Can Early Orthodontic Treatment Correct Underbites In Children

Underbites in kids are pretty common in the world of orthodontics. At Shine Orthodontics, we’re big on early check-ups to catch any underbite issues early. This way, we can help guide your child towards a smile that’s not only healthy but also boosts their confidence. Let’s take a look at how getting orthodontic treatment early on can help fix underbites in children.


The Basics Of Underbites 

Underbites are not just about looks; they’re a serious dental problem. You can recognize an underbite when the lower teeth stick out more than the upper teeth so that when the mouth is closed, the lower front teeth are in front of the upper teeth. There are two kinds of underbites:

  1. Dental Underbite: The teeth, not the jaw, cause the misalignment. This is also called a crossbite.
  2. Skeletal Underbite: The lower jaw is bigger than the upper jaw.


How Underbites Are Diagnosed

At Shine Orthodontics, we’ll guide you and your child through every step of our examination and procedures to diagnose your child’s underbite.

We’ll first start with an initial examination. Here, Dr. McGrogan will examine your child’s facial structure, jaw alignment, and teeth. This examination usually involves a visual assessment of how the teeth come together when the mouth is closed. 

Next, we’ll take a series of X-rays and photographs. Panoramic X-rays give us a complete view of the teeth, jawbone, and temporomandibular joint (TMJ). Facial photographs from different angles help us in assessing overall facial symmetry and the extent of the jaw’s protrusion.

Finally, in some cases, we may use advanced imaging techniques like CT scans or 3D modeling for a more detailed analysis of the jaw and teeth structure. 


Treatments for Your Child’s Underbite

In order to treat your child’s underbite, we recommend having their first appointment with us by around age 7, as recommended by the AAO. This is a consultation and evaluation, not a start to treatment. The goal of the appointment is to understand your child. We’ll then have a foundation to work from, being able to track growth and decide the exact time to start treatment to best fit their needs. It also allows your child to get to know our office and become more comfortable coming in. 

Once we’ve completed our first consultation, we’ll then begin Phase One treatment. Phase one is our first step to making sure your child’s underbite doesn’t become a bigger problem. We’ll usually begin treatment when your child is anywhere between 6 and 10, as your child is still growing.

The goal of Phase One is to set the stage for a healthier smile. By starting early, we can often prevent the need for more serious treatments later on. We want to make sure your child’s teeth and jaw grow in harmony, leading to a comfortable bite and a confident smile.

At Shine Orthodontics, depending on the severity of your child’s case, we can use a variety of treatments to begin their phase one journey. Let’s break down some of our most common treatments.


Braces are our main tool for fixing underbites. They’re not just metal brackets and wires; they’re a path to a straighter smile. Braces apply gentle pressure over time, moving teeth and guiding jaw growth. We might add spacers or rubber bands, depending on what your child needs.


Sometimes, there may be better solutions than braces. That’s where appliances come in. 

Expanders help widen the upper jaw so the teeth line up better. In some cases, especially when the underbite is more pronounced, we might use headgear. Headgear helps in adjusting the jaw’s position through pulling. 

Can Early Orthodontic Treatment Correct Underbites In Children

Spotting Underbites

Here’s what we look for to check for an underbite:


  • Lower teeth overlap the upper ones.
  • Teeth might be crowded or have gaps.

Face and Jaw:

  • The lower jaw sticks out.
  • One side of the face might look different from the other.


  • Hard time speaking clearly.
  • Trouble biting or chewing.
  • Teeth wear down quickly.
  • Breathing through the mouth or snoring.
  • Jaw pain, especially after talking or eating a lot.

Spotting these signs helps us figure out the best way to fix your child’s underbite. Getting it fixed means a healthier, happier smile for your child!

The Causes of Underbites In Children

Knowing why an underbite happens helps us treat it better. It’s usually because of two things: family history and environment.

Genetic Factors:

If one or both parents have or had an underbite, there’s a much higher chance their children will develop the condition.

Environmental Factors:

Oftentimes,  habits or events can lead to an underbite:

  • Premature Loss of Baby Teeth: If baby teeth fall out early because of decay or injury, it can disrupt how permanent teeth grow. Kids usually start losing baby teeth at five and get all their permanent teeth by 13.
  • Pacifiers & Thumb Sucking: Doing this a lot, especially after toddler years, can push teeth and jaws out of place.
  • Chewing Patterns: Always chewing on one side can make jaws and teeth crooked.
  • Tongue Thrusting: Pushing the tongue against the teeth when talking or swallowing can create an underbite.

Can Early Orthodontic Treatment Correct Underbites In Children

Transforming Smiles at Shine Orthodontics 

At Shine Orthodontics, we’re all about supporting you and your child at every step of the way. Our aim isn’t just to fix underbites; we want to help your child find their most confident smile. If you’re worried your child might have an underbite or if they need orthodontic care, come on over and chat with us. Book a free consultation with us today, and let’s start the journey to a happy, healthy smile together!