Tooth extraction Issues are common in adults. One or more missing teeth in most adults present a problem for the orthodontist. Old gap sites may not be suitable locations for teeth to move into, unless some type of restoration is done first – like adding sections of prosthetic bone to the site. Another difficult issue is closing gaps between the teeth, and keeping them closed. That’s because adult bone doesn’t respond to pressure in the same way as growing bone.
Appliance placement can present challenges to oral hygiene. Many orthodontic appliances are bonded to the teeth using dental cement, particularly for less visible options such as lingual braces. This makes it vital for the patient to maintain strict oral hygiene during the process, using products to help prevent decalcification.
Vulnerabilities are higher in adults. Adults have a higher risk for root resorption than children, rendering the tooth with a weakened anchor to the bone. Family history, oral habits and the type of roots are risk factors. The orthodontist can watch for signs of resorption, otherwise, the situation is untreatable if not caught early. Adult patients also have a greater risk for temporomandibular disorder (TMD), and symptoms can develop during conventional orthodontic treatment. The risk must be carefully assessed.
Psychological and social factors can affect adults interested in treatment. These are higher levels of treatment expectations, concern with appearance, discomfort from wearing appliances and the willingness to cooperate with orthodontic instructions. Adult patients are more demanding – the best results, the shortest amount of time, the lowest level of discomfort. They also want to know more about what the orthodontist is doing and why, and may look for more information about the cost breakdown of each portion of treatment.
Today, orthodontists are focusing their attention on the specifics of adult orthodontics as almost 50% of their cases are adults.
Seeing More Adults for Orthodontics in Bellevue
If you’re considering orthodontics for your unique situation, we invite you to see us at our Bellevue clinic and let us help you analyze the issues that may affect you and your treatment.
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