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Occlusal Adjustment | Woodshore Family Dentistry

Dental occlusal adjustment, also known as bit adjustment, is a procedure in which the dentist removes interferences or other issues that cause misalignment of teeth, crooked teeth, or misalignment of your bite.


Occlusal Adjustment

Dental occlusal adjustment, also known as bit adjustment, is a procedure in which the dentist removes interferences or other issues that cause misalignment of teeth, crooked teeth, or misalignment of your bite. Bite misalignment can prevent your jaws from closing properly, it can lead to dental injuries, teeth grinding and bruxism, a condition in which your teeth and jaws aren’t properly aligned known as malocclusion, and various dental issues. Please continue reading for an overview of the dental occlusal adjustment complete procedure.


Why is Dental Occlusal Adjustment Necessary?

These are some of the primary reasons dental occlusal adjustment is necessary:

  • Dental procedures like dental crowns, dental bridges, and tooth extractions can cause certain interferences in your mouth. Dental occlusal adjustment can fix or remove those interferences to restore perfect bite.
  • If one or several of your teeth get fractured easily, you may need dental occlusal adjustment to align them properly in relation to other teeth to minimize the impact.
  • Dental occlusal adjustment is also necessary before you go through several prosthetic changes.
  • Misaligned teeth can lead to malocclusion, a condition in which your teeth and jaws are always misaligned, which can lead to severe long-term complications. It can cause headaches, swelling, earaches, toothaches, persistent teeth grinding and bruxism, and various other issues. Teeth grinding caused by malocclusion can also lead to insomnia, fractured or chipped teeth, and other issues. Dental occlusal adjustment can treat bruxism and other such issues caused by malocclusion, thereby solving several issues.
  • Temporomandibular joint disorder (TMD) is a common condition in which your jawbones are misaligned and they constantly ache or make a popping sound. Occlusal adjustment can also treat this issue.
  • Sometimes, you may also need to get dental occlusal adjustment done after procedures like dental fillings, root canals, or Invisalign treatment.

What Causes a Bad Bite and Crooked Teeth?

There may be numerous causes for a bad bite or crooked teeth. In many cases, you may just have crooked teeth and bad bite because of your genetic traits. However, you can also get crooked and misaligned teeth for the following reasons:

  • Premature loss of baby teeth.
  • Harmful habits in your childhood such as sucking your thumb.
  • Incorrect swallowing and tongue positions over a sustained period.
  • Mouth breathing.

Children who don’t correct the aforementioned issues by the time they’re around 7 or 10 years old tend to considerably affect their jaws and arch, which can lead to bad bite and misalignment.

 Evaluation and Diagnosis of Occlusal Adjustment

During your initial consultation with the dentist, they’ll evaluate your bite to check for signs of malocclusion or misalignment. They’ll look for the following signs:

  • Jaws that don’t close properly on either side of your face.
  • Signs of temporomandibular joint disorder such as a popping or clicking sound when you move your jaws.
  • Signs of consistent fracturing of teeth.
  • Signs of wearing off of enamel.
  • Teeth grinding or bruxism.

The aforementioned signs will help the dentist decide if you’re suffering from malocclusion or misalignment. If you are, they’ll ask you to bite down on a piece of paper so they can study your bite. This will help them identify the core issues so they can structure the treatment accordingly.

 How is an Occlusal Adjustment Done?

The following is a complete overview of the bite adjustment procedure.

  • You will have to recline and close your teeth. This will allow the dentist to identify which side of your teeth are making contact with the help of a double-sided articulating paper.
  • The dentist will adjust the side of the teeth that’s making contact using fine diamond or carbide burs. Depending on the teeth involved, the dentist will shape them either as a cusp tip or they’ll flatten the teeth. This process will continue until all of the teeth are aligned and coming together equally.
  • The dentist also has to ensure that the anterior teeth only make limited contact. And the posterior teeth should be in contact a lot more than the anterior teeth.
  • After the reshaping is done, the dentist will take another impression to see if any more adjustments are necessary.

Other Types of Dental Occlusal Adjustments

The process described above is known as bite adjustment and it’s used to treat malocclusion. However, you may be suffering from other types of misalignment as well. The following procedures give you an overview of the other types of dental occlusal adjustments available.



