All About Misaligned Jaws: Getting Rid of Your Orofacial Pain

jaw xray for jaw surgery

A misaligned jaw, also referred to as a crooked or uneven jaw, is when your upper jaw doesn’t line up correctly with your lower jaw. Because the jaw relies on a system of soft and hard tissues to work together, an imbalance in any bone, muscle or joint can cause the jaw to come out of alignment. An uneven jaw varies from mild bite issues to severe misalignment that affects facial appearance.

The dangers of leaving a crooked jaw be are health and quality-of-life-related. Health risks include increased risk of cavities, gum disease and injury. Quality-of-life issues include an inability to chew or speak correctly, sleep problems, and damage to your self-confidence if the misalignment is visible.

Causes of a Crooked Jaw

There are several variables that can cause a jaw to become misaligned:

  • Congenital defects

Any condition you’re born with that affects orofacial structures, bone or muscle development can all cause an uneven jaw. This includes chromosomal disorders and cleft palate.

  • Dental problems

Teeth that come in crooked, or unerupted teeth pushing others around – such as wisdom teeth – can make it so your bite actually stops your jaw from being able to rest in an aligned position.

  • Disease

Health issues like bone cancers and osteoarthritis can compromise the jaw structure, leaving it more susceptible to dislocation.

  • Dislocation of the TMJ

The temporomandibular joint is the hinge that allows you to open and close your bottom jaw. If the joint becomes dislocated, it may begin to operate crookedly.

  • Facial trauma

Accidents like a baseball to the face, a physical fight, a car accident – anything that results in jaw trauma – can cause it to come out of alignment, fully dislocate, or even fracture.

  • Teeth grinding

Severe bruxism can put undue stress on the TMJ and back molars, which can cause the joint and the jaw to become uneven.

Signs & Symptoms Your Jaw is Uneven

Symptoms of a crooked jaw overlap with symptoms of several other orofacial problems. If the jaw misalignment isn’t severe enough to physically see, it might be difficult to immediately identify it as the cause of your discomfort. Your oral surgeon can take a 360-degree x-ray of your mouth to determine if your jaw is out of whack. Symptoms include:

  • A crooked facial appearance
  • Clicking or popping in the jaw
  • Ear popping
  • Pain in the upper back and/or shoulders
  • Pain near the temples and/or back of jaw
  • Tight/locked jaw

Natural Methods for Correcting the Alignment of Your Bite

Often, an uneven jaw can be corrected with natural methods. Facial yoga/facial exercises can correct misalignments caused by a weak jaw and asymmetrical muscles. Massage therapy can relieve stressed and tight jaw structures, reduce inflammation and relieve pain. Acupuncture is another natural, non-invasive method for correcting a crooked jaw.

Your oral surgeon might also take a mold to create a retainer, mouth guard or splint to keep your jaw where it’s supposed to be once the misalignment has been corrected. The key to these treatment methods is consistency on the part of the patient. You have to maintain the facial exercise regimen, visit your oral surgeon regularly to track treatment progression, and wear any installation like a splint diligently.

How an Oral Surgeon Intervenes in Jaw Problems

Unfortunately, non-invasive methods to realign a jaw aren’t applicable to every case. Crooked jaws caused by health issues, extreme facial trauma or congenital disorders might require maxillofacial surgery(ies) to correct.

  • If your bite is simply misaligned, orthodontic treatments can move teeth into their correct positions.
  • Congenital issues like cleft palates or malformed bones and joints can be corrected via maxillofacial surgeries that reconstruct the mouth so that the jaw aligns correctly.
  • Facial trauma that results in jaw damage may require any number of procedures to splint the broken jaw in place, such as pins, plates and screws, dental bone grafting, wiring, and other orofacial procedures.

More severe jaw misalignments, naturally, take more time and an interdisciplinary approach to correct. Often, tooth extraction and replacement might be required, especially when the crooked jaw is caused by defects in facial structures and not injury or chronic stress. Sedation is also required for jaw surgeries, so a maxillofacial surgeon must take into account the patient’s health and risk level for anesthesia.

If you think you have a crooked jaw, or are looking for an opinion on treatments for cleft palates or TMJ, contact a local oral and maxillofacial surgeon. There’s no reason to take risks with your health or live with an appearance you’re uncomfortable with when uneven jaws are completely treatable!