UNDERBITE TREATMENT – QUEENS, NY

Correct Your Underbite with a Board-Certified Orthodontist in Syosset

Beyond Smiles Orthodontics provides underbite correction for children, teens, and adults across Syosset — with early intervention options for growing patients and effective orthodontic solutions for adults who are ready to address their bite.

Why Syosset Patients Choose Beyond Smiles Orthodontics for Underbite Correction

Dr. Yelizar evaluates every underbite with a careful eye on its cause — whether dental, skeletal, or both — and recommends the treatment approach most likely to produce a stable, lasting result for that specific patient.

An underbite, where the lower front teeth sit in front of the upper front teeth when biting down, is one of the more complex bite problems in orthodontics. It affects how the jaw functions, how the face looks, and in many cases gets worse if left untreated. Dr. Yelizar is a board-certified Syosset orthodontist who evaluates and treats underbites across all age groups, with the understanding that the right approach depends heavily on the patient’s age, the severity of the bite, and what’s driving it. Schedule a consultation to find out where your case stands.

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What Is an Underbite?

An underbite, clinically referred to as a Class III malocclusion, occurs when the lower teeth protrude in front of the upper teeth when the mouth is closed. In a normal bite, the upper front teeth sit slightly in front of and over the lower front teeth. In an underbite, this relationship is reversed: the lower jaw is positioned forward of the upper, causing the lower teeth to overlap the uppers.
The degree of underbite varies considerably. Mild cases involve just a few teeth out of position, with minimal jaw discrepancy. Moderate and severe underbites involve a more significant forward position of the lower jaw relative to the upper, affecting facial appearance, chewing function, and long-term joint health.

One important distinction: some patients appear to have an underbite because the upper jaw is underdeveloped or the upper teeth are tipped back — rather than because the lower jaw is truly too large or too far forward. This distinction matters significantly for treatment planning. An accurate diagnosis identifies which jaw (or combination of jaws) is actually contributing to the problem.

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What Causes an Underbite?

Underbites develop from a combination of genetic and environmental factors, with genetics playing a particularly strong role:

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Why Underbites Worsen Over Time — Especially Without Treatment

Unlike some bite problems that remain relatively stable, underbites with a skeletal component tend to worsen during periods of active growth — particularly during the adolescent growth spurt, which typically occurs between ages 11–14 in girls and 13–16 in boys. During this period, the lower jaw often grows more than the upper, and an underbite that was mild in a younger child can become significantly more pronounced by the late teens.
This progression is one of the most important reasons underbites warrant early evaluation. The window to use growth-modifying appliances — which work with the developing jaw to correct the relationship before it sets — is limited. Once growth is complete, the jaw discrepancy is fixed and can only be addressed orthodontically (with some compromise) or surgically.

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Why Underbites Shouldn't Be Left Untreated

Beyond aesthetics, an untreated underbite carries meaningful functional and health consequences:

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Underbite Treatment Options at Beyond Smiles Orthodontics

The right treatment for an underbite depends on the patient’s age, the severity of the bite discrepancy, and whether the underlying cause is dental, skeletal, or both. Dr. Yelizar evaluates all of these factors before making any recommendation.

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Facemask (Reverse Pull Headgear) — for Young Children

The facemask is the most effective early intervention for underbites caused by an underdeveloped upper jaw in growing children, typically between ages 7–10. It applies gentle forward traction to the upper jaw using a frame that rests against the forehead and chin, pulling the upper jaw forward while allowing the lower jaw to remain in its natural position. Research consistently shows this approach is significantly more effective in younger children — before the sutures of the upper jaw begin to fuse — than in older patients. It is worn at home for a prescribed number of hours per day, typically 12–14 hours.

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Palate Expansion

In patients where the upper jaw is narrow in addition to being underdeveloped, palate expansion is often used alongside or before facemask therapy. Widening the upper arch creates more room for the upper teeth and can improve the bite relationship as part of an overall growth modification approach.

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Functional Appliances — for Growing Tweens and Teens

For older growing patients — typically ages 10–14 — functional appliances can be used to influence jaw growth and improve the bite relationship before the growth window closes. The specific appliance depends on the nature of the underbite, and Dr. Yelizar will recommend the approach most appropriate for the patient’s growth stage and the severity of the discrepancy.

