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Misaligned teeth or bite (malocclusion)

Also called: Malocclusion, crooked teeth, misaligned bite, overbite, underbite

Teeth or jaws that don't line up, causing crowding, overbite, underbite, or crossbite. Braces or aligners fix most.

TreatmentBraces, aligners
First checkAround age 7

Overview

Bites can be overbite, underbite, crossbite, or open bite.

Thumb sucking and early tooth loss can affect how teeth line up.

Symptoms

Common signs:

  • Crooked teeth or bite problems

Less common

  • Jaw pain
  • Trouble chewing

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayJaw locked.
See a doctor soonBite concerns.

Causes

Genes, habits like thumb sucking.

Who is more likely to get it

  • Family history

Possible complications

Diagnosis

A dentist or orthodontist examines.

Tests

Tests, if needed:

  • X-rays:

Treatment

See an orthodontist.

Self-care

  • Keep teeth clean with braces
  • Brush carefully around braces

Prevention

To lower your risk or prevent problems:

  • Stop thumb sucking by age 4

Which doctor treats this

  • Start with your dentist.

Back to school, work, or sports

  • Most people can go back to school or work the same day or the next day.

Children, pregnancy, and older adults

  • Adults: Clear aligners work for many.

Outlook

Fixable.

Braces fix most bite problems.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

  • A list of your medicines and supplements
  • Notes on when symptoms started and what makes them better or worse

Questions to ask

  • What is the best age for braces?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Misaligned teeth or bite (malocclusion)

Sources

Last updated 2026-11-12.