Adult Orthodontics Flashcards
Why do ADULTS seek ortho tx?
Improve dental appearance
- refused tx as child
- lack of opportunity
- unhappy with previous tx/relapse
whats the main differences between children and adult orthodontic tx?
- lack of growth
- periodontal disease
- missing/heavily restored teeth
- physiological factors
- adult motivation
what are the sort of restrictions when it comes to GROWTH in adults orthodontics?
- Adults (Non-growing anymore)
- Growth modifications NOT possible (accept skeletal discrepancy OR surgery)
- Overbite correction more difficult
- midpalatal suture closed
whats the issue of periodontal tissues in adults in regards to receiving ortho tx at an older age?
- more likely to have perio disease & loss of attachment
- Careful perio assessment needed
- Active perio disease MUST be managed before ortho starts
- Loss of tooth support = tooth movement & anchorage reducing
what are PHYSIOLOGICAL factors of adult ortho?
- DECREASED cell turnover, initial movement can be SLOWER
- use LIGHTER forces
What adult motivation factors would affect ortho tx?
- often they are VERY WELL MOTIVATED - since they understand
what sort of ortho tx can also be done to AID restorative dentistry?
- Upright abutment teeth to aid restorations (crowns/bridges)
- Intrusion of OVERERUPTED teeth
- Extrusion to increase crown length
Fixed appliance treatment in a dentition with periodontal involvement
[Clinical Photos]
Orthodontic treatment ADJUNCTIVE (supplementing) orthognathic surgery
In orthodontic, does andrews 6 keys mean and what is each one?
Andrews 6 keys = Ideal treatment goals
- Flat occlusal plane/Slight curve of spee
- Class I incisors
- Class I molar
- Correct crown inclination
- Correct crown angulation
- Tight contacts with NO rotations
what are examples of short term orthodontics?
- clear aligners
- Six month smile
