bone loss is present.

4. How expensive is it to fix crooked teeth?

The cost varies widely:

  • Braces: $3,000–$7,500
  • Clear aligners: $3,000–$7,000
  • Veneers: $400–$2,500 per tooth
  • Bonding: $300–$600 per tooth

Insurance and payment plans can make treatments more affordable.

5. What is the best age for braces?

The ideal age is between 10 and 14, when most permanent teeth have come in, but the jaw is still flexible. Early intervention can sometimes make treatment easier and quicker.

6. Are crooked teeth a turnoff?

Beauty is subjective, but studies show that straighter smiles are often perceived as more attractive and trustworthy. That said, many people embrace their unique crooked teeth as part of their charm.

7. Do crooked teeth get worse with age?

Yes, without intervention, crooked teeth often worsen over time due to natural shifting, tooth loss, or gum issues. Wearing retainers and maintaining dental care helps prevent this.

Citations:

American Orthodontic Society. Identifying and Treating Malocclusions Classes I, II, and III (https://orthodontics.com/identifying-and-treating-malocclusions-classes/). Last updated 3/1/2022. Accessed 10/28/2024.

Cenzato N, Nobili A, Maspero C. Prevalence of Dental Malocclusions in Different Geographical Areas: Scoping Review (https://pmc.ncbi.nlm.nih.gov/articles/PMC8534899/). Dent J (Basel). 2021 Oct 11;9(10):117. Accessed 10/28/2024.

De Ridder L, Aleksieva A, Willems G, Declerck D, Cadenas de Llano-Pérula M. Prevalence of Orthodontic Malocclusions in Healthy Children and Adolescents: A Systematic Review (https://pubmed.ncbi.nlm.nih.gov/35742703/). Int J Environ Res Public Health. 2022 Jun 17;19(12):7446. Accessed 10/28/2024.

Dental health with crooked teeth and misaligned bites. (2024b, October 15). WebMD. https://www.webmd.com/oral-health/crooked-teeth-misaligned-bites

Whelan, C. (2019b, May 8). What causes crooked teeth, and how to straighten them. Healthline. https://www.healthline.com/health/dental-and-oral-health/crooked-teeth

Yetman, D. (2021, April 1). How much do braces cost? Healthline. https://www.healthline.com/health/average-cost-of-braces#cost-with-insurance

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  • Meredith Barker

    Meredith Barker

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    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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