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Crossbite: Causes, Effects, and Advanced Treatment Options
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Crossbite: Causes, Effects, and Advanced Treatment Options

Written by:Dr. Panteha Bigdeli
crossbite
November 11, 2025
5 Minutes
6

A crossbite occurs when one or more upper teeth fit inside the lower teeth instead of outside when the jaws are closed. This misalignment can appear in the front (anterior crossbite) or the back (posterior crossbite) and can affect one or both sides of the mouth. In clinical terms, the cross bite meaning is a deviation from the normal relationship between the dental arches, leading to functional and aesthetic concerns.


From an orthodontic perspective, crossbite teeth can cause more than just an uneven smile. This bite irregularity places abnormal pressure on specific teeth, gums, and jaw joints, leading to long-term wear and potential damage if not addressed. Whether caused by skeletal discrepancies or dental misalignment, early and precise intervention is essential for preventing complications.

Why Crossbites Develop

There are multiple factors that can lead to cross bite problems. In some patients, genetics play the main role, influencing jaw size and shape. In others, environmental or developmental factors are the cause.


Common causes include:

  • Skeletal discrepancies: Inherited jaw size differences, such as a narrow upper jaw or wide lower jaw.
  • Tooth eruption issues: Cross bite teeth may result when a tooth erupts at an abnormal angle or position.
  • Prolonged habits: Thumb-sucking, tongue thrusting, or pacifier use can disrupt normal jaw growth patterns.
  • Airway-related issues: Chronic mouth breathing, often linked to allergies or enlarged tonsils, can influence jaw development.
  • Early tooth loss: Losing baby teeth too soon can cause shifting that disrupts proper eruption of adult teeth.
what is crossbite


In adults, correcting crossbite often requires a combination of orthodontics and, in severe skeletal cases, surgical assistance.

Symptoms and Risks of Crossbite

Cross bite teeth can cause noticeable functional and aesthetic problems. Patients may experience:

  • Uneven wear on specific teeth due to abnormal contact
  • Gum recession around affected teeth
  • Frequent biting of the inner cheeks or tongue
  • Difficulty in chewing efficiently
  • Jaw discomfort or TMJ pain
  • Headaches and muscle tension in severe cases

If left untreated, crossbite teeth can lead to worsening bite asymmetry, increased enamel damage, and periodontal complications.

How Crossbites Are Diagnosed

At AuraDent™, diagnosing a crossbite involves a detailed assessment using both visual and digital tools. Our process includes:

  • Intraoral examination to identify misaligned teeth and arch width differences
  • 3D intraoral scanning for precise visualization of cross bite teeth positions
  • Bite registration to check functional contacts
  • Radiographs or CBCT scans to evaluate jawbone structure and root alignment

This diagnostic accuracy allows us to choose the most effective cross bite treatment for each patient.

Crossbite Treatment Options

The approach depends on the severity, whether it’s dental or skeletal in origin, and the patient’s age.

Cross Bite Invisalign and Clear Aligners for Crossbite

For mild to moderate dental crossbite cases, clear aligners for crossbite such as Invisalign can be an effective and discreet option. Patients appreciate the removable design, making eating and oral hygiene easier. The Invisalign crossbite before and after transformation is often dramatic, improving both bite function and aesthetics.

Crossbite Braces

Cross bite braces are effective for moderate to severe misalignments, particularly when multiple teeth are involved. Braces allow for precise control over tooth movement and can be combined with expanders in younger patients to correct skeletal width discrepancies.

Lingual Brace

For patients who want the benefits of braces without visible brackets, a lingual brace is placed behind the teeth, offering a hidden but powerful corrective option.

Surgical Orthodontics

In severe skeletal cases, orthodontics alone may not be sufficient. Jaw surgery can reposition the bones, followed by cross bite braces or aligners for precise final adjustments.

Crossbite Treatment Comparison

Faktor Invisalign Go Invisalign Go Plus Invisalign Comprehensive
Komplexitet Lätt till måttlig Lätt till måttlig Lätt till svår
Antal skenor 10 till 20 12 till 26 20 till obegränsat
Prisklass + ++ +++


Why Treatment Matters

Correcting crossbite teeth restores balance in bite forces, preventing enamel damage and gum recession. It also:

  • Improves jaw joint health and reduces TMJ symptoms
  • Enhances chewing efficiency and digestion
  • Improves facial symmetry over time
  • Supports long-term oral health stability

Link to Other Bite Issues

Crossbites can sometimes occur alongside other bite irregularities such as Overbite or Open Bite, each requiring specific correction strategies. That’s why comprehensive diagnosis and personalized planning are essential.

Our Approach at AuraDent™

We offer a full spectrum of cross bite treatment solutions, from clear aligners for crossbite to advanced crossbite braces. Every patient’s journey starts with a detailed consultation, where we discuss all possible treatment paths, including Invisalign, Invisible braces, and lingual brace systems.

Invisalign for crossbite


Moving Forward with Confidence

Cross bite teeth can cause progressive oral health issues if ignored, but modern orthodontics offers predictable and effective solutions. Whether you are considering cross bite Invisalign, braces, or other orthodontic methods, the first step is a professional evaluation.


At AuraDent™, our team combines advanced technology with expert clinical judgment to provide the right treatment for your case. Book a consultation today to begin your path toward a balanced bite, healthier teeth, and a confident smile.

FAQs

A crossbite can be caused by inherited skeletal differences, abnormal tooth eruption, or functional habits in childhood such as thumb-sucking or tongue thrusting. Airway issues and premature loss of primary teeth can also contribute to the development of cross bite teeth.
Yes. A crossbite can create uneven wear, gum recession, and TMJ strain. Over time, untreated crossbite teeth can lead to periodontal problems, enamel fractures, and worsening facial asymmetry.
Cross bite Invisalign can treat many mild to moderate dental crossbite cases effectively, offering discreet and comfortable correction. However, severe skeletal cross bite problems may require braces or surgical orthodontics.
Treatment time varies from 6–12 months with aligners for crossbite to 18–24 months with cross bite braces. Complex skeletal cases with surgery may take longer, depending on the healing and orthodontic stages.
Relapse can occur if retainers are not worn as prescribed. Teeth naturally shift over time, so consistent retainer use is essential to maintaining the corrected bite after cross bite treatment.

Dr. Panteha Bigdeli

Dr. Panteha Bigdeli is the Founder and CEO of AuraDent™ and Sweden’s #1 Invisalign® provider. She combines expert dental training with a passion for personalized, cutting-edge orthodontic care.