Orthodontics for Adults

Orthodontics for Adults

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Adult Orthodontics

Although a large proportion of orthodontics is performed on teenagers, adult orthodontics is becoming popular due to the use of aesthetic appliances. 

When we age, the smile and face can change like the rest of our body. The front teeth can become more irregular and mild crowding can occur. Some adults may not have had the opportunity for orthodontic treatment during adolescent years. 

A large group of adult patients have severe jaw discrepancies. These patients have to wait until maturity before considering orthodontics and jaw surgery. Examples are Class III - protrusive lower jaw – with anterior cross bite, or Class II - retrusive lower jaw and protruding upper incisors. A small number of adults have had full braces in teenage years, and have minor teeth movement and would like minor alignment. This can be performed with clear aligner treatment or lingual braces. 

Some adults have lost teeth due to severe decay or trauma, requiring orthodontics to prepare their mouth to have dental implants, crowns and bridges. 

Usually, adults prefer clear braces, lingual braces or clear aligners. Each system has their pros and cons. Again, an individualised approach is important to the selection of the most suitable appliance in terms of precision, quality of finish, speed and cost. 

Orthognathic Surgery

When the jaw bones do not match, it can affect the facial appearance, the bite and function e.g., chewing, speech, swallowing and breathing. In general, minor jaw irregularities can be camouflaged with conventional orthodontics alone. However, in severe jaw irregularities, repositioning the jaw bones with surgery is often indicated along with orthodontics to create the most desirable aesthetic and functional result.

Clear Aligners

This is a series of clear aligners designed to move teeth a little at a time.

Pros
  • Good aesthetics
  • Invisible, no-braces look
  • Can be removed
  • Easy to brush teeth
  • Less risk of decay and gum infections
Cons
  • Less effective for complex tooth movement
  • Maybe more costly than conventional braces
  • Takes longer for tooth movement compared to braces
  • Need to wear >20 hours/day, otherwise poor result
These can be used in combination with normal or Lingual braces, expansion to maximise the benefit. They are made from 3 SHAPE scan, i.e., no impressions. They are custom-designed and planned by orthodontist via SURESMILE/ELEMETRIX digital tech.
A tool used as orthodontics treatment for adults in Nunwading

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