Orthodontics refers to procedures that require you to wear certain appliances on your mouth for extended periods to fix your misaligned teeth. These appliances may be retainers, Invisalign, metal braces, etc. You have to wear these appliances on your mouth and they apply pressure on your teeth in the desired direction. Eventually and gradually, over 1-3 years, they push your teeth in the desired direction enough that your misalignment is rectified. You will have to go for regular dental visits, however, so they can adjust the braces.


One of the worst potential drawbacks of malocclusion is teeth grinding and bruxism. This causes you to unconsciously keep grinding your teeth all the time, which can damage your teeth severely. Splints are oral devices that you can wear to protect your teeth from some of the worst aspects of teeth grinding. While this won’t stop teeth grinding, it will protect your teeth and minimize the negative effects of malocclusion.

Mouth Reconstruction

Mouth reconstruction refers to extensive surgical alterations done to your facial structure, either in the form of tooth reshaping, dental fillings, dental crowns, dental implants, and various other procedures. This is done if there are too many different issues with your teeth that need to be addressed and the whole procedure can take several months or even years.

How Would a Dentist Fix a Deep Bite?

A deep bite, also known as overbite, is a condition in which your front teeth come ahead of or in front of your bottom teeth. This is a pretty serious condition because the lower teeth can gradually bite into and wear away the gum tissue from the roof of your mouth, which can lead to severe bone loss and potential tooth loss. A dentist can usually fix a deep bite with the correct set of orthodontic procedures such as conventional braces or Invisalign clear braces.

How to Treat Teeth Grinding?

Teeth Grinding, also known as Bruxism, is a common condition in which you cannot help but grind your teeth all the time. Over time, this can lead to several dental issues. There can be several root causes of teeth grinding. As such, your dentist will identify the root cause of teeth grinding, be it psychological or physiological, and treat it accordingly. However, you can wear a mouthguard to protect your teeth against bruxism.


This place is great! Everyone is so kind and very professional. The dentist is awesome also. He takes the time to listen and gives you all the options with no pressure. They are also great with kids here. My 10 and 3 year old also do well when they come here. I highly recommend this place for anyone who wants great care for their teeth.

Laura H.

The entire office is very friendly. They go out of their way to make you feel comfortable. I really appreciated the extra time each Doctor took to review my medical history.  Very gentle, kind and confident dental care.

Paula H.

I can’t say enough about my experience at this dental office! The entire staff was very friendly, from the second I walked in to the time I walked out. The doctor took the time to explain all that was going on, and he was very gentle in his approach which is what I like. Highly recommend this place!


Me and my wife had been looking for a new dentist and we finally found them. This group of people are great. Extremely courteous and good at what they do. I couldn’t be more pleased with our new dentists and would highly recommend them to anyone.

Paul S.

The staff was so friendly and helpful. You can tell they really care about their patients and love what they do. They all made the experience really easy & comfortable. Highly recommend!

Kurstie P.

Hadn’t been to the dentist in 3 years because I just didn’t like it… tried this one out. Very kind and professional staff, friendly, outgoing, made me feel welcome. Definitely would recommend this dentist

Meena D.

The office is very clean and my daughter loved the tv in the ceiling to watch while her work was being done. Thanks again to the staff and doctor for making her feel comfortable.

Michael J.

Great customer service from check in to check out! It was my daughter’s first dental appointment and the staff made her very comfortable!

Santanna W.

The staff was very welcoming and friendly! Dr. Pattni explained my plan thoroughly and made sure I was comfortable during my treatment which I really appreciated. They also perform orthodontic work at affordable prices which is great because now I only have to go to one office for all of my dental needs. Not to mention the decor, ambiance, and state-of-the-art equipment is truly exceptional! Will definitely be coming back!

Anjani P.

Schedule your Occlusal Adjustment

At Woodshore Family Dentistry, we have some of the country’s finest dentist and orthodontists who can examine your teeth and schedule the correct set of treatments to fix your malocclusion and misalignment. For more information, please schedule your occlusal adjustment today.