{"id":3015,"date":"2026-06-24T18:37:10","date_gmt":"2026-06-24T18:37:10","guid":{"rendered":"https:\/\/foxxi.hu\/underbite-more-than-just-an-aesthetic-concern\/"},"modified":"2026-06-24T18:37:10","modified_gmt":"2026-06-24T18:37:10","slug":"underbite-more-than-just-an-aesthetic-concern","status":"publish","type":"post","link":"https:\/\/foxxi.hu\/en\/underbite-more-than-just-an-aesthetic-concern\/","title":{"rendered":"Underbite: More Than Just an Aesthetic Concern"},"content":{"rendered":"<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">An underbite, known scientifically as an Angle Class III anomaly, is one of the most complex and visually striking jaw irregularities. This condition goes far beyond a simple aesthetic issue with the teeth; it affects facial harmony, chewing function and, in the long term, the health of the jaw joint as well. At the Foxxi clinic, using the most advanced diagnostic and therapeutic procedures, we offer evidence-based treatment plans to achieve the perfect functional and aesthetic result.<\/span><\/p>\n<h3 class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">What exactly is an underbite, and what causes it?<\/span><\/h3>\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">An underbite, medically known as <\/span><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">mandibular prognathism<\/span><\/strong><span class=\"ng-star-inserted\">, occurs when the lower teeth bite in front of the upper teeth.[<\/span><span class=\"ng-star-inserted\">1<\/span><span class=\"ng-star-inserted\">] This irregularity affects not only the position of the teeth but most often arises from a difference in the size and position of the jawbones.[<\/span><span class=\"ng-star-inserted\">1<\/span><span class=\"ng-star-inserted\">][<\/span><span class=\"ng-star-inserted\">2<\/span><span class=\"ng-star-inserted\">][<\/span><span class=\"ng-star-inserted\">3<\/span><span class=\"ng-star-inserted\">]<\/span><\/p>\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The scientific background:<\/span><\/strong><\/p>\n<ul class=\"ng-star-inserted\">\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Genetic predisposition:<\/span><\/strong><span class=\"ng-star-inserted\"> In a significant proportion of cases, an underbite is caused by genetic factors. The inherited predisposition determines the growth potential of the jawbones.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Growth disharmony:<\/span><\/strong><span class=\"ng-star-inserted\"> The problem most often arises from the jawbones growing at different rates. This can mean overgrowth of the lower jaw (mandible), underdevelopment of the upper jaw (maxilla), or a combination of the two.[<\/span><span class=\"ng-star-inserted\">4<\/span><span class=\"ng-star-inserted\">]<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Functional causes:<\/span><\/strong><span class=\"ng-star-inserted\"> In certain cases, an incorrect tongue position during swallowing or other functional irregularities may also contribute to the development or worsening of an underbite.<\/span><\/p>\n<\/li>\n<\/ul>\n<h3 class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The appearance and consequences of an underbite<\/span><\/h3>\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">An Angle Class III anomaly determines not only the bite but the character of the entire face.<\/span><\/p>\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Typical external features:<\/span><\/strong><\/p>\n<ul class=\"ng-star-inserted\">\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The lower lip and chin become more prominent and protrude forward.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The facial profile may become concave.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The nasolabial fold may deepen, while the upper lip may appear sunken.<\/span><\/p>\n<\/li>\n<\/ul>\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Functional and health-related consequences:<\/span><\/strong><\/p>\n<ul class=\"ng-star-inserted\">\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Chewing difficulties:<\/span><\/strong><span class=\"ng-star-inserted\"> Biting into and grinding food may become difficult.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Speech problems:<\/span><\/strong><span class=\"ng-star-inserted\"> The formation of certain sounds may be imprecise.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Jaw joint complaints (TMJ):<\/span><\/strong><span class=\"ng-star-inserted\"> Due to improper loading, clicking and pain may develop in the jaw joint.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Increased tooth wear:<\/span><\/strong><span class=\"ng-star-inserted\"> Because of the abnormal contacts, the teeth may wear down prematurely.<\/span><\/p>\n<\/li>\n<\/ul>\n<h3 class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The most effective therapy: surgical orthodontics<\/span><\/h3>\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">While in childhood, during the active phase of growth, it is still possible to influence the growth of the jawbones with special orthodontic appliances, in adulthood an already established bony discrepancy can only be corrected effectively and stably by combining orthodontics with jaw surgery, in what is known as <\/span><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">orthognathic surgical treatment<\/span><\/strong><span class=\"ng-star-inserted\">.