Crooked teeth (also called dental misalignment or malocclusion) are common in both children and adults. While some people embrace them as part of their unique smile, others may want treatment for cosmetic, functional, or health reasons. Crooked teeth can worsen over time if left untreated, but modern orthodontics offers effective options for realignment.
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Causes of Crooked Teeth
Crooked teeth can result from a range of genetic, developmental, and lifestyle factors, including:
- Genetics – Family history of crowding, jaw size, overbite, underbite, or extra teeth.
- Jaw size changes – Modern diets of softer, processed foods require less chewing, potentially contributing to smaller jaws and crowding.
- Myofunctional habits – Thumb sucking, prolonged pacifier use, tongue thrusting, or mouth breathing in childhood.
- Early loss of baby teeth – Can allow surrounding teeth to shift into gaps, affecting how permanent teeth come in.
- Poor oral hygiene – Gum disease can cause teeth to loosen, shift, or fall out.
- Poor nutrition – Especially during childhood, can affect tooth and jaw development.
- Bite problems – Overbite, underbite, or crossbite can worsen crookedness over time.
- Injury or trauma – Accidents to the mouth or jaw may displace teeth.
If you're noticing any of these symptoms, it's time to book a dental check-up. Early treatment can prevent more serious problems like gum recession or tooth loss.
Issues Caused by Crooked Teeth
While mild crookedness may be mostly cosmetic, more severe misalignment can lead to:
- Oral hygiene challenges – Overlapping teeth are harder to clean, increasing plaque build-up and risk of decay or gum disease.
- Excessive wear – Uneven contact can cause certain teeth to wear faster or crack.
- Jaw strain – Misalignment may contribute to jaw pain, temporomandibular joint (TMJ) issues, or headaches.
- Speech difficulties – Some bites affect pronunciation and articulation.
- Chewing and digestion issues – Misaligned teeth can make chewing less effective.
- Reduced self-confidence – Discomfort with appearance can affect social interactions.
Can Crooked Teeth Get Worse?
Yes. Teeth naturally shift with age, and once crowding starts, it can progress quickly, especially in the lower front teeth. This can also affect the position of upper teeth and lead to gum recession, wear, or bite changes.
Treatment Options
The best treatment depends on the severity of misalignment, overall dental health, and personal preferences. Common options include:
- Metal braces – Durable, effective for complex cases, and often the most cost-efficient option.
- Ceramic braces – Work like metal braces but use tooth-coloured brackets for a less noticeable look.
- Lingual braces – Attached to the back of teeth, making them invisible from the front; may take time to adjust to.
- Clear aligners – Removable, nearly invisible trays ideal for mild to moderate corrections.
- Surgical options – For severe jaw alignment issues, orthognathic surgery may be recommended alongside braces.
Treatments can take 6–24 months, depending on case complexity. For lasting results, retainers are needed after treatment to prevent relapse.
Note: at Granite Belt Dental, we can assess your situation and provide a referral to an orthodontist, but we do not provide orthodontic services in-house.
Key Takeaway
Crooked teeth are common and can be part of your smile’s character, but they may also impact oral health and function. If you’re concerned about appearance, comfort, or dental health, an orthodontic assessment can help you choose the most effective solution to straighten your teeth and improve your bite for the long term. If you need help with crooked teeth, speak to a member of our team here at Granite Belt Dental and we can talk you through your options, including a referral to an orthodontist as we don’t provide orthodontic services in-house.
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