Overjet (buck teeth): causes, treatment and cost
Overjet is the dental term for what most people call buck teeth: the upper front teeth stick out further in front of the lower teeth than they should. Upper teeth normally sit about 2 millimeters in front of the lower ones; more than that is an overjet (Cleveland Clinic). It won't correct itself, but braces fix most cases (Cleveland Clinic). Here is what causes it, when it matters, how it's treated at each age, and what treatment costs.
Key points
- Normal overjet is about 2 mm; severe overjet is 8 to 10 mm or more (Cleveland Clinic)
- Causes include genetics, tongue thrusting, and thumb sucking after age 4 (Cleveland Clinic)
- Protruding upper teeth are more likely to break in an accident (AAO)
- Orthodontic treatment is the only way to correct it; veneers and bonding only hide it (Cleveland Clinic)
What overjet is
The AAO defines overjet as upper front teeth that protrude in front of the bottom front teeth when the back teeth are closed (AAO). Cleveland Clinic describes it as a type of malocclusion, or bad bite (Cleveland Clinic). The AAO calls the same problem protrusion, and notes that it can also happen when the lower teeth don't come far enough forward (AAO).
The key word is horizontal. Overjet measures how far the upper teeth stick out in front of the lower ones; overbite measures how far they overlap vertically (Cleveland Clinic). The two often appear together, and people with protruding front teeth may also have a deep bite (AAO).
| Measurement | Overjet (horizontal) | Overbite (vertical) |
|---|---|---|
| Typical | About 2 mm | 2 to 4 mm of overlap |
| Called a problem when | More than 2 mm | Upper teeth cover more than 30% of the lower (about 4 to 6 mm) |
| Severe | 8 to 10 mm or more | See overbite |
Measurements: Cleveland Clinic, 2024.
A dentist diagnoses overjet during an exam by measuring the horizontal distance between the upper and lower front teeth, and may take X-rays (Cleveland Clinic). For a side-by-side with other bite problems, see overbite vs underbite.
What causes buck teeth
- Genetics. The chance is higher if a parent or sibling has buck teeth (Cleveland Clinic)
- Thumb or finger sucking that continues after about age 4 (Cleveland Clinic)
- Long-term pacifier use (Cleveland Clinic)
- Tongue thrusting: pushing the tongue against the back of the upper front teeth when swallowing (Cleveland Clinic)
The AAO lists genetic factors, oral habits and tooth alignment as common causes of protrusion (AAO). Habits are the part parents can influence; see thumb sucking and teeth for when a habit starts to matter and how to help a child stop.
Problems an overjet can cause
Many people live with a mild overjet without trouble (Cleveland Clinic). A larger one can cause:
- Trouble biting or chewing, and difficulty closing the lips fully (Cleveland Clinic)
- Sore spots on the tongue or inside the cheeks from accidental biting (Cleveland Clinic)
- Jaw, face or tooth pain, and less often speech problems (Cleveland Clinic)
- A higher chance of breaking the upper front teeth in a fall or knock (AAO)
The AAO adds that if protruding teeth make it hard to close the lips comfortably, that can contribute to tooth decay, gum disease and speech problems (AAO). Left untreated, Cleveland Clinic says overjet can lead to facial and jaw pain, TMJ disorder, chronic headaches and tooth erosion (Cleveland Clinic). Some people also feel self-conscious about their smile, and children may be teased (Cleveland Clinic).
Protecting protruding teeth
Because protruding upper teeth are more likely to break in an accident (AAO), sport is the main everyday risk while you wait for treatment, or during it. The AAO encourages every player to wear a mouthguard, whatever the sport, at practices as well as games, and cites an ADA study in which adults who didn't wear one had an 82% to 93% greater risk of injuries to the teeth and face (AAO). A guard made by your orthodontist fits and protects better than a store-bought boil-and-bite one (AAO). See mouthguards for braces.
How overjet is treated in children
Children have one big advantage: their jaws are still growing, so some appliances can guide that growth rather than only moving teeth. The AAO recommends a first orthodontic check-up no later than age 7, and lists thumb, finger or pacifier habits that affect the teeth or jaw among the problems that may benefit from early treatment (AAO). Options Cleveland Clinic lists for overjet include (Cleveland Clinic):
| Appliance | What it does |
|---|---|
| Headgear | Worn outside the mouth to provide traction for growth modification and tooth movement (AAO). Most children wear it 12 to 14 hours a day (Cleveland Clinic) |
| Herbst appliance | Moves the lower jaw forward; can be fixed or removable (AAO) |
| Palate expander | Widens the upper jaw (AAO) |
| Braces | Move the teeth themselves into a better position (Cleveland Clinic) |
Early treatment doesn't always replace braces later: the AAO says a second course of treatment is still usually recommended once all the permanent teeth are in (AAO). See phase 1 orthodontics and braces for kids and teens.