[<\/span><span class=\"ng-star-inserted\">3<\/span><span class=\"ng-star-inserted\">][<\/span><span class=\"ng-star-inserted\">5<\/span><span class=\"ng-star-inserted\">]<\/span><\/p>\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">This is a precisely planned, multi-stage process in which the orthodontist and the head and neck surgeon work closely together.<\/span><\/p>\n<ol class=\"ng-star-inserted\">\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Pre-surgical orthodontics (approx. 1\u20131.5 years):<\/span><\/strong><span class=\"ng-star-inserted\"> In this phase, a fixed orthodontic appliance is used to move the teeth into their ideal position within their own jawbone. The goal is for the dental arches to fit together perfectly after surgery. During this phase the bite may temporarily appear even worse, but this process is essential for a successful operation.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">The jaw operation (orthognathic surgery):<\/span><\/strong><span class=\"ng-star-inserted\"> The procedure is performed under general anaesthesia, inside the oral cavity, so no external scars remain. The most commonly used procedure on the lower jaw is the <\/span><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">bilateral sagittal split osteotomy (BSSO)<\/span><\/strong><span class=\"ng-star-inserted\">. During this, the oral surgeon makes precise bone cuts that allow the lower jaw to be moved backward or forward, or to be rotated. If necessary, a correction is also carried out on the upper jaw (Le Fort I osteotomy) to achieve ideal facial and bite harmony. The bones are fixed in their new position with tiny titanium plates and screws.<\/span><\/p>\n<\/li>\n<li class=\"ng-star-inserted\">\n<p class=\"ng-star-inserted\"><strong class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Post-surgical orthodontics (approx. 6\u201310 months):<\/span><\/strong><span class=\"ng-star-inserted\"> The aim of the fine-tuning after surgery is to set the bite perfectly and to ensure a stable end result.<\/span><\/p>\n<\/li>\n<\/ol>\n<h3 class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Why is the surgical solution the best choice?<\/span><\/h3>\n<p class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Combined orthodontic-surgical therapy not only aligns the teeth, but eliminates the root of the problem: the positional irregularity of the jawbones. The result is a stable, functionally perfect bite and an aesthetically harmonious facial profile, which significantly improves quality of life and boosts self-confidence.<\/span><\/p>\n<p><strong>This article was written by the Foxxi team, reviewed by Dr. Magyar Dominika Ph.D., orthodontic specialist<\/strong><\/p>\n<p class=\"ng-star-inserted\"><strong><span class=\"ng-star-inserted\">Scientific sources used:<\/span><\/strong><\/p>\n<ul>\n<li class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Park, J. U., &amp; Baik, S. H. (2001). Classification of Angle Class III malocclusion and its treatment modalities. <\/span><span class=\"ng-star-inserted\">International journal of adult orthodontics and orthognathic surgery<\/span><span class=\"ng-star-inserted\">, 16(1), 19\u201329.<\/span><\/li>\n<li class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Popescu, M. V., et al. (2010). Correlations between the occlusal plane angle and the risk of relapse after surgical orthodontic treatment of Angle Class III anomalies. <\/span><span class=\"ng-star-inserted\">Revista de chirurgie oro-maxilo-facial\u0103 \u015fi implantologie<\/span><span class=\"ng-star-inserted\">, 1(1), 18-23.<\/span><\/li>\n<li class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Ngan, P., &amp; Moon, W. (2015). Evolution of Class III treatment in orthodontics. <\/span><span class=\"ng-star-inserted\">American Journal of Orthodontics and Dentofacial Orthopedics<\/span><span class=\"ng-star-inserted\">, 148(1), 22-36.<\/span><\/li>\n<li class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Reyneke, J. P., &amp; Tsakiris, P. (2019). The bilateral sagittal split osteotomy: its role in modern orthognathic surgery. <\/span><span class=\"ng-star-inserted\">Oral and Maxillofacial Surgery Clinics<\/span><span class=\"ng-star-inserted\">, 31(4), 479-492.<\/span><\/li>\n<li class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">Ka\u00e1n L\u00e1szl\u00f3 Mikl\u00f3s (n.d.). <\/span><span class=\"ng-star-inserted\">Az orthodontiai kezel\u00e9sek optim\u00e1lis id\u0151z\u00edt\u00e9se.<\/span><span class=\"ng-star-inserted\"> Semmelweis University, Department of Paediatric Dentistry and Orthodontics.<\/span><\/li>\n<li class=\"ng-star-inserted\"><span class=\"ng-star-inserted\">G\u00e1bris Katalin (n.d.). <\/span><span class=\"ng-star-inserted\">Az orthodonciai anom\u00e1li\u00e1k diagnosztiz\u00e1l\u00e1sa \u00e9s kezel\u00e9si lehet\u0151s\u00e9gei.<\/span><span class=\"ng-star-inserted\"> Semmelweis University.<\/span><\/li>\n<\/ul>\n<div class=\"search-sources-title\"><strong>Other sources<\/strong><\/div>\n<ol>\n<li class=\"ng-star-inserted\">ihklinika.hu<\/li>\n<li class=\"ng-star-inserted\">semmelweispremium.hu<\/li>\n<li class=\"ng-star-inserted\">sassdr.com<\/li>\n<li class=\"ng-star-inserted\">nih.gov<\/li>\n<li class=\"ng-star-inserted\">semmelweis.hu<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>An underbite, known scientifically as an Angle Class III anomaly, is one of the most complex and visually striking jaw&#8230;<\/p>\n","protected":false},"author":0,"featured_media":245,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,1],"tags":[],"class_list":["post-3015","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - 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