Crooked Jaw & Treatment Options - Savina Dental Clinics malta

Most people never stop to think about their jaws until something goes wrong. Living with a malformed jaw can be incredibly trying. It causes severely painful, emotional and physical side effects like headaches, and an unusual facial structure, which can cause low self-esteem and, in other cases, facial and ear pain.

Fortunately, many treatments are available today to remedy even the most advanced problems.

What is a misaligned Jaw?

A misaligned jaw is a condition where the upper and lower jaws don’t meet correctly. It often causes a variety of conditions, with the following being the most common;

  •   Overjet: Protruding upper teeth
  •   Reverse bite: when the lower teeth sit in front of the upper teeth

The effects of a misaligned jaw are usually physical and emotional. In severe cases, this condition can interfere with your eating, speech, sleeping and even breathing. It can also cause pain and discomfort even when your jaws are not moving. Misaligned jaw patients, especially children, can suffer emotional pain or become self-conscious if bullied.

If you are looking for a dentist in Malta or Gozo, you can book a dental appointment online at one of Savina Dental Clinics, or contact us directly on (+356) 2125 7253 (Skyparks Business Centre, Malta International Airport), or (+356) 2155 7323 (Dingli Street, Victoria, Gozo). For international patients, it is recommended to request a free e-consultation where we can discuss your individual case and treatment options.

Misaligned Jaw Symptoms

Difficulty in chewing

When your upper and lower jaws are misaligned, they clash with each other rather than glide smoothly against each other. This may result in pain and discomfort, making eating difficult.

Abnormal breathing

The misaligned jaw can prevent you from breathing through your nose easily, making you only breathe through your mouth. This can cause other health issues.

Abnormal appearance

Crooked, twisted or overcrowded teeth are the most common signs of this disorder, as they can affect your facial structure.

Trouble with speech

Another common sign of a crooked jaw is a speech impediment. However, proper treatment and some speech therapy can help correct your impaired speech.

Facial or jaw pain that occurs after eating or speaking

A crooked jaw can cause pain after eating, talking or even smiling.

Ongoing headaches or facial pain

Patients with a crooked jaw may have migraine headaches caused by the teeth and jaw muscles straining to function correctly.

Irregular teeth wear

A patient with a crooked jaw may experience tooth sensitivity and uneven wear. The enamel wears away much faster on teeth that experience forced grinding.

Causes of an uneven jaw

For the jaws to function correctly, they need the bones, muscles, and tendons to work together. A malfunction in any of these structures or lack of synchronicity in their function can cause an uneven jaw. Other causes include;

Trauma or broken jaw

You may suffer trauma from falls, accidents, sport-related injuries or assault. This, in turn, can cause a fractured, dislocated or broken jaw. Significant damage in your jaw may require you to undergo surgery to help restructure and heal it.

TMJ disorders

Temporomandibular joint disorder, popularly known as TMJ disorder, is a prevalent medical condition that can occur as a result of trauma or arthritis. Other times, the symptoms of TMJ may occur without an apparent cause(1). Fortunately, there are various ways you can treat it;

  •    During acutely painful episodes, apply ice to your jaw to minimise pain and inflammation
  •    Take over-the-counter pain relievers
  •    Avoid strenuous jaw movements
  •    Practice TMJ exercises to reduce pain and improve your jaw movement
  •    Wear purposely-designed therapeutic splints to reposition your jaw by raising your bite and bringing your teeth out of contact temporarily

Congenital disabilities

Some people are born with a jaw condition. This means that you may have a naturally crooked jaw. These conditions can be corrected or managed with supportive care and lifestyle changes.

Teeth alignment

Teeth misalignment can cause an uneven jaw. When the teeth are misaligned, they may get in the way of your jaw settling on its correct position.

Solutions for a misaligned jaw/ living with a jaw misalignment

Solutions for a misaligned jaw - savina clinics

Fortunately, people experiencing this condition have an array of options when it comes to treatment.

