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Posts from 2018-10

Malocclusion, Overbite, Overjet, Underbite, Crossbite and Openbite. What Does All This Mean??

Malocclusion, Overbite, Overjet, Underbite, Crossbite and Openbite


In this blog you will learn what these words mean and some treatment options Dr. Lupini and True Orthodontics, PC has available to correct them.







You may have heard your dentist or orthodontist say these words when doing your exam. Each word has different meanings and we are going to break it down for you in terms you can understand.

Malocclusion – Latin for “bad bite.” This term is used in orthodontics to describe teeth that do not fit together properly.


Overbite – The upper front teeth excessively overlap the bottom front teeth when back teeth are closed. Also call a closed bite or deep bite. This would also be known as a Class II Malocclusion.

An overbite is a vertical issue that is usually due to an over developed upper jaw and a under developed lower jaw. It is usually hereditary however it can be caused by bad habits formed in early childhood like thumb sucking, tongue thrusting or prolonged bottle or pacifier use. Having a deep overbite can cause problems if it does not get corrected. You could suffer with jaw pain also known as temporomandibular disorders (TMD), headaches, speech development, gum issues if your teeth hit your gums when you close down which can lead to damaged gums and possible tooth loss. A deep overbite can change the structure of your face causing you to become self-conscious and have low self-esteem.

What are some treatment options?

Dr. Lupini and True Orthodontics, PC will take different x-rays to determine the best way to treat this. You may have to war an appliance, wear elastics or both. Treatment length is determined case by case because everyone is different. If Dr. Lupini decides that you need to wear elastics with your braces the length of time can also be extended due to noncompliance. If you choose not to wear them your treatment will take longer. It is very important that you do what the doctor recommends so your treatment is not extended. For more information on elastics and different appliances check out our blog “What’s in My Mouth?”.

Here is a great youtube video where Dr. Greg Asatrian D.D.S., M.S., from UCLA School of Dentistry, explains why elastics are very important and what exactly they do.



Overjet – Protruding upper front teeth. Sometimes called buck teeth.

An overbite can be confused as an over jet. These are two different issues. An overjet is when there is a protruding horizontal overlap. This can be a skeletal issue where your upper jaw is more forward than your lower jaw.

What are some treatment options?

Depending on the severity of the overjet treatment can vary. Orthodontic treatment can fix some overjets. Some overjet’s require removing your upper first bicuspids to make space to retract your upper anterior (front) teeth. If the overjet is due to a deficiency in your lower jaw you may require orthognathic surgery. The surgeon will place your mandible in the proper position and the orthodontist will then finish treatment and make sure you have the ideal bite (occlusion).

In this youtube video Dr. Greg Asatrian D.D.S.,M.S. explains the difference.



Underbite – The lower front teeth or jaw sit ahead of the upper front teeth or jaw. Also known as a Class III Malocclusion. This is usually hereditary.

What are some treatment options?

The importance of early detection is extremely important in this case. Early treatment  is ideal and can make a big difference in future treatment. Sometimes the doctor will only need to use a palatal expander. This is an appliance that is worn daily and slowly expands the roof of the mouth.

Some cases may require orthognathic surgery to correct this problem. If surgery is required orthodontist and the oral surgeon will work closely together to correct the problem. Here is a great video explaining this type of surgery from the American Association of Oral and Maxillofacial Surgeons.



Crossbite – Upper back teeth are in crossbite if they erupt and contact inside of the lower back teeth. Lower front teeth are in crossbite if they erupt in front of the upper front teeth. A crossbite can be a single tooth or groups of teeth.

What are some treatment options?

Just like an underbite, crossbite can be fixed sometimes using a palatal expander along with braces or aligners. Detecting this early is ideal.

Openbite – A malocclusion in which teeth do not make contact with each other. With an anterior openbite, the front teeth do not touch when the front teeth are closed together. With a posterior openbite, the back teeth do not touch when the front teeth are closed together. Thumb sucking, tongue thrusting, temporal mandibular joint disorders or TMJ/TMD and skeletal problems are all reasons why you may have an openbite.

What are the treatment options?

There are many different options for treating this. Behavior modifications as well as orthodontic treatment with braces or aligners early in childhood may be all that is necessary. However in severe cases orthognathic surgery may be required along with orthodontic care.

