باز آفرینی علم و هنر Dentistry & Medicine
علم امروز و هنر دیروز
چهارشنبه 14 تیر‌ماه سال 1385
Orthodontics for Adults ارتودنسی بزرگسالان
1. Is it unusual for adults to have orthodontic treatment
  • More and more adults are having orthodontic treatment to correct crooked or crowded teeth
  • Orthodontics can make the teeth more attractive and more functional, by improving jaw alignment, and correcting "the bite"
  • Improved techniques have been devised for treating adults
  • Modern orthodontic braces are less obtrusive and adults are more willing to wear them


2. Is adult orthodontic treatment successful

  • Adult orthodontics is particularly successful for correcting crowding and jaw problems
  • Healthy teeth can be moved with braces at any age
  • Very similar treatments and appliances are used for children and adults

Click to enlargeBefore Click to enlargeafter 


3. I've always had crooked teeth. Does it really matter

  •  Crooked teeth can prevent you from chewing properly, and lead to jaw joint problems
  • Improving "the bite" can make eating more efficient and comfortable
  • Crooked teeth affect your appearance and most people want to look their best at any age
  • People with unattractive teeth are often too embarrassed to smile. Orthodontic treatment enables you to smile with confidence
  • Looking better can make you feel better about yourself, and can increase your self-confidence


4. What are the most common orthodontic treatments for adults

  • Correcting crowding or crooked teeth

    Click to enlargeCrowding
  • Closing newly developed or old spaces between teeth

    Click to enlarge
    Click to enlargeTreatment Click to enlargeAfter
  • Correcting the position and alignment of teeth
    Teeth often tilt into gaps left by extractions. These teeth have to be moved into a more upright position
    This correction makes it possible to use replacement crowns, implants, fixed bridges, or removable partial dentures to replace the missing teeth
  • The photographs below explain what can be done for an adult, when the orthodontist, periodontist and prosthodontist all work together

Click to enlarge
Click to enlargeUpper crowns
Lower brace
Click to enlargeLower teeth
Click to enlarge
Final result


5. What problems could make orthodontic treatment for adults more difficult

  • Periodontal Disease
    • Adults may suffer from periodontal disease, which is a deterioration of the gums and underlying bone
    • Periodontal treatment will be necessary before the orthodontic treatment can start
  • Tooth decay
    • All dental decay should be treated before orthodontic treatment starts
    • It is less comfortable to have dental treatment after braces have been fitted
  • Abnormal jaw relationships
    • The growth of the jaws has been completed in adults, and so this treatment is not always possible
    • In children, the ongoing growth of the jaw can be directed to correct the abnormalities that are present

    Click to enlargeLower jaw
    Click to enlargeLower jaw
  • Worn down or broken teeth
    • These must be built up or restored before orthodontic treatment can start
  • Lack of commitment
    • Adult patients may find it hard to commit to long term treatment, especially to wearing braces for long periods


6. Can an orthodontist help my painful jaw muscles and joints

  • Your orthodontist or dentist will be able to diagnose the problem
  • This problem can be caused by the grinding and clenching of teeth
  • The action is unconscious and involuntary
  • The technical name for it is "bruxism"
  • Bruxism usually happens during sleep
  • It wears down the teeth, and causes stress and trauma to the jaw muscles and the teeth
  • The orthodontist will probably suggest a splint, bite plate or a nightguard to protect the teeth during sleep. This will also relax the muscles of the jaw
  • These devices should relieve and prevent the results of tooth grinding
  • The cause of the bruxism may be psychological, and may have to be treated by a suitable therapist


Click to enlargeNightguard Click to enlargeNightguard in place

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