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Can Braces Fix a Teen Underbite in Greensboro, NC?

Making Smiles Inside & Out

  • Dr. Brennan Alford
  • October 25, 2026
  • 9:30 am

Can Braces Fix a Teen Underbite in Greensboro, NC?

Smiling teenage girl wearing metal braces outdoors. Yes, braces can fix some teen underbites, especially when tooth position is a major part of the problem. When jaw development contributes more strongly, braces can still be part of treatment, but elastics, appliances, or other care may also be needed.

At Robert Stoner Orthodontics, Dr. Robert Stoner and Dr. Brennan Alford help teens in Greensboro, NC and surrounding communities understand what is causing their underbite and how it can be treated. Both are board-certified orthodontists who consider tooth alignment, jaw relationships, and remaining growth when planning care.

What Causes an Underbite in a Teen?

An underbite occurs when the lower front teeth sit in front of the upper front teeth when the mouth closes. In a typical bite, the upper front teeth rest slightly ahead of the lower teeth.

Some underbites are easy to notice because the lower teeth or chin appear farther forward. Others are more subtle. A teen may notice that the teeth do not meet evenly or that biting into certain foods feels awkward.

The cause can be dental, skeletal, or a combination of both. A dental underbite is mainly related to tooth position, while a skeletal underbite is more strongly related to how the upper and lower jaws developed.

According to the American Association of Orthodontists’ guide to underbite treatment, underbites can involve the teeth, the jaws, or both. Identifying the cause helps determine which type of correction is likely to work.

How Can Braces Help Correct a Teen Underbite?

Braces can improve an underbite when moving the teeth will create a better relationship between the upper and lower arches. They can correct crowding, spacing, tilted teeth, and other alignment problems that contribute to the reversed bite.

Elastics are sometimes used with braces to add forces between the upper and lower teeth. These small rubber bands help guide the bite while the teeth move into planned positions.

Some teens need braces and elastics, while others also benefit from an orthodontic appliance. The amount of correction depends on the individual bite, so braces are not used the same way for every teen.

How Does Growth Affect Teen Underbite Treatment?

Growth matters because the jaws and facial structure can continue developing during adolescence. For some teens, evaluating the bite while growth is still active gives the orthodontist more flexibility in deciding when and how to treat the problem.

Braces can be combined with elastics or appliances when appropriate. In other cases, monitoring jaw development before making the next treatment decision can be useful.

Timing is especially important when the jaw relationship contributes to the underbite. Once facial growth is complete, certain skeletal differences cannot be addressed in the same way with growth-focused orthodontic treatment.

Parents do not need to know whether their teen has finished growing before requesting an evaluation. An orthodontist can assess development and explain whether treatment should begin or whether monitoring makes sense.

When Are Braces Not Enough for a Teen Underbite?

Braces are not enough for every teen underbite. If the problem is mainly dental, braces may provide much of the correction. When the jaw relationship is a larger part of the problem, treatment may need to include more than tooth movement.

Some cases can be managed with braces, elastics, and appliances. Severe skeletal underbites can require a different plan. In certain cases, braces are used to position the teeth while jaw surgery is considered after facial growth is complete.

That does not mean a noticeable underbite automatically leads to surgery. The severity of the jaw difference, tooth position, and remaining growth all influence the recommendation.

Are Clear Aligners an Option for a Teen Underbite?

Clear aligners can be an option for some teen underbites, particularly when the correction depends mostly on moving the teeth.

Aligners move teeth gradually through a series of removable trays, so consistent wear is important. They can work well for selected cases, but they do not provide the same type of control for every bite problem.

Braces may be preferred when the underbite requires more complex tooth movement or when a fixed system offers better control. The best choice depends on the correction needed rather than appearance or preference alone.

Ready to Explore Orthodontic Treatment in Greensboro, NC?

If your teen’s lower teeth sit ahead of the upper teeth, an orthodontic evaluation can identify what is contributing to the underbite and whether braces are likely to provide enough correction.

At Robert Stoner Orthodontics, Dr. Stoner or Dr. Alford can evaluate your teen’s bite and explain whether braces, clear aligners, elastics, appliances, or another approach makes sense. The office also helps children, teens, and adults explore orthodontic treatment for a wide range of smile and bite concerns.

Schedule a consultation today to discuss your goals and find out which orthodontic treatment may be right for you or your teen.

Frequently Asked Questions

Parents often want to know how an underbite can change during the teen years and what treatment might involve. These quick answers cover several common concerns.

Can a teen underbite get worse during growth?

It can become more noticeable as the jaws continue developing, especially when jaw growth contributes to the problem. Not every underbite worsens.

Will a teen underbite always require jaw surgery?

