What should I do if the bone above my teeth is protruding?

Mar 28, 2022 Source: Cainiu Health
Dr. Zhang Lei
Introduction
1. Orthodontic treatment: Suitable for mild alveolar bone protrusion, typically caused by simple outward protrusion of the teeth alone. 2. For severe alveolar bone protrusion—resulting in prominent overjet (buck teeth), underbite (reverse occlusion), or significant mandibular retrognathia—orthodontic appliances are generally ineffective; in such cases, orthognathic (surgical) correction is usually required.

Maxillary protrusion is associated with abnormal maxillary development and poor occlusal habits. Once established, it tends to worsen if not corrected promptly. So, what should be done when the bone above the teeth protrudes? Below, we address this question.

What to do when the bone above the teeth protrudes

Protrusion of the bone above the teeth can be improved through orthodontic treatment or surgical (osseous) correction. However, if only mild, physiological alveolar bone protrusion is present in isolated areas, no intervention may be necessary.

1. Orthodontic treatment: Suitable for mild cases of alveolar bone protrusion—typically caused solely by outward displacement of the teeth. In such cases, orthodontic appliances (e.g., braces) can effectively correct the alignment. Braces treatment is generally lengthy, requiring approximately 1–2 years to reposition teeth into their proper alignment. Therefore, consistent, uninterrupted wear throughout the entire treatment period is essential to achieve optimal results.

2. Surgical (osseous) correction: For severe alveolar bone protrusion resulting in pronounced overjet (“buck teeth”), underbite (“reverse bite”), or significant mandibular retrognathia—and when conventional orthodontic appliances prove ineffective—surgical intervention is typically required. This may involve maxillary osteotomy or bimaxillary surgery to reposition the dental arches and restore normal occlusion.

Maintain good oral hygiene and adopt healthy dietary habits in daily life. Avoid excessive consumption of highly sugary foods, such as cream cakes.

The above outlines management options for protrusion of the bone above the teeth. We hope this information is helpful to you.

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