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References

Hassan AH, Amin Hel S. Association of orthodontic treatment needs and oral health-related quality of life in young adults. Am J Orthod Dentofacial Orthop. 2010; 137:42-47
Seehra J, Fleming PS, Newton T, DiBiase AT. Bullying in orthodontic patients and its relationship to malocclusion, self-esteem and oral health-related quality of life. J Orthod. 2011; 38:247-256
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Arraj GP, Rossi-Fedele G, Dogramaci EJ. The association of overjet size and traumatic dental injuries – a systematic review and meta-analysis. Dent Traumatol. 2019; 35:217-232
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Interceptive management of increased overjet in young children: a clinical protocol

From Volume 49, Issue 8, September 2022 | Pages 676-681

Authors

Robert SD Smyth

BDS, MClinDent, MFDS RCSEd, MOrth RCSEd, MDTFEd, FDS(Orth) RCSEd, FHEA

Locum Consultant, Orthodontic Department, Eastman Dental Hospital, UCLH NHS Foundation Trust, London

Articles by Robert SD Smyth

Email Robert SD Smyth

Khushbu Patel

BDS(Hons), MFDS RCPS(Glasg), PGCert (Dent Ed)

General Dental Practitioner, Private Paediatric Practice, London

Articles by Khushbu Patel

Paul Ashley

BDS, PhD, FDS RCSEd, FDS (Paed Dent) RCS, FHEA, BDS, PhD, FDS PaedDent

Clinical Lecturer, Department of Paediatric Dentistry, Eastman Dental Institute for Oral Health Care Sciences, University College London

Articles by Paul Ashley

Joseph H Noar

BDS, MSc, FDS RCSEd, FDS RCSEng, DOrth RCSEng, MOrth RCSEng, FHEA

Consultant/Hon Senior Lecturer, Orthodontic Unit, Division of Craniofacial and Development Sciences, Eastman Dental Hospital/Institute, 256 Gray's Inn Road, London WC1X 8LD, UK

Articles by Joseph H Noar

Abstract

This article describes the different techniques for the management of an increased overjet in a child considered too young for conventional orthodontics, as well as the clinical situations in which these techniques may be useful. This is particularly aimed at general dental practitioners and paediatric dentists working in areas with limited access to specialist orthodontic services.

CPD/Clinical Relevance: Knowledge of techniques for early management of an increased overjet in young children is of interest.

Article

An increased incisal overjet is common in the mixed dentition, and can be due to a range of factors, such as a digit-sucking habit, a soft tissue lip trap or an underlying Class II skeletal base relationship. Severe malocclusions can have a significant negative impact on the quality of life of children and adolescents with evidence to suggest they are associated with bullying and other negative social experiences.1,2 There is also a strong correlation between an increased overjet and dental trauma, which has been widely documented in the literature.3,4,5,6

Children with an overjet greater than 6 mm are four times more likely to suffer a traumatic dental injury, and it has been shown that traumatic dental injuries are more time-consuming and costly to treat than other bodily injuries.7,8

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