Is there anything special about adult orthodontic treatment?
Yes, the jaw structure of adults is no longer growing which limits correction of certain types of bite problems. Additionally, adults are more at risk for periodontal problems and adults have more missing and damaged teeth. However, adult orthodontic patients cooperate better than their adolescent counter-parts and as a result their time in orthodontic treatment is frequently shorter.
“Before and after “ photos below are patients who were treated by Drs. Musich and Busch.
Missing posterior teeth
- Loss of molars and congentially absent posterior teeth contribute to jaw “over closure”
- The most predictable correction is accomplished through:
- Reversal of the “bite collapse” with tooth movement (orthodontic treatment)
- Periodontal re-evaluation of tissue response
- Reopen spaces in preparation for restoration
- Stabilization with tooth replacement—implant if possible to preserve bone and to reduce crown preparation
Interdisciplinary dentofacial therapy (IDT)
80% of adult patients require involvement of more than one dental specialty provider to accomplish treatment objectives.
- Tooth loss and wear allow dental migration
- Dental arch collapse requires “reversal” (uprighting) through orthodontic treatment
- Restored function, health and esthetics are achieved
Tooth size / jaw size discrepancies
- In some cases, “strategic extractions” are required to align teeth and optimize bite
- Treatment of crowding has as favorable a prognosis for adults as it does for adolescents
Congenital absence / traumatic loss
- Optimal replacement frequently requires space modification and re-angulation of roots
- The implant (root) is placed when adequate room is available to allow for bone integration to occur
- Crown (cap) placement usually occurs approximately 4 months after implant placement