What Is a Class 3 Bite? Symptoms, Correction, and Costs

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  • Alex Chang

    Alex Chang

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    Tech enthusiast and SmilePath advocate, Alex Chang, combines his love for cutting-edge technology with a commitment to promoting dental well-being. Drawing on...

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  • Dr. Narmeen

    Dr. Narmeen

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    Dr. Narmeen is a dedicated and passionate orthodontist at SmilePath Australia, committed to creating confident smiles through exceptional orthodontic care. With her...

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An illustration of underbite

Imagine your smile telling a story, but the plot is a little off—your lower teeth steal the spotlight by jutting past the upper ones. This is a Class 3 bite, a dental malady beyond aesthetics; it affects your daily routine, from eating to speaking, and probably even how you feel about yourself. The good thing is that modern dentistry has found it easy to rectify a Class 3 bite. This guide will also answer your doubts, whether looking for symptoms, treatments, or costs. Let's delve into everything you need to learn about Class 3 bites and regain that confident smile!

What is Class 3 Bite?

A side-view of class 3 bite
Class 3 Bite

Malocclusion is a dental condition where the upper jaw is underdeveloped or the lower jaw protrudes. When a malocclusion patient bites down, the upper and lower teeth are not properly aligned, leading to anunderbite. Such problems can interfere with biting, chewing, and even speaking. Class III malocclusions are fairly common, occurring in about 5% of the population. Such can occur at any age, but features become apparent mostly during childhood.

Symptoms of Class 3 Bite

Recognizing the symptoms of a Class 3 bite is the first step in seeking treatment. Some common signs include:

1. Visibility of Jaw Misalignment

  • The lower jaw appears more forward than the upper jaw.
  • The chin may look protruded.

2. Difficulties in Chewing or Biting

  • Misaligned teeth make it difficult to chew food properly.
  • Some patients might have pain while eating, others may just experience discomfort.

3. Speech Problems

Class 3 bites may cause speech disturbances such as lisping and difficulty pronouncing certain words.

4. Facial Asymmetries

The lower jaw protrusion will create an unbalanced appearance on the face.

5. Tooth Wear and Damage

Improperly aligned teeth will result in uneven wear, thus, increasing the possibility of caries or fractures.

6. Temporomandibular (TMJ) Pain

Jaw misalignment causes strain on the TMJ, which in turn gives rise to pain or popping noise.

Causes of Class 3 Bite

Knowing the factors that induce Class 3 malocclusion can help prevent or manage this condition. Some of the common causes include:

1. Genetics

Family diversity of jaw misalignment will increase the chance of inheriting a Class 3 bite.

2. Childhood Habits

Sucking thumbs, or pacifiers for a longer time, or pushing the tongue might lead to misaligned jaws.

3. Injury or Trauma

Accidents to the jaw or face can result in Class 3 malocclusion.

4. Abnormal Tooth Development

Missing or extra teeth or abnormal tooth sizes can lead to misalignment.

5. Jaw Growth Issues

An underbite occurs when the lower jaw overgrows or the upper jaw underdevelops.

How is Class 3 Bite Diagnosed?

Diagnosis of Class 3 occlusion is done thoroughly by a dentist or orthodontist. Here is the procedure:

1. Observation

A dentist will examine the alignment of your teeth and jaw.

2. Dental X-Rays

X-rays present another dimensional image, which reveals the relationship between the jaw bone and the teeth composition.

3. Impressions

These might involve taking molds of your teeth to produce an analysis model.

4. Photographs

Pictures made of your face and teeth provide further insight into the extent of the observed malalignment.

Correction Method for Class 3 Bite

Treatment for a Class 3 bite depends on how severe the bite is at the time the patient is being treated and what the patient’s age is at the time. Some of the more common modes of correction are as follows:

1. Braces

  • Metal braces are typically used to gradually move teeth into their correct alignment.
  • Ceramic or clear braces provide options for a less noticeable alternative.

2. Clear Aligners

  • Clear aligners such as Smilepath are popular for mild and moderate cases.
  • They are removable and almost invisible.

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3. Orthognathic Surgery

In some cases, orthodontics alone cannot treat extreme class III malocclusion. Orthognathic surgery may be recommended in these situations.

