Bite Mechanics 101: Understanding Occlusion and Its Impact on Oral Health

Dr. Jena Ward

August 1, 2024

When it comes to maintaining oral health, understanding the concept of occlusion is essential. This article will break down the basics of occlusion, its influence on oral health, and the various treatments available for occlusion issues.

What is Occlusion?

Occlusion refers to the alignment and contact between the teeth of the upper and lower jaws. It plays a crucial role in how we chew, speak, and even smile. Proper occlusion, also known as ideal occlusion, occurs when the teeth fit together harmoniously. However, deviations from this ideal alignment, known as malocclusion, can lead to various dental issues. Malocclusion can present as overbite, underbite, crossbite, or open bite.

How Occlusion Affects Oral Health

The alignment of your teeth and jaws significantly impacts your oral health. Poor occlusion can lead to several problems, including:

  • Tooth Wear: Misaligned teeth can cause uneven wear, leading to enamel erosion and increased tooth sensitivity. When teeth do not align properly, certain areas of the teeth may bear excessive pressure during chewing, which can lead to premature wear and tear of the enamel. Over time, this can result in cavities, cracks, and other dental issues.
  • Jaw Pain and Headaches: Incorrect bite alignment can strain the jaw muscles, resulting in pain and chronic headaches. This is often due to the temporomandibular joint (TMJ) being placed under stress, which can lead to temporomandibular joint disorder (TMD). Symptoms of TMD include jaw pain, difficulty opening the mouth, and persistent headaches.
  • Chewing Difficulties: Malocclusion can make it challenging to chew food properly, affecting digestion. When the teeth do not meet correctly, it can be difficult to break down food effectively, which can lead to digestive issues such as indigestion and nutrient deficiencies.
  • Speech Problems: Misalignment can interfere with speech, causing lisps or other articulation issues. Proper alignment of teeth is crucial for forming certain sounds, and malocclusion can impede this process, leading to speech difficulties.
  • Gum Disease and Tooth Decay: Misaligned teeth can create hard-to-reach areas in the mouth, making it difficult to maintain proper oral hygiene. This can result in the buildup of plaque and tartar, increasing the risk of gum disease (gingivitis and periodontitis) and tooth decay.
  • Facial Aesthetics and Self-Esteem: Malocclusion can affect the appearance of your face and smile, potentially leading to self-esteem issues. An improper bite can cause an asymmetrical facial appearance, which can impact one's confidence and social interactions.
  • Long-Term Effects: Untreated occlusion problems can worsen over time, leading to more severe dental and health issues. Chronic misalignment can cause significant damage to the teeth, gums, and jawbones, necessitating more extensive and costly treatments in the future.

Causes of Occlusion Problems

Several factors can contribute to occlusion problems, including:

  • Genetic Factors: Inherited traits can affect the size and shape of the jaw and teeth, leading to malocclusion. Genetic predisposition plays a significant role in the development of jaw size discrepancies and tooth alignment issues.
  • Environmental Factors: Habits such as thumb-sucking, tongue thrusting, prolonged use of a dummy, and extended bottle-feeding during childhood can impact bite alignment. These habits can exert abnormal pressure on the teeth and jaw, leading to malocclusion over time.
  • Developmental Issues: Problems during the development of the teeth and jaw can result in occlusion issues. Conditions such as cleft lip and palate can affect the normal growth and alignment of the teeth and jaws, leading to malocclusion.
  • Trauma or Injury: Accidents or injuries to the jaw can disrupt normal occlusion. A blow to the face or jaw can cause fractures, dislocations, or shifts in the teeth and jaw alignment, resulting in occlusion problems.
  • Premature Loss of Baby Teeth: Losing baby teeth too early can cause adjacent teeth to shift into the empty space, leading to crowding or misalignment of the permanent teeth when they emerge.
  • Dental Procedures: Improper dental work, such as poorly fitted crowns, bridges, or fillings, can affect the bite and lead to malocclusion. Ensuring that dental restorations are accurately fitted is crucial for maintaining proper occlusion.

Diagnosing Occlusion Issues

Dentists use various methods to diagnose occlusion problems. Regular dental check-ups are essential for early detection and treatment of these issues. During an examination, the alignment of your teeth and jaws is assessed, and dental X-rays or impressions may be used to gain a detailed understanding of your bite.

Treatments for Occlusion Problems

Several treatments are available to address occlusion issues, each tailored to the specific needs of the patient:

  • Orthodontics: Braces and clear aligners are common orthodontic treatments used to correct misaligned teeth and jaws. Orthodontic treatment involves applying gentle pressure to the teeth over time to move them into the correct position.
  • Restorative Treatments: Crowns and bridges can help restore proper occlusion by reshaping or replacing damaged teeth. These treatments aim to improve the function and appearance of teeth affected by decay or trauma.
  • Surgery: In severe cases, surgical intervention may be necessary to correct jaw alignment and improve occlusion. Orthognathic surgery involves repositioning the jaws to achieve better alignment and function.

Each treatment option has its benefits and considerations, and dental professionals will work with you to determine the best course of action for your specific situation.

Preventive Measures and Maintenance

Maintaining good occlusion involves several preventive measures and lifestyle changes:

  • Oral Hygiene: Practising good oral hygiene, including regular brushing and flossing, is crucial for overall dental health. Keeping your teeth and gums clean can prevent many dental issues related to malocclusion.
  • Regular Dental Visits: Routine check-ups with your dentist help monitor occlusion and address any issues early. Early detection and intervention can prevent minor problems from becoming major concerns.
  • Lifestyle Changes: Avoiding harmful habits like teeth grinding and seeking treatment for any habits that may affect your bite alignment. Using a mouthguard at night can protect your teeth from the effects of grinding.

Conclusion

Understanding occlusion and its impact on oral health is vital for maintaining a healthy smile. If you suspect you have occlusion issues or want to ensure your teeth and jaws are properly aligned, book an appointment with Skye Dental today for a comprehensive occlusion assessment and personalised treatment plan. Our experienced team is here to provide you with the care and guidance you need to achieve a healthier, more confident smile.

About the author

Dr. Jena Ward is the principal dentist and owner of Skye Dental. She graduated dentistry with first class honours from Griffith University. She won the award for Clinical Excellence in Endodontics following her extensive research into root canal therapy. Previously she graduated with a BSc majoring in Biomedicine from Auckland University. After graduating she worked rurally, focusing on Neuromuscular, Aesthetic, Reconstructive and Implant Dentistry before opening Skye Dental.

Jena keeps up to date with numerous conferences, and utilises the latest technology, including 3D CAD/CAM. Her special interests include Invisalign (an almost invisible option to straighten teeth), root canal therapy, and cosmetic dentistry, including Implants. She works with a lot of phobic patients, and offers Twilight Sedation.

Originally from Brisbane, raised in Hong Kong Jena has lived in eight different countries and relates easily to all patients. Her patients travel to see her, from interstate and even overseas. Jena enjoys spending time with her family, sailing and volunteering her dental services overseas in third world countries.

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