Roeder Orthodontics
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22 Medical Park Drive, Suite C
Asheville, North Carolina 28803

Open Bite Malocclusion

An open bite is an oral condition wherein the upper front teeth do not make contact with the lower teeth when the jaw is closed.  As a result, it creates a visual illusion that the mouth is never closed, showcasing the openness in-between the teeth.  Open bites are typically not a common condition, but they do exist.  For some, the concern is purely aesthetic, but others may experience trouble biting, chewing, or eating certain foods, as well as problems with speech or other functions of the teeth and mouth.

Dr. Jeffrey Roeder encourages assessment of open bites because the severity of the condition can have additional impacts on the function and pressure of the joints of the jaw.  If there is too much pressure, or tension on neuromuscular structure, strain, headaches, or pain in the region can result.

What are the causes of an open bite?

 There are several factors which can continue to an open bite:

  • Thumb sucking – the force of suction and pressure causes front tooth movement
  • Tongue thrusting – the repeated force of the tongue applying pressure to the back of the front teeth creates open bite
  • Speech conditions – like lisping can contribute to open bite
  • Jaw alignment – if the top and bottom jaw aren’t aligned, the bite can be misaligned
  • Genetics – lineage plays a large role in the development of physical characteristics

In most cases, Dr. Roeder treats open bites with traditional orthodontic options.  In moderate to severe cases, there may be additional steps to treatment, including jaw surgery.  If surgery is needed to correct the condition, Dr. Roeder and his team will work closely with an oral surgery specialist to coordinate and ensure comprehensive care.  Read more about how Roeder Orthodontics works closely with other dental and medical specialists for a multi-disciplinarily approach.

For questions about orthodontic treatment options, call us at 828-274-2500 or send us a message to schedule a complimentary consultation.  We’ll perform an examination, and look at all the options, including cost and treatment time estimates for orthodontic treatment at our office in Asheville.

Tooth Crowding – It’s crammed in here!

Similar to the capacity signs in elevators and public spaces, your jaw also has a limit for tooth spacing and overlap.  Once beyond capacity, your oral health can reach a point where balance and proportion become an issue.

Tooth crowding happens when there isn’t enough room in the jaw for all the teeth.  As a result, teeth become malaligned and overlap, due to various factors such as tooth and jaw size, or late or early loss of primary teeth.

Reasons to consider Dr. Roeder to remedy crowded teeth:

  • Lessen the chance for dental decay
  • Decrease opportunity for gum disease
  • Create balance and harmony of the bite
  • Make oral maintenance easier for you

With tooth crowding, there are going to be several assessments that Dr. Roeder will make in order to determine the best course of action for you.  In some cases, expanding the arch to make more room for the teeth is the best course of action.  In rare cases, Dr. Roeder may recommend tooth extraction, or jaw surgery.

Here’s an actual patient who came to Roeder Orthodontics for treatment of crowding.
(mouse over, or tap on mobile to see change)

Matthew Before Matthew Before

If you are considering orthodontics for your child, teen, or for yourself, we encourage you to visit Roeder Orthodontics for a free initial consultation.  In assessing your personal circumstances and learning about your lifestyle choices, we’ll be able to find an orthodontic system, like Damon, Clarity, or Invisalign to best suit your needs.


Announcing Updated Roeder Rewards!

Hello to all of our patients! We are announcing changes to our Roeder Rewards Scale. Below you will find updated material and additional information on how you can earn, save, and get actual gift cards for real stores.  Patients can earn rewards and help treatment on schedule! A win-win for everyone!

Visit our page on the Roeder Rewards program for more information.  We want to express our thanks to our patients for their outstanding participation and assistance in helping make their orthodontic treatment the best it can be. Please Contact Roeder Orthodontics with any questions you may have about our rewards program.

 Click to Enlarge:
Roeder Orthodontics Rewards Changes

Colorful Smiles – Designed by You

Asheville Braces with Color

Roeder Orthodontics offers Clarity Advanced Braces with Colors. Adults and Teen patients enjoy the chance to customize the color of their smile, and make it even more spectacular.

From subtle to shiny, choose one or more colors for a cool, hot, funky, or fresh look. Choose your own adventure!  Check out the free Braces Color Tool, which allows you to see which color choices and combinations you like best.

Some patients enjoy coloring their braces to match upcoming holidays, their favorite sports teams, to show school pride, or to match a specific occasion.

Actual Patient of Roeder Orthodontics

For more information about Asheville orthodontic options, or to schedule an free appointment with Dr. Jeffrey Roeder and his team, contact us at 828-275-2500.

Brushing and Flossing with Orthodontic Braces

It’s no secret that braces add to the challenge of oral hygiene, but with a little effort, you can ensure your oral health is stellar during and after orthodontic treatment.  Below are tips and suggestions from Roeder Orthodontics in Asheville, NC.

Brushing Tips:

Dental hygiene of teeth with braces. Interdental brush

  • Get started: Remove elastics, bands, or removable parts of your orthodontic appliance.
  • Clean the braces and wires: Use a soft bristled toothbrush and fluoride toothpaste.  Angle the toothbrush so you can feel the bristles on your gum line. Carefully clean around wires and pins, brushing small circular motions around the braces. Move top to bottom when cleaning the wires, and all away around both top and bottom teeth.
  • Brush your teeth: Brush all your teeth, spending at least 30 seconds per quadrant.  Brush your tongue and the roof of your mouth. It is recommended to brush in the morning, after meals, and before bed.
  • On the go: Take a travel toothbrush and toothpaste along with you in your bag, purse, or backpack
  • Going the extra mile: Using a Interdental toothbrush  (or proxabrush) helps to clean areas near brackets and under wires when you leave the house.  Your toothbrush will wear out faster because of your braces and appliances; replace it whenever the bristles begin to fray.

Flossing Tips:


  • Floss once a day: Use waxed floss and thread it carefully under the main wire before passing between two teeth move up and down gently, remove, and move on to the next pair of teeth. Use regular floss with a floss threader to place above and below the orthodontic wire, or a special flosser made for braces and tight spaces.
  • Floss threaders: A floss threader is similar to a threading needle. Insert one end of the floss through the threader and feed the threader under your archwire. Grab the floss on each end and slide it up and down the sides of both teeth and under the gums.
  • Special flossers: There are several varieties and brands of flossers for braces.  These are easy to use, and easy to pack for use on the go. 
  • Rinse and check: Rinse your mouth with water or fluoride mouthwash.  Examine your teeth and braces in the mirror for any remaining food particles.
  • Going the extra mile:  Use an Irrigator (or water pick) to help ensure a completely clean mouth. The irrigator shoots a small stream of pressurized water at your teeth and gums and helps get rid of bits of food that become trapped in small spaces.

Planning  Regular Checkups


You’ll have regular and ongoing braces checkups with Roeder Orthodontics. Dr. Jeffrey Roeder can help repair broken pieces, address specific oral hygiene challenges, and answer any questions about brushing and flossing.  In addition to your regular orthodontic checkups, be sure to continue bi-yearly or quarterly visits with your regular dentist as recommended to ensure the best oral health possible.

By practicing diligence in caring for your teeth, you’ll have a strong and straight smile when you finish orthodontic treatment.  For parents of children in braces, please encourage and help them with their daily orthodontic tooth care and maintenance.

Roeder Orthodontics serves children, teens and adults in Asheville, NC and surrounding communities with their braces and orthodontic appliances. Contact us today to schedule a visit or to ask questions about brushing and flossing your braces.