Orthognathic surgery improves both bite function and facial aesthetics by correcting the alignment of the upper and/or lower jaw. Usually performed by an oral and maxillofacial surgeon in conjunction with an orthodontist.

The recovery time depends on the extent of the surgery, but patients typically take a few weeks to allow for complete healing.

4. Functional Appliances

Functional appliances are removable dental devices used to treat Class III malocclusion in children and teenagers.

Mechanism: Apply gentle pressure on the jaws to encourage healthy growth and development.

Common Types:

  • Herbst Appliance:It features metal rods connected to the upper and lower molars, which help move the lower jaw forward to correct an underbite.
  • Twin Block Appliance:A set of removable devices promotes proper jaw development.

5. Facemask Therapy

Other therapeutic alternatives are facemask therapy for the child with a class III malocclusion.

This treatment involves wearing a specialized mask connected to a headpiece for hours each day. Over time, it helps move the upper jaw forward, correcting an underbite.

Facemask therapy is often combined with other orthodontic treatments, such as braces or functional appliances. The treatment duration ranges from one to two years, depending on the severity of the case.

6. Mini Implants

Mini-implants are miniature screws that are inserted into the jawbone to act as anchorage for braces. These mini-implants help advance the upper jaw, aiding in the correction of underbites in Class III malocclusions.

Usually, the mini-implants work in conjunction with other forms of orthodontic treatment, such as braces or functional appliances. The duration of treatment will depend on the severity of the malocclusion being corrected but will vary between 1 and 3 years.

7. Tooth Reshaping

This approach may be useful for certain cosmetic dental procedures. In Type 3 malocclusion, treatment may involve modifying the lower teeth or using veneers to ensure proper closure of the upper jaw over the lower jaw.

Although cosmetic treatments have several aesthetic benefits and can on occasion be helpful for functional jaw workings, it is not usually a very successful approach for those with major underbites.

Costs of Correcting a Class 3 Bite

The cost can change for various reasons.The cost to correct a Class 3 bite (underbite) with orthodontic treatment, like braces, can range from $3,000 to $7,000,clear aligners can range from $1,320, and jaw surgery from $20,000 to $50,000.

Severity of Malocclusion

Severe conditions may need serious surgical operations and may cost more.

Surgeon Choice

Highly experienced and reputable oral and maxillofacial surgeons often charge higher consultation fees.

Hospital or Clinic

Popular hospitals or dedicated clinics may cost much more than small, poorly equipped facilities.

Geographical Location

The cost of surgery can vary according to different regions. In metropolitan cities like Mumbai, Delhi, or Bangalore, surgical costs tend to be higher than in smaller towns.

Insurance Coverage

In the case of effective dental or health insurance that covers orthognathic surgery, it can significantly reduce the amount of overhead expenditure.

Pre and Post-Operative Care

These and other follow-up visits compound the cost of the whole process.

Benefits of Correcting a Class 3 Bite

There are several benefits to the correction of Class 3 bite:

1. Improved Oral Health

Teeth alignment makes cleaning easier, thereby reducing cavities and gum disease.

2. Enhanced Appearance

Underbite correction means improved, more symmetric-looking faces with higher levels of self-confidence.

3. Better Functionality

Chewing, biting, and speaking will be better and more comfortable.

4. Reduced Pain

TMJ pain and headaches can be lessened by relieving jaw misalignments.

5. Long Term Savings

Solving this issue early can avoid the expenses incurred by later dental.

Risk of Not Treating Class 3 Bite

The following are the consequences of ignoring a Class 3 bite are:

Loss of Tooth Structure

Misalignment causes uneven wear and fracture or loss of teeth.

Gum Disease

Teeth that are not properly aligned are more difficult to clean, thus increasing the risk of gum infection.

Chronic Pain

Jaw alignment can cause long-term TMJ pain or headaches if not treated.

Speech Problems

Class 3 occlusion over time can exacerbate speech issues.

Low Self-esteem

The way an underbite looks may inhibit confidence and social interaction.

Preventing a Class 3 Bite

These measures, while unable to change the underlying genetic predisposition, can help prevent a Class 3 bite:

1. Early Orthodontic Evaluation

Children should undergo their initial orthodontic evaluation by age 7.

