Crossbites - Addressing Misaligned Teeth

Posted on 6/16/2025 by NC Pediatric Dentisty

A smiling dentist holding an instrument while a patient and a dental assistant interact in the background during a dental check-up.

Crossbites are a type of malocclusion, or misalignment of the teeth, where the upper teeth are positioned inside the lower teeth. This can be a common condition, affecting both children and adults. While it may not always cause immediate problems, there are several reasons why treating a crossbite in childhood is important.

Identifying a Crossbite:

As you observe your child's development, you'll likely notice erupting teeth starting at around 6-8 months. This is also a good time to keep an eye out for any potential bite concerns. You can readily identify a crossbite by:

•	Visually: Examining your child's bite by having them gently bite down and observing whether their upper teeth sit inside their lower teeth.
•	Feel: When your child bites down, it might feel uneven or unaligned.
•	Hearing: In some cases, you might hear their upper teeth grinding against the lower teeth when they bite down.

If you notice any of these signs, don't hesitate to schedule an appointment with your child's dentist at their earliest convenience. Early detection and intervention are key to addressing potential complications.

The Concerns with Crossbites:

While a crossbite might seem like a minor concern, it can lead to various complications down the line. These include:

•	Uneven Wear: Crossbites cause your child's teeth to wear unevenly, potentially leading to premature tooth wear and even breakage.
•	Jaw Joint Issues: The misalignment can affect the proper development of their jaw joint, potentially leading to chronic pain and discomfort down the road.
•	Speech Impediments: In some cases, a crossbite can contribute to speech difficulties.
•	Low Self-Esteem: Misaligned teeth can lead to self-consciousness and low self-esteem, especially as your child gets older.

Treating a Crossbite:

The good news is that crossbites can be effectively treated. The specific treatment approach will depend on your child's age, the severity of the crossbite, and the underlying cause. However, here are some common treatment options your dentist might recommend:

•	Myofunctional Therapy: This involves exercises that help correct the oral habits contributing to the crossbite, such as thumb sucking or tongue thrusting.
•	Removable Appliances: Depending on your child's age and the type of crossbite, your dentist might recommend wearing a removable appliance like a palate expander or a headgear. These appliances help guide the jaw and teeth into proper alignment.
•	Braces or Aligners: When the crossbite is more severe or persistent, your dentist might recommend traditional braces or clear aligners (like Invisalign) to gradually reposition the teeth and jaw.

Taking Action:

If you suspect your child has a crossbite, schedule an appointment with their dentist as soon as possible. Early evaluation and treatment allow for a more straightforward and successful outcome. Remember, addressing a crossbite early can prevent future complications and enhance your child's oral health and smile development.

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Crossbites - Addressing Misaligned Teeth

Identifying a Crossbite:

The Concerns with Crossbites:

Treating a Crossbite:

Taking Action:

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