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Braces and Clear Aligners — for Dental Underbites and Post-Growth Correction

For underbites that are primarily dental — where individual teeth are tipped or positioned in a way that creates the reversed bite without a true jaw discrepancy — braces or clear aligners can reposition the teeth to correct the bite relationship. This approach is effective for dental underbites at any age. For patients who have completed growth and have a skeletal component to their underbite, orthodontic treatment alone can improve the bite and appearance significantly, though the jaw relationship itself cannot be changed without surgery. Learn more about braces. Learn more about clear aligners.

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Orthognathic Surgery — for Severe Skeletal Cases in Adults

When an adult has a significant skeletal underbite — a true jaw size or position discrepancy — orthodontic treatment alone can improve the bite but cannot fully correct the underlying jaw relationship. In these cases, orthognathic (jaw) surgery performed by an oral and maxillofacial surgeon, coordinated with orthodontic treatment, can achieve what braces or aligners cannot. Dr. Yelizar will be direct about when surgery may be the only path to a fully corrected bite, and when orthodontic treatment alone can produce a result the patient will be satisfied with.

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The Case for Early Evaluation

Of all the bite problems treated in orthodontics, underbites are among the most time-sensitive. The earlier a skeletal underbite is identified, the more options are available — and the simpler and less invasive the treatment tends to be. A facemask used at age 8 can sometimes achieve a correction that would require surgery at age 22.
This is why the American Association of Orthodontists recommends a first evaluation by age 7. It doesn’t mean treatment starts then — it means that if an underbite is developing, there’s still time to do something about it that works with the body’s natural growth rather than against it.

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Why Choose Beyond Smiles Orthodontics for Underbite Treatment in Syosset?

Underbites require more nuanced diagnosis and treatment planning than most bite problems. The cause — dental versus skeletal, upper jaw versus lower jaw — determines the treatment, and getting that assessment wrong leads to approaches that don’t address the real issue.
Dr. Yelizar evaluates every underbite with a full clinical picture: digital scans, bite analysis, jaw relationship assessment, and a frank conversation about what’s driving the problem and what can realistically be achieved. He doesn’t recommend surgery unless it’s genuinely necessary, and he doesn’t recommend early treatment unless there’s a clear growth window to take advantage of. What he does do is give you an honest picture — so you can make informed decisions without pressure.

Our office is located at 63-109 Saunders St #BA2, Rego Park, NY 11374, and we serve patients from Rego Park, Forest HillsKew GardensElmhurstCorona, and across Syosset.

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Schedule Your Underbite Consultation

Whether you’re a parent concerned about your child’s bite or an adult who has lived with an underbite and wants to explore your options, contact Beyond Smiles Orthodontics to schedule a consultation. Dr. Yelizar will evaluate your bite thoroughly, tell you exactly what he sees, and walk you through what treatment can achieve for your specific case.

Hear from Patients

Simpli the best! Feeling blessed to have met Dr Yelizar. I got braces 3 times (span of 25 years), Dr Yelizar is my 4th ortho and he finally fixed my issue. He is a problem solver, perfectionist, and extremely passionate about his work. Followed Dr Yelizar on Instagram for 2 years and thought he was in Connecticut. After 2 years, I checked again hoping he relocated to New York City. To my surprise, he was always in Forest Hills. So I am very glad he is now my orthodontist. I highly recommend Dr Yelizar!
Shing M.
We’re proud to provide comprehensive, whole-mouth care to patients and families across Syosset.

Our Affordable Payment Options

We work with patients across Syosset to make orthodontic care easier to budget. Ask our team about the options below during your visit.

Frequently Asked Questions, Answered!

Questions about underbite treatment in Syosset? Here are the ones we hear most often from patients and parents at consultations. If you need more information, please contact our office.

What Exactly Is an Underbite?

An underbite occurs when the lower front teeth sit in front of the upper front teeth when biting down — the reverse of a normal bite. It can range from mild (a few teeth slightly out of position) to severe (a significant jaw discrepancy affecting the entire bite and facial profile). The clinical term is Class III malocclusion.

No — and underbites with a skeletal component typically get worse over time, particularly during growth spurts. A mild underbite in a young child can become a moderate or significant problem by the late teens if left untreated. Early evaluation is the best way to understand whether the problem is stable, progressing, or in a window where treatment can make a meaningful difference.

