It is not uncommon to see patients with this dental relationship to have a history of accidents involving the bottom of pools, tarmac, trampolines or even during friendly tussles with siblings. The lower front teeth can also sometimes over-erupt and damage the gum behind the top front teeth. The treatment for this type of bite can often commence during a specific time in a child’s growth (sometimes before all the adult teeth are through), which is why it is important for children to see an orthodontist at an early age. If appropriate, early treatment of these cases can often result in definitive treatment being made simpler and can also sometimes eliminate the need to extract adult teeth later on. However, extremely severe cases may require the consideration of combining orthodontic treatment with jaw surgery.