No. Many teen underbites can be treated without surgery. Jaw surgery is generally considered only for more severe skeletal problems that orthodontics alone cannot correct.

Can an underbite affect chewing or tooth wear?

Yes. An underbite can change how the teeth contact each other, which can affect chewing or lead to uneven wear over time.

How long does teen underbite treatment take?

Treatment time varies with the severity of the underbite and the correction needed. An orthodontic evaluation can provide a more individualized estimate.

Should an underbite be evaluated if it does not hurt?

Yes. An underbite can affect bite function and tooth wear even without pain, so it is worth having the bite checked.

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We are passionate about serving our patients with the highest level of care possible. Check out what our patients are saying about their 5-star experience with us!

jillnant
I can’t say enough wonderful things about this orthodontic practice! From my very first appointment, the doctor and staff made me feel like an old friend. They remembered my name, always greeted me with a smile, and made every visit a pleasant experience. At 61, I felt a little awkward about getting braces at my age, but they quickly put those feelings to rest. I always felt welcomed, comfortable, and genuinely cared for. And the icing on the cake? THE CANDY CART! 😂 On the day my braces came off, they rolled out a cart filled with all the candy and gum I hadn’t been able to enjoy! They gave me a water bottle and told me to fill it with as much as I could fit! What a fun and unexpected surprise! It’s those little touches that make a practice special. Wonderful people, wonderful experience, and I couldn’t be happier! Highly recommend!
Aiah De L.
I have been coming to Dr Stoner since Feb 2025! He and his staff are awesome! They explained my treatment to me thoroughly and I’m very happy I came to Dr Sroner. I am on the final stage of my treatment and my smile has been wonderful. My teeth are excellent and I have more confidence now. Thank you Dr Stoner and staff! :)
Jeff and Allison T.
Amazing experience with everyone at Stoner Orthodontics. All the staff go above and beyond to provide patients the best care!
Anna Maria P.
I had a great experience throughout my entire treatment. From start to finish, the process was smooth, well-organized, and stress-free. The team was always friendly, professional, and attentive, and I felt well taken care of at every appointment. I’m very happy with the results and truly appreciate the excellent service I received. I would definitely recommend Robert Stoner Orthodontics to anyone looking for quality care and a great overall experience!
Liam H.
They are awesome! I’m so glad my teeth aren’t crooked anymore 😅
Dalton V.
Love Stoner Orthodontist I have had a great experience with the staff and orthodontist both my children and myself had and have braces with them would definitely recommend for all your orthodontist needs !!☺️
Liv H.
Great Ortho with all amazing technicians!! Never had one tech that wasn’t friendly and personal ❤️ great experience
Jennifer M.
My three children and I have all been patients of Stoner Orthodontics. We’ve are so very happy with them and our results!
Xzavier W.
Have been going for three years today is my last day will miss seeing this place and the amazing people
Rosie B.
As an adult, I wanted to realign my teeth with clear aligners. My dentist’s consultation veered away from clear aligners due to not thinking with the extent of movement needed he could achieve a good result. However, Dr. Stoner had no hesitation in using clear aligners for an 18-24 month plan to achieve a desired smile! At 4 months my family and friends began commenting how my teeth were straightening! I’m pleased with the results so far!
Irene T.
Dr. Stoner and his team did an excellent job. They are all very friendly and helped me every step of the way to get to my perfect smile. Highly recommend!
Samara H.
Been going heard for years, super happy with the progress and service. Thank you!
Bebe
Dr Stoner and his staff have demonstrated the highest level of strength in professional care and better Do yourself a favor and meet them
isis P.
amazing staff! i enjoyed my treatment here they were very communicative throughout my entire treatment!
Felicia P.
Definitely a 10/10 great staff and I would highly recommend.
Brandon G.
Great experience with an awesome team and excellent patient care!! :)
Tynesha M.
The best orthodontics in town! Everyone takes their time to truly listen to your concerns so that you can have a billion dollar smile! If you’re second guessing, don’t! 10/10 any day.
Parker
Been with Robert Orthodontics for practically my whole life they’ve done a great Job. Their Invisalign option worked great for me!
Ciera M.
Absolutely LOVE Robert Stoner Orthodontics!!! The staff and Doctors are soooo friendly and I have truly enjoyed my last 2 years with them! They definitely know how to make you feel like family! Can’t recommend them ENOUGH! If you are thinking about getting braces go see them! 💕
Shizzle
They are an AMAZING team, everyone is genuinely so nice and Dr. Stoner is such a nice doctor. He's attentive and kind and I really appreciate him. I also love that the office does events for patients sometimes like a family night at the ice rink. 10/10 and all the dental assistants are soooo so nice and it seems like they all love working here and with each other which says a lot about the whole team here.
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