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Difference between Adult Orthodontics Treatment to that
of Children and Adolescents
Adults are not growing and may have experienced some
breakdown or loss of their teeth and bone that supports
the teeth. Orthodontic treatment may then be only a
part of the patient's overall treatment plan. Close
coordination may be required between the orthodontist,
oral surgeon, periodontist, endodontist and family dentist
to assure that a complicated adult orthodontic problem
is managed well and complements all other areas of the
patient's treatment needs. Below are the most common
characteristics that can cause adult treatment to differ
from treatment for children.
No
Jaw Growth |
| Jaw
problems can usually be managed well
in a growing child with an orthopedic,
growth-modifying appliance. However,
the same problem for an adult may require
jaw surgery. For example, if an adult's
lower jaw is too short to match properly
with the upper jaw, a severe bite problem
may result. The limited amount that
the teeth can be moved with braces alone
may not correct this bite problem. Bringing
the lower teeth forward into a proper
bite relationship could require jaw
surgery, which would lengthen the lower
jaw and bring the lower teeth forward
into the proper bite. Other jaw-width
or jaw-length discrepancies between
the upper and lower jaws might also
require surgery for bite correction
if tooth movement alone cannot correct
the bite. |
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Gum or Bone Loss
Periodontal Breakdown
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| Adults
are more likely to have experienced
damage or loss of the gum and bone supporting
their teeth (periodontal disease). Special
treatment by the patient's dentist or
a periodontist may be necessary before,
during and/or after orthodontic treatment.
Bone loss can also limit the amount
and direction of tooth movement that
is advisable |
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Worn,
Damaged or
Missing Teeth |
Worn,
damaged or missing teeth can make orthodontic
treatment more difficult, but more important
for the patient to have. Teeth may gradually
wear and move into positions where they
can be restored only after precise orthodontic
movement. Damaged or broken teeth may
not look good or function well even
after orthodontic treatment unless they
are carefully restored by the patient's
dentist. Missing teeth that are not
replaced often cause progressive tipping
and drifting of other teeth, which worsens
the bite, increases the potential for
periodontal problems and makes any treatment
more difficult.
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