At Clínica Birbe, we understand that not everyone is ready for or wants to consider surgical treatment for skeletal malocclusions. While surgery remains the gold standard for correcting moderate to severe jaw discrepancies, there are non-surgical options that can help improve both function and aesthetics, especially for mild to moderate cases.

This guide will help you understand what can realistically be achieved with non-surgical treatments and when they may be suitable for you.

What Are Skeletal Malocclusions?

Skeletal malocclusions are jaw misalignments caused by discrepancies in the size or position of the upper jaw (maxilla) and lower jaw (mandible). Common types include:

• Class II (overbite): The upper jaw is too far forward, or the lower jaw is too far back.
• Class III (underbite): The lower jaw is too far forward, or the upper jaw is too far back.
• Open Bite: The upper and lower teeth do not meet in the front when biting.
• Asymmetry: A visible imbalance between the left and right sides of the face.

Non-Surgical Treatment Options

1. Orthodontics Alone

Orthodontic treatment focuses on aligning the teeth and camouflaging mild skeletal discrepancies.
What It Can Do:

• Correct crowding or spacing issues.
• Camouflage mild skeletal discrepancies by shifting the teeth (e.g., retracting upper teeth in mild overbites).
• Improve smile aesthetics and bite functionality.
• Help with minor midline shifts.

Limitations:

• Cannot address moderate to severe jaw misalignments.
• Results are less effective in cases involving airway or facial symmetry concerns.

2. Clear Aligners (e.g., Invisalign®)

Clear aligners are a discreet option for correcting certain skeletal and dental issues.
What It Can Do:

• Address mild Class II or Class III discrepancies with elastics.
• Align teeth without visible braces.
• Provide better comfort and aesthetics during treatment.

Limitations:

• Not ideal for severe skeletal issues.
• May require braces or surgery in complex cases.

3. Functional Orthodontic Appliances

Appliances such as Herbst, Twin Block, or MARA are used to guide jaw growth and improve alignment.
What It Can Do:

• Primarily effective for growing patients (children and adolescents).
• Encourage forward growth of the lower jaw or restrict upper jaw growth.

Limitations:

• Limited efficacy in adults since jaw growth is complete.
• Results are less predictable compared to surgical options.

4. Botulinum Toxin (Botox) for Jaw Muscle Hypertrophy

In cases where skeletal malocclusion causes muscle imbalances or strain, Botox injections can relax overactive muscles, particularly in the jaw.
What It Can Do:

• Reduce symptoms like jaw pain or tension headaches.
• Temporarily improve facial proportions in some cases.

Limitations:

• Results are temporary (3–6 months).
• Does not address underlying skeletal issues.

5. Facial Aesthetic Enhancements

For patients seeking non-surgical ways to improve their appearance, aesthetic treatments like dermal fillers can be used.
What It Can Do:

• Enhance jawline definition.
• Camouflage minor asymmetries or deficiencies.

Limitations:

• Purely aesthetic; no impact on dental or functional issues.
• Requires regular maintenance.

Who Are Non-Surgical Options Best For?

Non-surgical options are ideal for:

• Mild skeletal discrepancies where teeth alignment can mask the underlying issue.
• Patients who are not ready for surgery but want to improve their smile or function.
• Growing patients who can benefit from jaw growth guidance.
• Adults seeking temporary solutions or aesthetic enhancements.

When Surgery is the Better Option

If you have moderate to severe skeletal malocclusion, non-surgical treatments may not provide satisfactory results. Surgery, such as orthognathic surgery, can:

• Correct jaw size and position.
• Improve facial symmetry and aesthetics.
• Address functional problems like difficulty chewing or breathing.

At Clínica Birbe, We Tailor Treatments to Your Needs

We believe every patient deserves a personalized treatment plan. During your consultation, we’ll evaluate your specific case and discuss the best options for you—whether non-surgical or surgical. Our goal is to help you achieve a healthy, functional, and confident smile.

Book Your Consultation Today

Let us guide you through the options and help you make an informed decision. Contact us at +34 93 212 47 37 to schedule your appointment and start your journey toward a better smile!

Article written by the Birbe Editorial Committee