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The Challenges Faced in Adult Orthodontics


Posted on 3/15/2024 by Weo Admin
Woman smiling with bracesWhile modern techniques have made orthodontic corrections possible at any age, adults considering realigning their smiles face greater obstacles than youth in treatment. However, identifying these challenges at the outset allows us to inform and equip patients for the most successful experience properly.

Diminished Biological Response


Orthodontia relies on the gradual application of light pressures to stimulate the biological remodeling of bone and periodontal ligaments surrounding each tooth. This tissue response enables measured tooth migration to new positions over time. In adulthood, however, metabolic activity slows, including reduced cell turnover rates, microcirculation, and healing reserves, which translates to reduced physiological responses to orthodontic forces. The aging process demands longer treatment timeframes as biological dynamics do not facilitate the same movement speed as in childhood and adolescent cases. Realistic expectations prevent discouragement over extended timelines.

Greater Root Resorption Risks


A known adverse effect is that orthodontic movement can sometimes break down root structure, causing minor shortening or blunting called apical root resorption. Younger patients undergoing correction when roots remain in development rarely suffer significant resorption impacts. However, fully matured adult root structures prove more difficult.

Resorption can be prevented by applying gentle forces that are carefully calibrated to avoid overwhelming specific areas. However, there are still risks associated with anatomical factors like abnormal root anatomy or slender dimensions. Early detection through 3D radiography enables us to reassess treatment strategies and minimize stress on susceptible areas whenever possible.

Higher Prevalence of Restorations


Adult cases often involve aged dental materials from past restorative care, like fillings, sealants, onlays, and crowns, which are either defective or complicating progress. A comprehensive assessment helps determine whether restoration serviceability impedes results or requires replacement coordination with other specialties mid-treatment. We note these anatomical obstacles early when planning appliances and mechanics.

Committed Partnership


While adult orthodontics makes unique demands, understanding the physiological factors at play combats discouragement if timelines exceed expectations. A committed doctor-patient partnership focused on managing adult-specific challenges and treatment needs paves the way for ultimately successful, life-enhancing outcomes at any age. Let us embark on your transformation together!
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