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Orthodontics

Overbite, Crossbite and Crowding Treatment in Frisco, TX

Is overbite treatment, or treatment for a crossbite or crowding, worth it? In Frisco, most bite problems are cosmetic concerns that are clinically fine, and a few genuinely damage teeth. Here is which is which, and which ones we send to a specialist.

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Or call (469) 262-2111
Some need no treatmentand we will tell you when yours does not
Crossbitesthe ones most worth acting on early
Class III referredadults and children — that goes to an orthodontist
Measured, and not eyeballedfrom a scan, photographs and X-rays
The process

Common bite problems and what each one does

What actually matters is whether something is damaging teeth, making them impossible to clean, or affecting function, more than how it looks.

  1. Crowding: teeth without enough room

    Not enough room, so teeth overlap and rotate. Its clinical significance is cleaning: overlapping surfaces trap plaque where floss cannot reach. That raises decay and gum disease risk over decades. Mild crowding is extremely common and often reasonable to leave alone.

  2. Deep bite: the upper teeth cover too much of the lower

    Everyone's upper front teeth overlap the lower ones a little; that is normal. It matters when the overlap is severe enough that the lower teeth bite into the palate or wear against the back of the uppers. That is a wear problem, and it is progressive.

  3. Increased overjet: the upper front teeth sitting forward

    Often confused with deep bite. This measures horizontal distance, where deep bite measures vertical overlap. Its main clinical significance is trauma: prominent upper front teeth are considerably more likely to be broken in a fall or a knock. That's a real argument for treating it in children.

  4. Crossbite: some upper teeth biting inside the lower

    One or more upper teeth biting inside the lower ones, when the normal bite has them outside. This is the one most worth acting on. It puts sideways force on teeth that aren't built for it, causes uneven wear and gum recession, and in children can push the lower jaw to one side to find a comfortable bite.

  5. Open bite: front teeth that do not meet

    Front teeth that don't meet when the back teeth are together, so you can't bite through a sandwich with your front teeth. Causes vary: habits, tongue posture, or skeletal pattern. The cause decides whether it's straightforward or specialist work.

  6. Class III bite: the lower jaw sitting forward

    Where the lower jaw is positioned ahead of the upper. This involves the skeletal relationship between the jaws. It's the one we refer, in adults and in children. It's not a case for a general practice — and knowing that is more useful than attempting it.

Good to know

What to know about overbite, crossbite and crowding

Which bite problems need treatment?

The honest hierarchy, because a great deal of orthodontic marketing implies every deviation from a textbook bite is a problem. Genuinely worth treating: a crossbite, particularly in a child, because it applies force in directions teeth aren't built for and can shift a growing jaw. A deep bite causing actual wear, or biting into the palate. A significant overjet in a child, largely because of the trauma risk to prominent front teeth. Crowding severe enough that areas can't be cleaned. Usually fine to leave: mild crowding, a slightly deep bite that isn't causing wear, small spacing, and a mild overjet in an adult who isn't bothered by it. If you came in asking about your smile, and the honest answer is that your bite is functionally fine and this is a cosmetic decision, you'll be told that. It's still your decision to make — but you should make it knowing which kind it is.

A chairside monitor showing upper and lower back teeth closed together, seen from the side.

Is your bite problem in the teeth or in the jaws?

Two people can have what looks like the same bite for entirely different reasons. In one, the teeth are tipped or positioned badly on jaws that relate normally to each other. In the other, the jaws themselves sit in the wrong relationship, and the teeth have compensated as best they can. The first is orthodontics. The second is a skeletal problem. Moving teeth alone either won't fix it, or will fix the appearance while making the bite work less well. Telling them apart is a measurement, and not an opinion. The image that makes it one is a cephalometric. This is a side-on X-ray of the whole skull, taken to a fixed geometry. The angles between the upper jaw, the lower jaw and the base of the skull can then be measured, and not estimated. Crowding on jaws that relate normally, and crowding caused by a jaw that is small or set back, can look identical in a mirror and read completely differently on that image. It's one of the lowest-dose X-rays taken here, done in the same appointment as the scan and the photographs. This is also where the referral line sits: a normal skeletal relationship with badly positioned teeth is routine work here. A significant skeletal discrepancy, and Class III in particular, goes to an orthodontist. That boundary is the single most useful thing a general practice offering orthodontics can be clear about.

