Orthodontic Problems

When do you need braces?

Orthodontic problems can affect anyone. The most common orthodontic problem treated by orthodontist is malocclusions or when your upper and lower jaw does not bite together properly. Malocclusions can be inherent genetically or caused by external factor extensive thumb-sucking, mouth breathing, dental disease, abnormal swallowing, poor dental hygiene, early or late loss of primary teeth, accidents or poor nutrition.

The purpose of having orthdoontic treatment is mainly to attain a functional bite that is treated in part with tooth alignment and in part jaw position.

Why should you treat orthodontic problems?

If your condition is mild, you may need need treatment. However for individuals that have moderate to severe malocclusion issues, it can causes problems such as chewing, speaking, issues with oral hygiene cleaning that can lead decay or wearing down of teeth as well as poor aesthetics or facial inbalance.

Orthodontists aim to use appliances or techniques to optimize occlusion function. For certain more severe conditions, jaw surgery or orthognathic surgery may be recommended if orthodontic braces alone is unable to resolve issues.

Benefits of straigther teeth

Having aligned teeth enables many benefits:

  1. Ease of teeth cleaning and oral hygiene to prevent teeth decay and potential issues.
  2. Less probability of bad breath from healthy oral condition.
  3. A proper bite means teeth are not worn down and less likely to chip.
  4. Better chewing function with less stress on jaw bone and joints.
  5. Finally, straight teeth provides for a beautiful smile and appearance.

Types of malocclusions

A orthodontic dentist doe not simply straighten teeth for cosmetic dentistry reasons. They are normally trained to look and check on your bite and treat malocclusions.

  1. Overbite: Upper front teeth extend out over the lower front teeth. In severe cases, lower front teeth bite into the roof of the mouth.
  2. Underbite: Lower jaw extends out. So, the lower front teeth sits infront of upper front teeth.
  3. Crossbite: Upper teeth sits inside the lower teeth. This can cause misaligned jaw growth and bruxism. The poor teeth arranagement leads to constant grinding and wearing down of teeth over time.
  4. Openbite: Upper and lower front teeth do not overlap or bite together. Open bites cause unwanted habits such as tongue thrusting and may impact chewing.
Over bite


under bite


cross bite


Open bite


Other Orthodontics Concern Areas Braces Treat

  1. Crooked teeth: Teeth has misaligned and brace are used to simply straighten teeth for improved aesthetic appearance and smile.
  2. Overcrowded Teeth : When teeth do not have sufficient space to erupt and grown out from the gums, over crowding occurs. Your orthodontist may correct this by expanding out your arch or otherwise tooth removal may be done to make space and align teeth correspondingly.
  3. Gap Teeth : Teeth that are spacing out with gaps between teeth or missing teeth.
Deep bite

Crooked Teeth

Over crowded teeth

Crowded Teeth

wide spaced teeth

Spaced out teeth

Braces by age groups

When should you correct orthodontic issues?

Dental issues can be treated at any age. It is however best corrected when your child is still growing or at a younger age because bone development is still ongoing and easy to manipulate. Early detection and treatment do also mean problems do not persis and cause potential future and more serious damage to the teeth or gums.

Braces for Children

Braces for Teens

Braces for Adults

Although cases may be categorized into age groups, most of the time your orthodontist looks at your case complexity to determine the type of braces and length of treatment:

  1. simple treatment: more predictable outcomes
  2. intermediate treatment: moderate and/or variably predictable
  3. complex treatment: less predictable treatment approaches

Treatment Options for orthodontic issues

Every case is unique and one orthdontist may have a different treatment plan to another dentist. It is thus important to select a qualified and well-experience orthodontist. Because once your have started your braces, this will need to be continued to the end.

Based on the severity of your condition, your orthodontist may recommmend treatments include:

  1. fixed braces or removable braces with aligners
  2. teeth extraction followed by braces and continued with other dental treatment
  3. orthognathic surgery with braces

If you are looking at simply straightening teeth or have mild case conditions and do not wish to undergo lengthy orthodontic braces that will normally take several months, you are able to opt for veneers within cosmetic dentistry. Veneers can be done within days, porcelain are therefore sometimes called instant braces. But there are difference and considerations between veneers and braces.

