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Should we recommend early overjet reduction to prevent dental trauma?

Research output: Contribution to journalArticlepeer-review

Martyn T. Cobourne, Andrew T. DiBiase, Jadbinder Seehra, Spyridon N. Papageorgiou

Original languageEnglish
Pages (from-to)387-390
Number of pages4
JournalBritish Dental Journal
Issue number5
Published9 Sep 2022

Bibliographical note

Funding Information: The Faculty of Dental Surgery at the Royal College of Surgeons of England and British Dental Journal have teamed up to provide this paper, as part of a regular series of short articles on different aspects of clinical and academic dentistry. Publisher Copyright: © 2022, The Author(s).

King's Authors


There is an association between increased overjet and risk of trauma to the maxillary incisor teeth in children and adolescents. It would therefore seem sensible to recommend overjet reduction as early as possible to help reduce this risk. However, orthodontic outcomes are essentially the same whether you start treatment in the early or late mixed dentition, while early treatment carries a heavier burden on compliance - taking longer and involving more appointments. This article explores the complex association between early overjet reduction and dental trauma in the context of current best evidence. Careful case selection is advised when justifying early intervention for increased overjet based on reducing trauma risk.

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