Dr. Greg Jorgensen
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Rio Rancho, NM 87124

The Jorgensen Orthodontics Blog

Can’t I just get orthodontic braces on my bottom teeth?

Posted by Dr. Jorgensen on March 25th, 2011

My teeth were perfect until my wisdom teeth came in. Now the lower ones are all messed up. Can’t I just get braces on my lower teeth and put them back where they were?

Single arch treatment is possible… under the right circumstances. The determining factor is the relationship between the lower and the upper front teeth (commonly referred to as “the bite.”) The depth of the bite as well as the amount of “overbite” both figure in to the decision.

When crooked or overlapping teeth are straightened with braces, they move forward. If you have and overbite before treatment, aligning the crooked bottom teeth will improve it. If your front teeth come together in an edge-to-edge or underbite relationship at the start of treatment, treating the lower teeth only may actually make matters worse. As the lower teeth move forward, the front teeth may not come together at all after treatment. Although the teeth may look straighter, the bite may be worse.

One of the most common reasons the teeth get crooked with age is the deepening of the bite. As the backs of the upper teeth “push down” on the lower front teeth, they tend to push them back making them overlap. In these cases there is usually no clearance between the backs of the upper teeth and the fronts of the lowers. Without clearance, it is nearly impossible to realign the lower front teeth without repositioning the uppers too. Space between the upper and lower teeth is necessary because the lower teeth will move forward as they are straightened.

One option that can be considered as an alternative to full upper and lower braces in the case of lower crowding is interproximal reduction (IPR), also known as air-rotor stripping (ARS) or slenderizing. Using thin diamond disks or files, small amounts of enamel are polished away from the sides of the crooked teeth providing the room needed for their alignment. Teeth altered in this way don’t need to move forward as they are aligned.

In more severe cases of lower crowding, the removal of a single front tooth may be considered. This is an attractive option if one of the lower teeth is badly worn or there are problems with the overlying gums or bone. Eliminating a tooth that has lost its support can actually be a blessing if keeping it will require extensive gum grafting and aggressive slenderizing of perfectly normal teeth.

NOTE: The author, Dr. Greg Jorgensen, is a board-certified orthodontist who is in the private practice of orthodontics in Rio Rancho, New Mexico (a suburb on the westside of Albuquerque). He was trained at BYU, Washington University in St. Louis, and the University of Iowa in the United States. Dr. Jorgensen’s 25 years of specialty practice and 10,000 finished cases qualify him an expert in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems (including conventional braces, Damon and other self-ligating brackets, Suresmile, and lingual braces). This blog for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. Jorgensen is licensed to diagnose and treat patients only in the state of New Mexico. He cannot diagnose cases described in comments nor can he select treatment plans for readers. Because he has over 25,000 readers each month, it is impossible for him respond to all questions. Please read all of the comments associated with each article as most of the questions he receives each week have been asked and answered previously. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

6 comments so far in response to “Can’t I just get orthodontic braces on my bottom teeth?”

  1. srinivas says:

    My upper teeth are a bit forward and having lower teeth crowded. Only lower braces has been put.I was told upper braces will be put after 3 months until lower teeth come into right places.

    Is it right option. I m a bit worried about this? Could you please tell me?

    • It is not abnormal to put the upper and lower braces on at different times. Sometimes it is because one arch is more severe than the other. Other times it is because one arch is preventing movement in the other. I’ve also placed braces in only one arch on occasion just because doing both at the same time would have been too hard for a particular patient. Whatever the reason, you have nothing to worry about.

  2. Karen Sanchez says:

    Okay I used to have braces for 3 years. I got my retainers and all but recently I’ve lost only my bottom ones. I didn’t get a new retainer until January of this year. It resulted that my bottom teeth got crooked but not so badly. I just want to get bottom braces again, can it be done? I have an overbite so I’m worried. Please help.

    • The generic answer is yes, but it depends upon the size and position of the teeth. Great question for your local orthodontist who can look at your case up close and personal.

  3. Mimi says:

    One of my bottom teeth has a metal cap and doesn’t have an adult tooth under it. The dentist said I could get the tooth pulled and get braces on my bottom teeth to pull some forward would that work?

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