How overjet is treated in adults
Adult jaws have stopped growing, so growth appliances are no longer an option. Braces can fix most cases of overjet at any age (Cleveland Clinic), and clear braces are among the options (Cleveland Clinic). Your orthodontist may also suggest clear aligners, which only work when worn at least 22 hours a day (AAO). When the cause is the jaw bones rather than the teeth, a severe overjet of 8 to 10 mm or more may need other orthodontic treatment or jaw surgery (Cleveland Clinic). Surgery is usually combined with braces over 2 to 3 years (Cleveland Clinic); see jaw surgery cost and recovery.
Can veneers or bonding fix buck teeth?
They can change how buck teeth look, but not the bite. Cleveland Clinic says bonding, veneers and crowns can camouflage an overjet without correcting the underlying condition, and that orthodontic treatment is the only way to fix it (Cleveland Clinic). If the problem is how your teeth meet, covering them won't help with chewing, lip closure or the risk of chipping. Compare the options in how to fix crooked teeth.
How much it costs to fix an overjet
There's no published price for overjet treatment specifically; it costs whatever the treatment it needs costs. For braces and aligners, CareCredit's typical ranges before insurance are:
A complex case sits higher in the range than a mild one, because the type of appliance, the complexity and the length of treatment all affect the fee (AAO). Severe jaw-related cases that need surgery cost far more; see jaw surgery cost. Insurance with orthodontic benefits usually pays a share up to a lifetime maximum; in OrthoFi data for 2021, the average orthodontic benefit was $1,772 (Align Technology). The AAO's proposed criteria for medically necessary orthodontic care include an overjet of 9 mm or more (AAO), which can matter for insurance or Medicaid, though payers aren't required to use them. Estimate your own cost with the braces cost calculator.
Does overjet go away on its own?
No. Cleveland Clinic says overjet doesn't go away by itself (Cleveland Clinic). Stopping a thumb or pacifier habit early can keep it from getting worse, but once the teeth have moved, they need orthodontic treatment to come back. Regular dental check-ups help catch related problems, and new symptoms such as toothache, facial pain or pain when chewing are a reason to see a dentist (Cleveland Clinic). Not sure whether treatment is needed? See do I need braces.
Questions people ask
What is an overjet?
An overjet, often called buck teeth, is when the upper front teeth stick out too far in front of the lower front teeth. They normally sit about 2 mm in front; more than that is an overjet, and 8 to 10 mm or more is severe (Cleveland Clinic).
What is the difference between an overjet and an overbite?
Overjet is horizontal: how far the upper teeth stick out in front of the lower ones. Overbite is vertical: how far the upper teeth overlap the lower ones (Cleveland Clinic). Many people have both.
Can braces fix buck teeth?
Yes. Cleveland Clinic says braces can fix most cases of overjet. Severe overjet of 8 to 10 mm or more may need other orthodontic appliances or jaw surgery.
Does thumb sucking cause buck teeth?
It can. Cleveland Clinic lists thumb or finger sucking after about age 4, long-term pacifier use and tongue thrusting as causes, along with genetics.
Can an overjet fix itself?
No. Cleveland Clinic says overjet doesn't go away on its own, and that orthodontic treatment is the only way to correct it. Veneers or bonding can hide it but don't fix the bite.
How much does it cost to fix an overjet?
It costs whatever the treatment it needs costs. Metal braces typically run $3,000 to $7,000 and clear aligners $4,000 to $7,000 before insurance (CareCredit data, 2022). Cases that need jaw surgery cost far more.
Is an overjet dangerous?
Usually not, but protruding upper teeth are more likely to break in an accident (AAO), and a large overjet can make it hard to close the lips or chew. Cleveland Clinic says untreated overjet can contribute to jaw pain, headaches and tooth erosion.
Sources
- Overjet (buck teeth): what it is and how to fix it. Cleveland Clinic. Last updated June 17, 2024.
- 7 common types of bite problems and their orthodontic solutions. American Association of Orthodontists. Accessed October 13, 2026.
- Medically necessary orthodontic care (definition and proposed auto-qualifiers). American Association of Orthodontists. Definition amended April 27, 2025.
- Mouthguards for braces: why they're essential for sports. American Association of Orthodontists. Last modified April 15, 2026.
- Glossary of orthodontic terms. American Association of Orthodontists. Accessed October 13, 2026.
- What are the benefits of early orthodontic treatment?. American Association of Orthodontists. August 20, 2026.
- Orthodontic headgear: types and uses. Cleveland Clinic. Last updated June 18, 2024.
- Braces vs. clear aligners: which treatment is best for you?. American Association of Orthodontists. Accessed October 12, 2026.
- Jaw surgery (orthognathic surgery). Cleveland Clinic, medically reviewed. Last updated September 25, 2026.
- How much do braces cost? Factors, insurance and savings. American Association of Orthodontists. Accessed October 12, 2026.
- Average costs of orthodontics procedures by service (CareCredit data). Becker's Dental Review. October 21, 2022.
- Average cost of orthodontic treatments in 2024 (CareCredit data). Becker's Dental Review. September 25, 2024.
- Invisalign insurance and payment options (citing OrthoFi data for 2021). Align Technology, maker of Invisalign. Accessed October 12, 2026; OrthoFi data on file January 19, 2023.
Figures are national averages or ranges from these sources. Estimates from our calculator are a model, explained on how we get our numbers.