For some individuals with severe bite malocclusions, having orthodontics appliances may not correct skeletal irregularities whereby jaw surgery may be required to change overall facial aesthetics and smile. BIDH’s team of oral surgeon and orthodontists are one of the few teams in Thailand with the experience and capability to perform orthognathic surgeries.

Orthodontic Braces

Fixed or removable

Orthognatic Surgery

Jaw surgery with braces

Dental veneers

Instant braces completed in days

Fixed Braces vs Removable braces

Fixed braces appliances and clear aligners help to resolve irregular bite occlusions and straighten teeth. Orthodontics may be used as a precusor treatment to cosmetic dentistry or also an ends as an option to achieve teeth aesthetics.

3M clarity braces
invisalign clear aligners

Fixed Braces Advantages

  1. Treats majority of case indications effectively including complex cases
  2. Non-removable with orthodontic appliances placed on 24 hours. Individuals wear appliances without the need to track patient on compliance of wearing orthodontic appliances
  3. Metal braces are more affordable and an economical option for standard cases

Removable Aligners Advantages

  1. Comfortable and convenient. Individuals can eat, chew and taste what foods they want including sticky and hard foods. It is easy to clean and maintain oral hygiene.
  2. Less prone to impact. As there is no archwire and brackets, these components do not interfere with your daily lifestyle for sports, travel or activities. You can remove your aligners for events and functions.

Fixed Braces Considerations

  1. You will need to brush and clean teeth with fixed braces on daily to keep good oral hygiene.
  2. Sticky and hard foods are to be avoid to prevent damage to your braces.

Removable Aligners Considerations

  1. You will need to wear your clear aligners for them to shift teeth and work Individual’s adherence and discipline to wear the trays for at least 20 to 22 hours is required, removing your aligners only for teeth brushing, cleaning and eating.

complimentary consultation

Make an advance appointment for a treatment plan with our dentists. There is no obligation to start treatment. Find out what treatment is specific to you.

Conclusion – Orthodontic Problems

If you or your child experience symptoms such as biting, chewing, speaking problems, jaw pain or are your teeth do not touch together, you may have malocclusion or an improper bite that may require orthodontic treatment.
Orthodontic treatment should be resolves to improve oral health and for cosmetic dentistry reasons. Aside from resolving bite issues, it helps to straighten crooked teeth, crowded teeth and close spaced out teeth. Orthodontic checkup should start at an early age during childhood, but intervention for braces may not occur until teenager years. Adults can also undergo orthdontic treatment and there is no age limit for braces. Some adults may have a second set of braces from relapse or not wearing retainers.
How orthodontic issues are treated will vary with your condition and your orthodontist opinion of your treatment plan. One orthodontist plan can differ from another orthodontist specialist, and both treatment plan may attain simliar or the same results using different methodology. You may however like to select a trained orthodontist, relative to a general dentist for your braces treatment. Orthodontists are specially certified and trained to treat malocclusion and will be well aware of the mechanics for tooth movement. Sometimes braces alone may not be sufficient to treat your case to attain your expected end result. You may require jaw surgery or braces with other dental treatments. An orthodontist will be sure to ensure your bite is proper, whilst a cosmetic dentist may look at other aspects. Dental specialsits at BIDH orthodontic clinic works together should you require a certain expectation. Our team at BIDH dental hospital is focused as a leading dental aesthetic center combined with braces and dental implants. Our dental team is well experienced in looking at an overall aspect in both aesthetics and function as each of them have over 10 years of experience in their areas of expertises.
The are pros and cons between the use of fixed braces such as conventional metal braces, clarity braces, damon braces and lingual braces as compared to removable braces such as invisalign clear aligners. You can determine your options with your orthodontists.