Adult orthodontics

Question 1

4 reasons why adults seek orthodontic treatment?

Answer 1

• Improve dental appearance
• Facilitate restorative treatment
• After periodontal drifting of teeth due to perio disease
• Part of orthognathic surgery

Question 2

How can adult orthodontics be different to children orthodontics ? Give 5 points

Answer 2

• Lack of growth
• Periodontal disease
• Missing and heavily restored teeth
• Physiological factors
• Motivation of adult

Question 3

How would you expand maxillary base in adults?

Answer 3

With surgery as midpalatal suture is closed

Question 4

Why periodontal treatment should be done before orthodontics in adults?

Answer 4

• because periodontal disease can reduce the anchorage value and the centre of rotation moves apically

Question 5

How can missing teeth and restoration complicate orthodontic treatment in adults?

Answer 5

• Tooth loss may lead to drifting and tilting
• can complicate bonding

Question 6

3 situations where orthodontic treatment would facilitate restorative treatment in adults?

Answer 6

• Upright abutements to aid restoration (bridges)
• Intrusion of over erupted teeth
• Extrusion to increase crown length