Early detection is the key with any orthodontic care.

Parents should look for these problems.

Early or late loss of baby teeth

Difficulty chewing or biting


Jaws that shift or make sounds

Speech difficulties

Biting the cheek or roof of the mouth

Facial imbalance

Bruxism, teeth grinding or teeth clenching

Thumb or finger sucking habits


If you notice any of these issues with your child, please make an appointment with Dr. Lupini. The American Association of Orthodontists recommends that children be examined by an orthodontist at the age of 7, or as early as age 3 for certain problems. Dr. Lupini offers free exams. If Dr. Lupini determines that your child is not ready for early treatment, he will recommend follow-up visits to evaluate growth and development, then determine the appropriate time to begin treatment. Dr. Lupini prefers to limit first-stage treatment time to 12-18 months to promote patient cooperation. For these patients, he may consider a second phase of treatment after the majority of permanent teeth have erupted. Other children can be efficiently treated with comprehensive single-phase treatment. Dr. Lupini typically initiates this treatment when your child is between 10 and 13 years of age.

Is My Dentist Also An Orthodontist?

The American Association of Orthodontists wrote an article that explains the difference between your general dentist and an orthodontist. Understanding the difference can help you make an educational decision. 

In case you missed it......

September 4, 2018

If you believe your dentist is also an orthodontist, take a minute to read this post.

Your confusion is understandable. After all, both dentists and orthodontists work on teeth. Both provide professional care that helps patients have good oral health, and both are dental school graduates. Your dentist may even offer orthodontic services, leading you to assume that he/she is an orthodontist. But the truth is that putting aligners or braces on teeth does not make a doctor an orthodontist.

Dentists, who are also known as general (or family) dentists, are concerned with overall oral health. Dentists treat decayed teeth (fillings) and remove failed teeth (extractions). They usually provide services such as crowns, veneers or bonding to improve the appearance and function of teeth that have extensive decay, or are misshapen or broken. Dentists look for abnormalities in the mouth and teach patients how to prevent dental disease.

As knowledgeable and skillful as dentists are, certain areas of dentistry have educational programs beyond dental school. Orthodontics is one of those areas. And that’s where specialists, such as orthodontists, come in.

Dental specialists get to be specialists by completing four years of general dental education in dental school, and then continuing in an accredited program where they study their specific specialty full-time for two or more years. When dentists studying a specialty area successfully complete their formal specialty education, they are able to use a title that denotes their area of specialization. “Orthodontist” is one example.

Other dental specialists include endodontists, who specialize in root canals; periodontists, who specialize in treating gum disease; pediatric dentists, who specialize in dental care for the under-21 age group; and oral and maxillofacial surgeons, who specialize in face, mouth and jaw surgery. Orthodontists are specialists who focus on the bite – how teeth meet and function, how they are aligned, how they are set in the jaws, and the positioning and sizes of the upper and lower jaws.

General dentists are licensed to practice dentistry. Some states allow them to provide specialty care, even if they do not have formal post-dental school training in the specialty services. For example, a dentist may be able to perform a root canal, but that does not mean he/she is an endodontist. A dentist may be able to extract a tooth, but that does not mean he/she is an oral surgeon. Likewise, a dentist may be able to provide braces or aligners to move teeth, but that does not mean the dentist is an orthodontist. Only orthodontists have the additional two or more years of orthodontic education from a program accredited by the Commission on Dental Accreditation, providing them with specialized training in moving teeth.

So that you can tell the difference between a dental specialist (such as an orthodontist) and a general dentist, be aware of the doctor’s:


  • Dentists and dental specialists graduate from dental school
  • After dental school, a dental specialist goes on to study full-time in an accredited program in their specialty area for two or more years. After graduating, a dental specialist may call himself/herself by a title to denote their specialty training (e.g., orthodontist)

Scope of practice

  • General dentists are licensed to provide general care and, in some states, are allowed to provide specialty care even if they do not have formal post-dental school training in an accredited residency program
  • In many cases, specialists focus their practice on their dental specialty

If you’re thinking about orthodontic treatment, consider a specialist: an orthodontist. Only bona fide orthodontists get to be members of the American Association of Orthodontists (AAO). Visit aaoinfo.org to find your AAO orthodontist.

Halloween Candy You Can Have With Braces!