A wall-mounted screen showing a panoramic dental X-ray with both jaws laid out in a long curve.

Bite assessments near Frisco, Prosper and Plano

Bite assessments are done at our office at 8175 Custer Rd, Suite A110, Frisco, TX 75035, where Dr. Peravali reviews your scan, photographs and X-rays with you. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM. Wednesday and Sunday we are closed, though the phone is still answered on Wednesday. Patients come from Frisco and from Prosper, Plano, Little Elm, Allen, Celina and McKinney.

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Choosing between options

Bite problems compared: what each is and when to treat

Read across your own situation. "Sometimes" is an honest answer and it appears more than once.

Comparison of Problem, Clinical significance, Treat?
ProblemClinical significanceTreat?
Mild crowdingCleaning is a little harderOften reasonable to leave
Severe crowdingAreas cannot be cleaned at allUsually yes
Deep bite, no wearLittle or noneCosmetic decision
Deep bite with wear or palate traumaProgressive damageYes
Overjet in a childRaised risk of broken front teethUsually yes
CrossbiteUneven force, wear, recession, jaw shiftYes — the strongest case
Open biteCannot bite with front teethDepends on the cause
Class IIISkeletal relationshipReferred to an orthodontist
In depth

The two questions to ask about any bite recommendation

1. “Is this damaging anything, or is it cosmetic?”

Both are legitimate reasons to treat. They are not the same reason, and you should know which one you’re acting on. Progressive wear from a deep bite, or recession from a crossbite, is damage. You should be shown it, and not told about it. A bite that’s been stable for twenty years, and simply isn’t textbook, is a cosmetic decision — yours to make.

2. “Is this a tooth problem or a jaw problem?”

This decides whether moving teeth can actually solve it. It’s measured, and not judged by eye. A cephalometric is an X-ray of the side of the head, taken to a fixed geometry, and it shows how the upper and lower jaws sit against each other and the base of the skull. The answer is an angle, and not an impression. If it’s skeletal, a Class III in particular, moving teeth alone often won’t fix it, and may improve the appearance while making the bite work less well.

Any practice offering orthodontics should be able to answer both, and should be willing to tell you when the answer is a referral.

If aligners interest you, see Invisalign and how it handles bite problems. For children, early (phase 1) orthodontics explains when treating a bite early helps and when watching is better. If your jaw clicks or aches, our page on jaw pain is the place to start.

To book a bite assessment in Frisco, call (469) 262-2111 or request an appointment online.

Cost & insurance

Bite assessment cost in Frisco: what to expect

The consultation and recordsA scan, photographs and the relevant X-rays, and an explanation of what your bite is actually doing. You get a written figure before anything begins.
It may be free adviceIf the answer is that your bite is functionally fine and treatment would be cosmetic, that is a legitimate outcome of the appointment and a perfectly good use of it.
Treatment, if indicatedPriced by complexity and duration alone, with the expected insurance contribution beside it.
A referral costs you nothing hereIf your case belongs with an orthodontist we will say so and help you get there.

You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.

Book a consultationCall (469) 262-2111
Using your insurance

How plans usually cover orthodontic treatment.

Orthodontics — its own category, with its own ceiling

What plans pay
Commonly 50%, up to a separate lifetime maximum of around $1,000 to $2,000. Read that again: this is a lifetime maximum. It does not reset every year the way the annual one does.
Deductible
Often a separate one-off orthodontic deductible, and on some plans none at all.

What catches people out

  • Age limits. A great many plans cover orthodontics only up to age 19, some only to 18. Adult orthodontic coverage exists but it is much less common than people expect.
  • A lifetime maximum does not come back. Once it is spent it is spent, on that plan and any future one that counts prior treatment — which is why a second course of treatment is usually paid entirely by the patient.
  • Benefits are paid in instalments across treatment — not up front — so changing employer mid-treatment can stop the payments partway through.

These are how dental plans usually classify this treatment — not a statement about your own plan. Yours is the one that governs, plans differ more than people expect, and the only reliable answer comes from reading your specific benefits, which we always do ahead of treatment and give you in writing.

And what changes out-of-network

A dentist who is in-network has signed a contract fixing what may be charged for each procedure and cannot bill you the difference. One who is out-of-network has signed nothing, so the full fee stands.