It depends on the cause and severity. Underbites caused by an underdeveloped upper jaw respond best to facemask treatment between ages 7–10, before the sutures of the upper jaw begin to fuse. Functional appliances for growing tweens and teens can help during the active growth phase. After growth is complete, orthodontic treatment alone addresses dental components; significant skeletal cases may require surgery. The AAO recommends a first evaluation by age 7 — this is especially important for underbites.

Not necessarily — and often not, if treatment begins early enough. The facemask and other growth-modification appliances used during childhood and early adolescence can correct or significantly reduce the underlying jaw discrepancy without surgery. Surgery becomes a consideration primarily for adults with a significant skeletal underbite that was never addressed during the growth window. Dr. Yelizar will be direct with you about whether surgery is genuinely necessary or whether orthodontic treatment can achieve a result you’ll be satisfied with.

Yes, in cases where the underbite is primarily dental — meaning the teeth are positioned in a way that creates a reversed bite without a true jaw size discrepancy. Braces or aligners can reposition teeth to correct the bite relationship. For underbites with a skeletal component in adults, braces improve the bite but cannot change the jaw relationship itself. Dr. Yelizar will help you understand exactly what orthodontic treatment can achieve in your specific case.

A facemask (also called reverse pull headgear) is an appliance worn at home — typically 12–14 hours per day — that applies gentle forward traction to the upper jaw using a frame that rests against the forehead and chin. It’s most effective in children ages 7–10, before the upper jaw sutures begin to fuse, and is used to encourage forward growth of the upper jaw to correct an underbite caused by maxillary underdevelopment. It’s not visible during school hours and children adapt to it quickly.

Relapse risk exists for underbites, particularly those with a skeletal component. Retainers are essential after treatment to hold the corrected tooth positions. For cases treated during growth, Dr. Yelizar monitors through the remaining growth period to catch any tendency toward relapse early. In patients where significant lower jaw growth continues into the late teens, additional treatment may sometimes be needed to maintain the correction.

For dental underbites — where the bite is reversed due to tooth position rather than a true jaw discrepancy — yes, absolutely. For skeletal underbites in adults, orthodontic treatment can improve the bite relationship and appearance significantly, though it works within the constraints of where the jaws sit. The more severe the jaw discrepancy, the more limited orthodontics alone becomes. Dr. Yelizar will give you an honest picture of what’s achievable without surgery in your specific case, and what surgery would add if it’s relevant.

Most dental insurance plans with orthodontic benefits cover underbite correction as part of comprehensive orthodontic treatment. Early intervention (Phase 1) may also be covered, though lifetime maximums apply. Our team will review your plan before treatment begins so you have a complete picture of coverage and out-of-pocket costs.

Common signs include lower front teeth that are visible in front of the upper teeth when biting down, a chin that appears to protrude, difficulty biting into food, a jaw that shifts to one side when closing, and sometimes speech difficulties. If you’ve noticed any of these, a consultation with Dr. Yelizar will give you a clear picture of what’s happening and whether any action is needed.

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We Welcome Dental Insurance

We accept the vast majority of orthodontic insurance plans. Even if you don’t see your provider listed on our website, it’s worth calling our office to double-check your coverage. Orthodontic insurance can reduce your out-of-pocket expenses, after all, and you won’t have to worry about paperwork – we’ll handle your claims on your behalf.

We Offer Flexible Financing

If you don’t have orthodontic insurance (or it doesn’t cover everything), we’ll go over payment options that can help make treatment manageable. Our team will review your plan, explain costs clearly, and help you choose a monthly payment schedule that fits your budget.

We Have an In-House Savings Plan

Thanks to our partnership with Lending Point, our patients have access to several monthly payment plans that can be added onto our in-house plans. If you need more time to pay for your treatment than expected, Lending Point can help you do so with little-to-no-interest. Our team understands that sometimes, life happens, and knowing you have financial flexibility when it comes to your dental care can be a huge relief.

We Extend Periodic Special Offers

Currently, we provide a pay-in-full discount and “sibling discount.” If you’re able to pay for your entire treatment costs upfront, we’ll show you our appreciation with a reduced price.
Affording orthodontic care for one person can be challenging enough; what if there’s another member of your family who also needs treatment? Then you’re eligible for the sibling discount! Basically, siblings (or any other family member) receiving care at our office will be treated at reduced rates.