Adult Orthodontics

Question 1

name 3 key differences between adults and children receiving orthodontic treatment

Answer 1

lack of growth
increased motivation
may have missing/ heavily restored teeth
periodontal disease may be present

Question 2

what form of orthodontic treatment is not an option for adults

Answer 2

growth modification
either need to accept skeletal discrepancy or surgery
overbite correction also more difficult

Question 3

how does periodontal disease affect anchorage

Answer 3

anchorage value of tooth reduces
e.g molar with only 50% bone support may move more when used as anchorage compared to a molar with full support

Question 4

does periodontal disease mean a patient cant have orthodontic treatment

Answer 4

active periodontal disease does
previous periodontal disease that is now stable can be treated with ortho

Question 5

what implication do heavily restored teeth have on orthodontic treatment

Answer 5

restorations can complicate bonding of brackets
RCT is okay as long as well obturated and symptomless

Question 6

why might orthodontic treatment take longer in adults

Answer 6

decreased cell turnover - initial movement can be slower

Question 7

name 3 specialities orthodontics may be done in conjunction with

Answer 7

restorative
perio
orthognathic surgery

Question 8

what teeth are ceramic brackets not recommended for and why

Answer 8

lower anteriors - can cause toothwear as ceramic is harder than enamel