So the first difference is the price itself — the same treatment is simply allowed to cost more out-of-network, before anyone's plan is considered.

What you personally pay out of that depends on your own deductible and coinsurance, which is why there is no percentage here: it is not a property of the treatment, it is a property of your plan, and we verify yours before you commit. But two things follow for everybody. Your share is a share of a bigger number. And your orthodontic lifetime maximum is spent by what the plan pays toward that bigger number, so the same treatment eats more of your benefit out-of-network. That pot does not reset, which is what makes it bite.

An illustration, not a quote. Both allowed fees for orthodontic treatment are not yet on hand, so the chart above shows a crown instead — the one procedure we hold both sides for. The in-network side is today's contracted allowance; the out-of-network side is what a single carrier allowed during a period when we were not contracted with it, and it is a few years old. Across the 23 procedures where we hold both allowed fees, out-of-network is between 1.2 and 5 times the in-network figure — most often a little over twice.

Check the going rate yourself

FAIR Health's dental cost lookup is free, needs no account, and is not ours — it reports what a procedure typically costs in your area. It does not know your plan, so treat it as a ballpark figure — not a final answer.

Ask us for the number first

We verify your specific plan before your appointment and give you a written estimate: what the plan is expected to pay, and what you pay. If we get it wrong we tell you why.

Bring an Explanation of Benefits

Treated somewhere else? Your EOB shows exactly what the plan paid and what it counted against your maximum. Bring one in and we will read it with you — whether or not you become a patient here.

None of this says out-of-network dentists are worse dentists. Plenty are excellent, plenty are out-of-network for sound reasons, and people choose a dentist for who that person is. What we think you are owed is the information, so that whatever you choose, you chose it knowingly. The whole thing, explained properly, or call (469) 262-2111 and ask.

Getting here

Booking overbite, crossbite and crowding treatment in Frisco

Book an appointmentCall (469) 262-2111
Hours
Weekdays 9–6
Saturdays 9–3
Languages
English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Also serving
McKinneyPlanoProsperLittle ElmAllenCelina
Before you call

Questions Frisco patients ask about overbite, crossbite and crowding

Grouped so you can go straight to the one you came for.

