tooth extraction

You Better Not Pout; The Orthodontist Is Coming To Town

November 30th, 2018

POUTING, OR “thrusting out the lip, as in sadness” appears as an expression of displeasure. The lower lip sticks out farther than the upper lip. The chin often has a “golf ball” appearance and the lips strain to close over the teeth.

Jaw And Tooth Structure May Be Causing A Pouting Appearance

Bimaxillary dentoalveolar protrusion produces the appearance of pouting. The jaws and teeth cause the lips to be more prominent than ideal. The lips may be separated at rest, producing a lip opening. In some cases, the appearance of the teeth may not be a problem, but moving the teeth back has a dramatic and desirable effect on the facial profile.

Our Lineage Affects Our Appearance

Lips are influenced by ethnic norms. Northern Europeans have thin lips. Asians and Africans have thicker lips and more tooth prominence. The patient’s desires, nose and chin size, and culture will all influence the orthodontic decision to move teeth back to improved facial appearance.

Have Questions? We Have Answers!

If you have questions about your facial profile, call us at Gorczyca Orthodontics in Antioch, California (925) 757-9000. Find us at To find an orthodontist near you, visit

If you pout, it may be an indication that your teeth stick out too far. An orthodontist can fix this. So, there’s no need to pout. You’re better off not to pout at any time of the year, and especially when Santa Claus is coming to town.

Open Bite: Which Came First, the Chicken or the Egg?

May 6th, 2016

WHEN IT COMES TO OPEN BITE, which came first, the tongue thrust or the open bite?

An Open Bite Can Make Swallowing More Difficult

With an anterior open bite, it is more difficult to seal off the front of the mouth during swallowing. There is "lip incompetence", the lips often do not come together easily, and the tongue must compensate by coming forward to make swallowing possible.

To illustrate this point, try this simple exercise:

  1. Place your two fingers between your upper and lower front teeth
  2. Try to swallow

Viola! You have a tongue thrust!

"A tongue thrust swallow therefore is more likely to be the result of displaced incisors, not the cause."
- Dr. William R. Profitt

The tongue pressure during swallowing simply has too short a duration to have an impact on tooth position. Pressure by the tongue on the teeth during a typical swallow lasts for 1 second. An individual swallows 800 times per day and fewer times during sleep. One thousand seconds of pressure equals only a few minutes and is not nearly enough time or pressure to affect tooth position equilibrium.

Orthodontic Treatment Can Help Tongue Thrust

The good news is, orthodontic treatment for open bite can make your tongue thrust go away. If you are an adult, orthodontic treatment of your open bite often requires tooth extraction, tissue anchorage devices (TADS), or orthognathic surgery.

This case was treated by Board Certified orthodontist, Dr. Ann Marie Gorczyca, Find us at or call us at (925) 757-9000 if you have questions about tongue thrust and open bite.

Open bite came first and then tongue thrust. Eliminate your open bite today and make your tongue thrust a thing of the past.

The Most Common Orthodontic Problem

March 23rd, 2015

A GORGEOUS SMILE IS more than six straight front teeth. A beautiful smile includes facial balance, an esthetic profile, ideal lip posture, and straight front teeth that contact.

The most common orthodontic complaint, teeth that stick-out “overjet” in the horizontal direction, requires careful orthodontic analysis.

Overbite + Overjet Can Cause Severe Problems

When “overbite” (front teeth overlapped in the vertical direction) is combined with excessive overjet, an impinging bite occurs. Lower teeth contact the roof of the mouth. Left untreated, this deep bite will produce severe tooth and gum problems.

There are several treatment options to reduce excessive overjet and overbite:

  • growth modification
  • elastic wear
  • tooth extraction
  • orthognathic surgery

Orthodontists Treat Your Whole Face

Your initial photo can be morphed to show you the predicted facial changes with each treatment option.

Your orthodontist will carefully analyze your profile X-ray to produce a customized treatment plan to improve your bite, profile, and dental health. Orthodontists treat faces, not only teeth.

Questions? Give Us A Call

This case was treated by Board Certified Orthodontist Dr. Ann Marie Gorczyca of Gorczyca Orthodontics, Antioch, California.

If you have questions about overjet and overbite, call us at (925) 757-9000 or visit us at

You don’t have to “stick-out.” Consider orthodontic treatment today.

Mystery of the Missing Tooth at Downing Street

October 8th, 2014

THE YEAR IS 1997. The place is Whitehall, Central London. At age 43, the youngest Prime Minister since Lord Liverpool of 1812 emerges from 10 Downing Street to make his first official appearance and announce his manifesto to an adoring crowd.

But There’s A Mystery To Be Solved...

Where is Tony Blair’s lower tooth?

Upon closer examination, an astute and logical orthodontist deduces that Tony Blair’s lower tooth is significantly crowded out of the dental arch. This tooth is pushed towards his tongue giving him the appearance of a missing tooth.

More significant, if left untreated, his lower teeth will continue to crowd giving him the appearance of the oldest Prime Minister in British History, Henry John Temple, 3rd Viscount Palmerston, age 71.

It’s Simple To Fix...

Significant lower tooth crowding can be simple for you to fix with orthodontic treatment.

If there is excessive lower front tooth width (Bolton Discrepancy), one lower tooth may be removed to restore straightness and give you the appearance of a beautiful smile.

Make Room For A Beautiful Smile

No one up close or in a crowd will ever notice that one of your lower teeth has been removed. Only your orthodontist or dentist will know for sure.

Talk To Us About What Orthodontic Treatment Can Do For Your Smile

Let your teeth help you look your age or younger. Consider orthodontic treatment today and straighten your lower front teeth. Help your teeth look young, like the youngest British Prime Minister in History, William Pitt the Young, 1783, age 24.

This case was treated by Board Certified Orthodontist Dr. Ann Marie Gorczyca, Gorczyca Orthodontics, Antioch, California. To schedule a complimentary orthodontic consultation, call us at (925) 757-9000 or visit us at

More Topics
diplomate american board of orthodontics Edward H. Angle Society of Orthodontists advanced education in orthdontics
member american association of orthodontists seattle study club american dental association california dental association
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