Common Problems

Upper Front Teeth Protrusion

The appearance and function of your teeth are impacted by this type of bite. It is characterized by the upper teeth extending too far forward or the lower teeth not extending far enough forward.


The upper front teeth extend out over the lower front teeth, sometimes causing the lower front teeth to bite into the roof of the mouth.


The upper teeth sit inside the lower teeth, which may cause tooth stratification and misaligned jaw growth.


Proper chewing is impacted by this type of bite, in which the upper and lower front teeth do not overlap. Openbite may cause a number of unwanted habits, such as tongue thrusting.


Crowding occurs when teeth have insufficient room to erupt from the gum. Crowding can often be corrected by expansion, and many times, tooth removal can be avoided.


Spacing problems may be caused by missing teeth, or they may only be a cosmetic or aesthetic issue.

Dental Midlines not Matched

This type of problem is caused when the back bite does not fit and match appropriately, which may negatively impact jaw and proper dental function.


Purpose: To separate tight tooth contacts creating space between teeth.

How do they work? Tooth contacts must be separated to place bands around the teeth. Separators gently push the teeth apart.

When and how to place: We have placed rubber separators between tight contacts. If a separator comes out, check the contact with dental floss. If it is tight, space must be opened or we cannot fit your bands. Thread two pieces of dental floss through the separator so you can stretch it like a rubberband. Work the separator back and forth through the contact like flossing your teeth with the rubber separator. Continue until it pops through the contact so the bottom is under, the top is over, and the sides are around the contact point.

How do they feel? Separators feel like meat caught between your teeth and will make the teeth anywhere from slightly tender to quite sore. Take Tylenol or Advil at the first sign of discomfort and continue as necessary. Discomfort generally lasts three to five days.

  • Once space has been created, separators may become loose and fall out. They are harmless if swallowed. We need space to accurately fit your bands, so the separators must be replaced as the contact re-tightens. Call the office if you cannot do this.
  • Avoid sticky or chewy foods, flossing, and picking at the separators which will cause them to come out prematurely.
  • Continue to brush normally.
  • Call if you have problems or questions…we are here to help!