Overbite, Crossbite and Crowding Treatment — common questions

What is an overbite?
An overbite is the vertical overlap of the upper front teeth over the lower ones, and everybody has some. People often use the word to mean overjet, the horizontal distance the upper front teeth sit ahead of the lower. They cause different problems: a deep overbite causes wear, while a large overjet raises the risk of broken front teeth.
Does an overbite need to be fixed?
Only if it's doing something. A deep bite that's causing visible wear on the lower or upper front teeth, or where the lower teeth are biting into the palate, is worth treating — the damage is progressive. A deep bite that's been stable for twenty years, with no wear, is a cosmetic decision. We'll tell you which you have.
What is a crossbite and why does it matter?
A crossbite is when upper teeth bite inside the lower ones instead of outside. It matters because it puts sideways force on teeth that are not built for it, causing uneven wear and gum recession. In a growing child it can also shift the lower jaw to one side, so it has the strongest case for early treatment.
Are crowded teeth just a cosmetic problem?
Not entirely. Overlapping teeth create surfaces that floss and a brush can't reach, so decay and gum disease risk rise over decades. That's a real clinical argument, and not a sales one. But mild crowding is very common, and often perfectly reasonable to leave alone. The question is whether you can actually clean it — we'll look, and tell you.
My child's bite looks wrong. When should it be checked?
Around age seven is the usual recommendation. Some problems, crossbites and significant overjet in particular, are easier to correct while the jaws are still growing. That does not mean treatment at seven. For most children the answer is to watch, and the check simply catches the few problems where timing genuinely matters.
What is a Class III bite?
A Class III bite is one where the lower jaw sits forward of the upper, sometimes with the lower front teeth ahead of the uppers. It is a skeletal relationship, not just tooth position, so moving teeth alone often will not resolve it. We refer these cases to an orthodontist, in adults and in children.
How do you tell a jaw problem from a tooth problem?
We measure it rather than judge it by eye. A cephalometric is a side-on X-ray of the whole skull, taken to a fixed geometry, so the angles between the upper jaw, lower jaw and skull base can be measured. Crowding on normal jaws and crowding from a small jaw can look alike in a mirror, but they need different treatment.
Can orthodontics fix my jaw problems or clicking?
Sometimes, but this is an area where claims often outrun the evidence. Jaw pain and clicking have several causes, and their link to bite position is less direct than it is often presented. We are conservative: a night guard and reversible measures first, then referral if that does not settle it. We do not start orthodontics as a jaw-pain cure.
Do I have to treat it at all?
For most bite problems, no. If it causes no damage to teeth, no problem cleaning, and nothing that bothers you, leaving it alone is a legitimate choice, and we'll say so. Where something is causing progressive damage, such as a crossbite or a deep bite that's wearing teeth down, that's different. We'll show you the wear, and not describe it.
What is the difference between an overbite and an overjet?
An overbite is how far the upper front teeth cover the lower ones vertically. An overjet is how far they sit ahead of the lower ones horizontally. Everyone has some of both. A deep overbite tends to cause wear or bite into the palate, while a large overjet mainly raises the risk of broken front teeth.
Can Invisalign fix an overbite?
Sometimes, and mostly for mild to moderate overbites, when the case is planned around your bite. Aligners move teeth, and attachments and sometimes elastics can help with bite correction. A jaw-position problem is different, because moving teeth alone may not fix it. A scan and X-rays tell us which you have.
How much does it cost to fix an overbite?
It depends on how far the teeth and bite have to move, so the fee is set after a scan and not before. Treatment is priced by complexity and duration alone, with the expected insurance contribution beside it. You get a written figure first, and you may simply be told your bite is fine.
Is 20 too late to fix an overbite?
No. Teeth can move at any age when the bone and gums are healthy, and many adults have treatment here. An adult may take a little longer, but an overbite can still be corrected. We check your gums first, then explain which options suit your bite and what each would involve.
Where can I get overbite treatment near me in Frisco?
Bite assessments and overbite treatment are available at White Lotus Dental, 8175 Custer Rd, Suite A110, Frisco, TX 75035, on Custer Road in east Frisco. Appointments run Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM, and Saturday from 9 AM to 3 PM. Call (469) 262-2111 to arrange a visit.
All orthodontics treatments
Dental emergency?

Toothache at 7am? You'll be seen today.

Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.

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Other treatments

Everything else under this roof.

White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.

IPreventive dentistry and cleanings in Frisco

Preventive Dentistry

Regular dental checkups, professional cleanings, night guards, and jaw-pain care. Every routine exam includes an oral cancer screening to protect your long-term health.

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IIChildren's dentist in Frisco, TX

Children's Dentistry

Gentle first dental visits, protective sealants, fluoride applications, and space maintainers. We accept Children's Medicaid and CHIP, and every young patient receives a toy-machine token at the end of their visit.

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IIIOrthodontics and Invisalign in Frisco, TX

Orthodontics

Clear aligners with Invisalign® and comprehensive traditional braces. Your treatment is fitted, monitored, and adjusted in-house by your trusted dentist.

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IVDental implants, bridges and dentures in Frisco, TX

Missing Teeth

Permanent dental implants, dental bridges, and customized dentures planned using 3-D CBCT scans. Because our team includes a board-certified periodontist, your implant surgery, placement, and final crown are completed in the same building.

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VCosmetic dentistry in Frisco, TX — whitening and bonding

Cosmetic Dentistry

Professional Zoom whitening, custom take-home whitening trays, and composite tooth bonding designed to brighten and refine your natural smile.

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VIPeriodontist in Frisco, TX — laser gum disease treatment

Periodontics & Oral Surgery

Specialized gum disease therapy, scaling and root planing (deep cleanings), frenectomies, and periodontal surgery performed by our board-certified periodontist.

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VIICrowns, bridges and fillings in Frisco, TX

Restorative Dentistry

Custom porcelain crowns, bridges, tooth-colored fillings, and full-mouth restorations crafted to match the natural look, feel, and function of your teeth.

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VIIISedation dentistry in Frisco, TX

Sedation Dentistry

Relaxing dental care tailored to your comfort level. We offer nitrous oxide (laughing gas) for any routine clinic visit, as well as oral and IV sedation planned ahead with our periodontist.

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IXEmergency dentist in Frisco, TX — same-day appointments

Emergency Dentistry

Toothaches, broken teeth, knocked-out teeth and lost crowns — seen the same day, Saturdays included.

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