Stop bad habits

According to research published in the Science Daily(2), poor postural and balance can cause a bad bite. These bad habits include sleeping on your stomach, sucking your thumb, poor diet and oral hygiene, and resting your head on the one hand for long periods.


In some cases,orthodontic braces can correct a misaligned jaw. For this treatment, the orthodontist places the traditional cement brackets on your teeth and connects them with a wire. The dentist tightens the wire, gradually moving your teeth and jaw back into alignment for a period ranging from 1 to 3 years. This treatment is often recommended for any condition other than very mild malocclusions.

Headgear braces

This treatment is recommended when the upper jaw is too far forward for the standard braces to correct as required.

Upper jaw expander

The Upper Jaw expander is a wireframe device that fits over the upper palate. It is recommended for a reverse bite, where the lower teeth sit in front of your upper teeth as you close your mouth. The patient is expected to widen the device a tiny bit every day. After a period of regular daily adjustments, this device causes the upper jaw to extend, correcting the misalignment. A similar device placed across the palate can correct crossbites on one or both sides.

Reverse pull face mask

The backward pull face mask is a dental device that looks like a headgear brace that is worn overnight. Your dentist fixes the metal brace over your upper back teeth and attaches them to your facemask. The facemask is wrapped around your head to help the upper jaw into position.

Cosmetic dentistry

This treatment is open to adults who have mildly crooked jaws. The dentist reshapes your teeth and/or places dental veneers on to your teeth. While this does not fix the crooked jaw, it can make it less noticeable.

Avoid TMJ triggers

Avoid gum chewing, stress, poor posture and teeth grinding as they all enhance jaw or teeth misalignment. Chew slowly.

Jaw surgery

If other treatments fail in helping to align your crooked jaw, you can go for surgery. However, according to the National Institute of Dental and Craniofacial research(3), patients should seek non-surgical treatments before opting for surgery. This is mainly because more studies are still needed on the safety and effectiveness of most surgical procedures for jaw joints. Also, once it’s done, it cannot be reversed. So, seek second or more opinions before undergoing jaw surgery.

Maxillary osteotomy

This treatment is recommended for people with an upper jaw deformity. It corrects a significantly receded upper jawbone, crossbite or when you have too many or too few teeth showing. It is also used to adjust an open bite.

Mandibular osteotomy

mandible issues see your dentist

This is suitable for patients with receded or other mandible position abnormalities. It fixes a receded lower jaw. It allows the surgeons to move the lower jawbone forward or backwards, depending on the best adjustment and bite movement.


This surgical treatment is recommended for those whose crooked jaw is caused by advancement or retraction of the chin. It helps to reposition your mandible properly, thereby correcting the crooked jaw.

Jaw wiring

This medical procedure keeps your jaws closed for a while to fix a crooked jaw or heal a broken or fractured jaw.

Oral care during treatment

Make sure to brush your teeth and floss daily throughout the treatment to enhance healthy, cavity-free teeth.

Have You Tried Our Free e-Consultation Service?

If you are worried about a dental-related issue, are interested in travelling to Malta for a dental holiday or have questions about any of the treatments we offer, please get in touch with us using our new free e-Consultation service. One of our highly-qualified team will respond to your query as soon as possible. Our e-Consultation service is live 9 am – 6 pm, Monday to Friday.

If you would like to schedule an in-person consultation at Savina Dental, please book your appointment using this form.

Savina Clinic – Dental & Implantology Centres are friendly, state-of-the-art practices in Malta and Gozo dedicated to comprehensive quality dental care. Savina Dental is an innovative dental practice in Malta. It prides itself on high-quality customer service, low waiting room times, attention to detail and the advanced dental technology at its disposal.

Joseph Xuereb
Principal Dental Surgeon & Owner of Savina Dental Clinics, Dr Joseph Xuereb BChD (Hons), MFGDP(UK), MGDS RCS(Eng), FFGDP RCS(UK), FICD is a general dental practitioner with a special interest in Implant and Restorative Dentistry. Dr Joseph & the teams' full biographical information can be found here.