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Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria.

The Square Dental Clinic · 미소회복과 얼굴재건 전문 더스퀘어치과 · February 26, 2026

Hello. We are The Square Dental Clinic, which first looks at structural differences. You’ve probably searched a lot. You may have read posts saying it can be treated with orthodont...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: The Square Dental Clinic

Original post date: February 26, 2026

Translated at: April 20, 2026 at 3:52 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello.

We are The Square Dental Clinic, which first looks at structural differences.

Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 1

You’ve probably searched a lot.

You may have read posts saying it can be treated with orthodontics alone,

and in other posts, that surgery is the final answer.

So it likely felt even more confusing.

There was so much information,

but it probably felt like none of it truly applied to your own situation.

“Which one applies to me?”

That thought keeps circling in your mind.

It can leave you feeling heavy-hearted,

and you may worry that it might already be too late.

So today, I’m not here to talk about vague possibilities.

Instead, I want to organize how far treatment can go from your current structure.

I’ll explain under what conditions underbite correction can be considered,

and at what stage the direction changes.

If you read along for just a little while,

you should be able to sort out where you stand.

Underbite: Is it really caused by a large jaw? Underbite correction Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 2

First, let’s look at the basic structure.

A normal bite is a shape in which the upper teeth slightly cover the lower teeth.

This is what we commonly call a stable structure.

But an underbite is a little different.

The lower teeth are positioned further forward.

That is why the jaw may appear more prominent when smiling or from the side.

So why does this difference happen?

There are two main reasons.

First, the lower jawbone may have grown more.

During growth, the lower part came forward relatively more.

In this case, the difference in the structure itself becomes the main issue.

Second, the tooth position may be misaligned.

Rather than a problem with the bone itself,

the front teeth may be biting in reverse,

which can make the appearance look that way.

In this case, it is more of a positional issue.

Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 3

So simply saying, “The jaw sticks out,”

is not enough to judge accurately.

Let me give a simple analogy.

If a house looks tilted,

it does not always mean the foundation has collapsed.

It may only look that way because the window frame is crooked.

The jaw is the same.

It is necessary to first distinguish whether the problem is with the foundation structure

or with a difference in position.

Only after making that distinction can you think about the next direction.

Underbite correction, not everyone is treated the same way. Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 4

As mentioned earlier, if the structural difference in the jaw is not large,

the approach changes.

For example,

the bone position itself may not be significantly out of place,

but the bite may be reversed because of tooth alignment.

In that case,

rather than changing the structure itself,

it may be possible to balance things by reorganizing the bite.

In other words, if the bone difference is not large and the issue is closer to a positional problem,

you can consider other options.

Looking at it more specifically, it may look like this.

| ✔️ Cases where only the front teeth bite in reverse✔️ Cases where there is not a severe protrusion from the side✔️ Cases where there is not a large difference between the left and right sides of the face✔️ Cases where there is no pain or discomfort in the temporomandibular joint |

The closer the condition is to these, the more likely it is that treatment can be approached with orthodontics rather than surgery.

Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 5

And there is one important point here.

This process is not about forcefully pushing the jaw back in.

Instead, it is a process of adjusting tooth position and redesigning the bite.

By gradually fine-tuning the relationship between the upper and lower teeth,

it helps balance the bite so that chewing force does not shift to one side.

The key is to reorganize the positional relationship when the structural difference is not large.

Forcing it to fit can disrupt the balance. Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 6

On the other hand, there are cases that need to be examined more carefully.

| ✔️ Cases where the lower jaw is noticeably forward✔️ Cases where there is a clear imbalance between the left and right sides of the face✔️ Cases where pain or sounds repeatedly occur in the jaw while eating |

If it looks like this, there is a high chance that the issue is not just positional, but that a difference in bone structure is also involved.

What matters here is not the method, but the structure.

Underbite correction literally refers to a process of changing the position of the teeth.

However, it is not a process of reducing the size or position of the bone itself.

So if the structural difference is large,

there may be limits to what position adjustment alone can do.

Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 7

If you try to force it to fit, the teeth may tilt too far inward,

or stress may build up in the gums.

That is why we do not decide the direction hastily.

First, we accurately check the structure,

analyze the bone position and bite relationship together,

and then determine the appropriate approach.

Only then can we choose a direction that fits the structure.

Is Surgery Really the Only Answer for Underbite Correction? There Are Separate Criteria. image 8

Not every underbite follows the same path.

Even if the appearance looks similar, the underlying structure may be different.

So not every case requires surgery,

and not every case can be solved with simple orthodontics.

Underbite correction is an option worth considering when the conditions are right.

I hope you do not judge your situation by photos alone.

The first step is to confirm where you stand through an accurate diagnosis.

It does not have to be with us.

But please do make sure to check the criteria.

If you have any questions while reading,

feel free to leave a comment or send a message through Naver Talk Talk :)

This has been The Square Dental Clinic. Thank you for reading.

[Check out the stories of people who visited us in person]

[If you are curious about your current condition, ask us on Naver Talk Talk]

[You can find us on the L floor of Gwanghwamun D Tower]

| This article was written in compliance with the Medical Service Act (Article 56, Paragraph 1) so that you can obtain accurate information. We wanted to transparently share what actually happens in the clinic, rather than simply promoting ourselves. Rather than contacting us right away after reading this article, it is enough if you can simply take away accurate information. |

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