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Many people get braces as a child or teenager to straighten their permanent teeth. However, over time, the teeth can move back into their original positions, resulting in crooked teeth again. This is especially true if you do not regularly wear a retainer, which is a device that keeps your teeth in alignment after treatment.
Due to these issues, many adults invest in another round of orthodontic treatment if they have a bad bite and/or crooked teeth that get worse with age. On the other hand, other people may be undergoing treatment for the first time.
One in five orthodontic patients is an adult. The main reason adults seek treatment is to improve their smile and boost their confidence. Proper teeth alignment also contributes to your overall health and well-being.American Association of Orthodontists
Adults of any age can get braces or aligners. Some adults also seek treatment to realign their teeth after the placement of dental crowns, implants, or veneers. Additionally, if you have any of the following misalignment issues, you may be a candidate for orthodontic treatment as an adult:
The most common age group that receives orthodontic treatment is children between 10 and 14 years of age. This is because all of their permanent teeth have grown in. Any dental crowding and bite or alignment issues are also evident during the teenage years, making it an ideal time to get braces. Many of these children also get their braces on and off before high school begins.
The main difference between adult and childhood orthodontics is that there are fewer treatment options available. For example, getting braces as a child or teenager allows for the use of other devices, if necessary. These devices include headgear, space maintainers, and palatal expanders. Adults are unable to use these devices because their jaws are fully developed, whereas a child's jaw is still growing.
Depending on your needs and desires, your orthodontist may recommend any of the following treatments:
Traditional metal braces are an affordable and effective treatment option. Metal braces fix severe or mild teeth crowding, most bite issues, and spaced teeth, among others. The brackets on metal braces are gold or silver, with o-shaped rubber bands that tie around each one. Traditional braces are also durable, strong, and can withstand most treatment forces.
Traditional metal braces are common among children and teens. Adults can also get them if they do not mind having visible brackets on their teeth for a long period of time.
Ceramic braces, which are often called "clear braces," are similar to traditional metal braces because they have the same functionality. They are also the same size and shape as metal braces.
However, ceramic braces consist of archwires and tooth-colored brackets, rather than silver or gold brackets. The o-shaped rubber bands around each bracket are also clear or white. This allows them to blend in better with your natural teeth.
While clear braces are still visible, many adults and teenagers prefer them over metal braces because they are more aesthetically pleasing.
Lingual braces are also metal braces. However, instead of attaching to the front of your teeth, they are placed on the back of your teeth. They are the least visible form of metal braces but can be more uncomfortable since they are closer to your tongue.
Clear aligners are a relatively new and popular form of orthodontic treatment. Invisalign is the most widely-known and reputable brand. These aligners are a great option for younger and older adults because they are nearly invisible and removable. In other words, you will not have metal brackets and wires glued to your teeth.
Although there are many benefits of clear aligners, the main disadvantage is that they require upkeep. More specifically, you must remember to wear them for at least 22 hours per day. You'll also receive a new set of aligners every one to two weeks.
It is essential to purchase clear aligners from a qualified orthodontist, not through remote websites. This ensures you get the safest and highest quality treatment available.
If the clear aligner treatment is being performed by a dentist or orthodontist, they will see the patient regularly throughout treatment to monitor tooth movement. Invisalign patients must visit their orthodontist every six weeks (every three aligners). People with braces will also visit their orthodontist regularly for check-ups and adjustments.
Aligners are also virtually invisible, removable, and easier to clean than braces. Traditional, lingual, and ceramic braces are difficult to clean, eat with, and are not as comfortable (for some people). Lastly, metal braces are also less aesthetically pleasing than aligners because they are not removable or "invisible."
On average, clear aligner treatment takes between 12 and 18 months. Braces must be worn for 18 months to two years.
There are many benefits of adult braces. The primary advantages include:
You should not seek orthodontic treatment if you have untreated gum disease. This is because there is a high chance treatment will be ineffective, especially if the supporting structures of your teeth are damaged. If this is the case, braces and aligners may actually cause more damage.
Braces cost anywhere between $2500-$8000, whereas clear aligners cost anywhere between $3500-$8000. The cost typically depends on the length of treatment, the type of braces, and where you live.
In many cases, insurance does not cover orthodontic treatment for adults, but payment plans may be available through your orthodontist.
However, some plans do provide adult orthodontic benefits, which can be applied to any of the types of orthodontic treatment above. Check with your insurance carrier to find out which benefits your current plan provides.
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NGUYEN, DDS MARK K. ART OF SMILE DESIGN. ARCHWAY Publishing, 2018.
Proffit, William R., et al. Contemporary Orthodontics. Elsevier/Mosby, 2019.
Willmot, Derrick. “Orthodontic Treatment and the Compromised Periodontal Patient.” European Journal of Dentistry, Dental Investigations Society, Jan. 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2633146/.