Adult Orthodontics Flashcards
What is the age range for an adult orthodontic patient?
18 years and above
What are the major indications for adult orthodontic treatment?
- Dissatisfaction with facial/dental aesthetics
- Adjunctive orthodontic treatment
- Retreatment of previously failed orthodontic treatment
- Combined orthodontic/surgical treatment
- Treatment of snoring and obstructive sleep apnoea
What percentage of cases seen in LUTH were adults according to a study by daCosta and Utomi?
30.7%
What are major contraindications to orthodontic treatment?
- Severe skeletal discrepancies
- Systemic or advanced local diseases
- History of treatment with bisphosphonates
- Severe alveolar bone loss
- Questionable prognostic stability
- Lack of patient interest or motivation
What psychosocial factors should be considered in adult orthodontic treatment?
- Expectations and attitude of adult patients
- Treatment motivation and cooperation
True or False: Adults have lower treatment expectations than children.
False
What biological considerations are unique to adult orthodontic patients?
- Lack of growth potential
- Vulnerability to root resorption
- Aging of tissues
- Vulnerability to TMD
What is a significant risk associated with previous orthodontic treatment in adults?
Root resorption tends to double
What type of appliances are not an option for adults compared to adolescents?
Myofunctional appliances
What is the recommended activation period for orthodontic tooth movement in adults?
3-6 weeks
What should be done before commencing orthodontic treatment in adults?
A full periodontal evaluation
What aesthetic treatment options do adults often prefer?
- Ceramic brackets
- Lingual appliance systems
- Clear aligners
What is a common restorative consideration for adult orthodontic patients?
Most adults have restorations that may affect placement of orthodontic attachments
Fill in the blank: High relapse tendencies are reported in adults in contrast to _______.
[adolescents]
What type of retention is frequently recommended for periodontally compromised patients?
Permanent retention using multistrand wires