2. Breaking Habits

Discouraging thumb sucking or prolonged pacifier use in very young children is beneficial.

3. Keep Teeth Clean

Regular brushing, flossing, and dental check-ups can only aid in maintaining healthy teeth.

How Smilepath Clear Aligners Effectively Correct Class 3 Bite?

Closeup of a girl holding Smilepath Clear
            Aligner
Smilepath Clear Aligner

Smilepath Clear Aligners are an advanced tool for correcting Class 3 bites, representing a discreet and comfortable alternative to traditional braces. These intercuspal custom-made aligners gradually align teeth into their desired position, making them appropriate for mild to moderate underbites.

Want a Solution That Fix the Class 3 Bite? Here’s the Solution!
Smilepath clear aligners are affordable and convenient, offering a modern solution to achieve the perfect smile.
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Here's how Smilepath Clear Aligners may help address the Class 3 bite:

Key Features

  • Customized Treatment Plans: Each aligner is made precisely to fit your teeth for maximum results.
  • Teeth Move Gradually: Aligners apply gentle pressure to move teeth into position, gradually.
  • Invisible: Clear aligners are almost invisible, accounting for their popularity among teens and adults.
  • Removable: You can take them out while eating, brushing, or for special events.
  • Comfortable: Made from smooth, BPA-free plastic, they reduce irritation compared to metal braces.

Recap

Smilepath Clear Aligners offer a modern, effective, and discreet solution for Class 3 malocclusion. Designed for a customized fit, they use advanced technology to provide a tailored approach for a healthier, well-aligned smile. Start your journey toward a confident smile today!

FAQs

How do you fix class 3 bite?

Braces, clear aligners, jaw surgery, or palatal expanders can fix a class 3 bite depending on the severity of the case.

What does class 3 mean in dentistry?

Class 3 indicates a malocclusion in which the lower teeth lie more outward than the upper teeth, called an underbite.

How long does it take to fix a class 3 bite?

Treatment lasts 6 months to 2 years for mild cases, while more severe cases requiring surgery may take 2 to 3 years or sometimes longer.

References

American Orthodontic Society. Identifying and Treating Malocclusions Classes I, II, and III (https://orthodontics.com/identifying-and-treating-malocclusions-classes/). Last updated 3/1/2022. Accessed 10/28/2024.

Cenzato N, Nobili A, Maspero C. Prevalence of Dental Malocclusions in Different Geographical Areas: Scoping Review (https://pmc.ncbi.nlm.nih.gov/articles/PMC8534899/). Dent J (Basel). 2021 Oct 11;9(10):117. Accessed 10/28/2024.

De Ridder L, Aleksieva A, Willems G, Declerck D, Cadenas de Llano-Pérula M. Prevalence of Orthodontic Malocclusions in Healthy Children and Adolescents: A Systematic Review (https://pubmed.ncbi.nlm.nih.gov/35742703/). Int J Environ Res Public Health. 2022 Jun 17;19(12):7446. Accessed 10/28/2024.

Gasparello GG, Júnior SLM, Hartmann GC, et al. The influence of malocclusion on social aspects in adults: study via eye tracking technology and questionnaire (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8784583/). Prog Orthod. 2022 Jan 24;23(1):4. Accessed 10/28/2024.

Ghodasra R, Brizuela M. Orthodontics, Malocclusion (https://www.ncbi.nlm.nih.gov/books/NBK592395/). 2023 Apr 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. Accessed 10/28/2024.

Merck Manual, Consumer Version. Malocclusion (https://www.merckmanuals.com/home/mouth-and-dental-disorders/symptoms-of-oral-and-dental-disorders/malocclusion). Last reviewed 1/2024. Accessed 10/28/2024.

  • Alex Chang

    Alex Chang

    Content Contributor

    Tech enthusiast and SmilePath advocate, Alex Chang, combines his love for cutting-edge technology with a commitment to promoting dental well-being. Drawing on...

    Read More
  • Authored by
  • Dr. Narmeen

    Dr. Narmeen

    Medical Reviewer

    Dr. Narmeen is a dedicated and passionate orthodontist at SmilePath Australia, committed to creating confident smiles through exceptional orthodontic care. With her...

    Read More
  • Reviewed By
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