5 Things to Consider When Choosing the Best Orthodontist For You

5 things


5 Things you should consider when choosing your Orthodontist.

So you have decided to start orthodontic treatment for yourself or your child. Congratulations! Choosing the best orthodontic practice for you or your child is a big decision. Here our 5 things you need to consider before you begin treatment.

·         Education

·         Experience

·         Location

·         Hours of Operation

·         Financing



What is the doctor’s educational background? What kind of continuing education or specialty does the doctor have? Are they a licensed member of the American Association of Orthodontists?

Dr. John Lupini D.D.S.,MS graduated in 1994 from the University of Michigan, graduating first in his dental school class. He is a member of the American Association of Orthodontists, Great Lakes Association of Orthodontists, Michigan Association of Orthodontists, American Dental Association, Michigan Dental Association and the Detroit District Dental Society.

He maintains high-quality orthodontics through continuing-education courses as well as staying current on the latest orthodontic research, technology, and treatment options such as tooth-colored braces (white braces), clear braces/invisible braces, clear aligners/invisible aligners, clear retainers, and orthodontic expander options.

Dr. Lupini  has a history of providing orthodontics for special needs children. He is aware of the unique requirements these patients require and how to cater to them. This means that during your consultation and treatment, everything will be much easier and more comfortable for you and your child. To learn more about choosing the right orthodontist for children with special needs read our blog on just that.

How to Find the Right Orthodontists For Kids With Special Needs.


How long has the doctor been treating patients? How experienced are they with treatment like yours? Who will be overseeing your treatment: the doctor or assistant? Do they have Google and or Facebook reviews? And if so how are they?

With over 20 years of experience Dr. Lupini has treated thousands of patients. Treating the most complex cases. Making him a leader in orthodontics. 

Dr. Lupini takes a very hands-on approach. He strategically places every orthodontic bracket and band himself based on his experience and thoughtful planning. Bracket and band placement is the most important aspect of treatment. This should always been done by your orthodontist. Not an assistant.

Here at True Orthodontics our patients have spoken for our work. We have a 5 star rating on Google, Facebook and Yelp.  Here are a few reviews our patients have left...

5 star 

Dr. Lupini and the staff at True Orthodontics are wonderful. They are friendly, considerate, efficient, and personable. The treatment is effective and modern. Dr. Lupini is great with my daughter. He put her at ease and explained everything to her. I am happy to recommend True Orthodontics to everyone.

~Sara B.

 5 star

Great Place to get braces! Staff is very friendly and effective. Very organized and on time, always accommodating to patient’s needs. Amazing orthodontist!

~Hussein C


 5 star

Dr. Lupini and the entire staff at True Orthodontics are wonderful, all three of my kids have had braces and all three were lucky enough to see Dr. Lupini in Wyandotte. Would highly recommend!!!!!!



How convenient is the office? Is the office located near your work, school or home? Does the office have multiple locations? If they do are those other offices convenient for you in the case of an emergency?

I cannot express how important location is. You or your child will be seeing the orthodontist, at the minimum, once a month. So you want to choose an office that is most convenient to your needs. You also need to consider any satellite offices the doctor has. Emergencies don’t always happen when the doctor is at the location you have chosen. Choosing a doctor who has multiple locations means you might have to travel to their other offices.

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Get in Touch

Mon-Fri offers alternating 7:30-4:30, or 12-6pm appointments.
Please call our office to verify daily hours. We can be a little flexible to meet your needs.


Established 1955

John Lupini, DDS, MS, is the director of True Orthodontics, which specializes in early orthodontic treatment, teeth straightening, Invisalign alternatives, and treats children and adults. True Orthodontics serves all of the downriver communities including but not limited to Southeastern Michigan, Wayne County, Monroe County, Macomb County, Oakland County, Downriver, Trenton, Grosse Ile, Woodhaven, Trenton, Riverview, Wyandotte, Melvindale, Ecorse, River Rouge, Detroit, Taylor, Westland, Garden City, Lincoln Park, Allen Park, Dearborn, Dearborn Heights, Romulus, Belleville, Huron Township, Van Buren Township, Flat Rock, Rockwood, Gibraltar, Brownstown, Monroe, Frenchtown, Newport, Carleton, Southgate and surrounding communities.