ADULT ORTHODONTICS
Keywords:
adult orthodontics, orthodontic movement in adultsAbstract
Orthodontics is a complete discipline and "it does not matter if the patient is young or old".Adult
orthodontics deals with achieving a balance between achieving optimal proximal and occlusal tooth contact,
acceptable dentofacial aesthetics, normal function and reasonable stability. The paper provides important
information and a systematic overview of most common health problems in adult patients as diabetes, hypertension,
TMJ disorders, osteoporosis, osteopenia. Adults have greater chances of caries and periodontal problems and have
absence of growth, so growth modification is not a treatment option. The movement of the teeth in adults is more
difficult than in young patients. The initial response of orthodontic force is slower in adults because the cellular
response is delayed. The article focuses on biomechanics of orthodontic treatment in adults.Orthodontic forces used
in the treatment of adults should be weaker than in children..The initial forces should further be kept low. Tooth
extrusion should be avoided as there is no compensatory growth of the ramus. Adjunctive, comprehensive and
surgical-orthodontic treatment are presented in this study. Adult orthodontic treatment objectives are analyzed and
described in detail.The article focuses on periodontal aspects of orthodontic treatment in adults. The main problem
of adult during orthodontic treatment are bone loss and gingival recession.Potential benefits of orthodontic treatment
are presented in this study. Orthodontic treatment can be justified as part of periodontal therapy if used to reduce
plaque accumulation, correct abnormal gingival and bony shapes, improve aesthetics, and facilitate prosthetic
rehabilitation.Evaluation and maintenance of periodontal health before, during and after orthodontic treatment is
very important.
References
Abdulrazzaq AT.(2018). Iatrogenic effects of orthodontic treatment: decision-making in diagnosis, treatment, and modalities of prevention. EC Dental Science.17:326-35.
Ackerman J L(1978) The challenge of adult orthodontics.J Clin Orthod. Jan;12(1):43-7.
Arnelt W, McLaughlin R.(2004). Overview, treatment goals re-stated. In: Facial and Dental Planning for Orthodontists and Oral Surgeons, pp. 2–3, St Louis, MO: Mosby/Elsevier.
Bagga DK.(2009) Limitations in adult orthodontics: a review. J Oral Health Comm Dent ;3(3):52–55.
Bishara SE. (2001).Textbook of orthodontics. WB Saunders Co.
Boyd RL, Leggot PJ, Quinn RS, Eakle WS, Chambers DW.(1989) Periodontal implications of orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am J Orthod Dentofacial Orthop;96:191–8.
Daniel SS, Laxmi CB, Harshitha V, Mithun K, Sorake A.(2018).Drugs in orthodontics: A review. Ind J Forensic Med Toxicol.12(3). Doi: 10.5958/0973-9130.2018.00131.7.
Del Santo M.(2012). Periodontium and orthodontic implications: clinical applications. Int J Stomatol Res;1(3):17–23.
Elliasson LA, Hugoson A, Kurol J, Siwe H.(1982) The effects of orthodontic treatment on periodontal tissues in patients with reduced periodontal support. Eur J Orthod;4:1–9.
Fastlicht J. (1982) Adult orthodontics. J Clin Orthod,16:606–18
Gebeile-Chauty S, Gay-Brevet K.Orthod Fr. (2011).Specific aspects of diagnosis. Psychological approach and motivation.Mar;82(1):23-6
Graber:, (2005). Orthodontics, Current principles & techniques. Elsevier Inc
Graber TM, Vanarsdall RTL, Vig KWL.(2012). Orthodontic: Current Principles and Technique, 4th ed., pp. 937–85;
Kalia S, Melsen B.(2001) Interdisciplinary approaches to adult orthodontic care. J Orthod; 28(3): 191- 196.
Kharbanda O.P.(2013) Orthodontics: Diagnosis and Management of Malocclusion and Dentofacial Deformities, 2nd ed., Elsevier.
Littlewood SJ, Kandasamy S, Huang G.(2017). Retention, and relapse in clinical practice. Aust Dent J.62 Suppl 1:51-57.
Meeran NA, Madhuri, Parveen J (2011). The scope and limitations of adult orthodontics. Indian J Multidiscip Dent;2(1):383–7.
Melsen B. (1991).Limitations in Adult Orthodontics.In: Melsen B(ed).Current Controversies in Orthodontics. Quintessence Publishing Co., pp. 147–80.
Melsen B.(2012) Adult orthodontics. Denmark: John Wiley & Sons.
Moresca R.(2018). Orthodontic treatment time: Can it be shortened? Dental Press J Orthod.23(6):90-105.
Ong M A Wang HL.(2002) Periodontic and orthodontic treatment in adults.Am J Orthod Dentofacial Orthop;122:420–8.
Ong MA, Wang HL, Smith FN.(1998) Interrelationships between periodontics and adult orthodontics. J Clin Periodontol ;25:271-277
Pabari S, Mole DR, Cunningham SJ.(2011) Assessment of motivation and psychological characteristics of adult orthodontic patients. Am J Orthod Dentofacial Orthop ;140(6):e263–72.
Profitt (2007).Contemporary orthodontics .St Louis:CV Mosby
Sabri R.(2021).Multidisciplinary management of permanent first molar extractions. Am J Orthod Dentofacial Orthop.159(5):682-92.
Savana K, Ansari A, Hamsa R, Kumar M, Jain A, Singh A.(2014). Interdisciplinary therapy in orthodontics: an overview. Int J Advanced Health Sci 1(5):23–31.
Seema G, Somesh G, Deepak A. (2001) Psychological aspects of orthodontic treatment. J Indian Orthod Soc ;34:92- 4.
Slavnic S, Marcusson A.(2010) Duration of orthodontic treatment in conjunction with orthognathic surgery. Swed Dent J;34(3):159–166. ISSN 0347-9994.
Subhiksha KC, Saravanan,Sabapthye K.(2020) Limitations in Adult Orthodontics. European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 7, Issue 4.
Subi Singh et al.(2022).Orthodontic Limitations in Adults: A Review Journal of Clinical and Diagnostic Research. Feb, Vol-16(2)
Vanarsdall RL, Musich DR.(2005). Adult orthodontics: Diagnosis and treatment. In: Graber TM, Vanarsdall RL, Vig KWL (eds). Orthodontics: Current principles and techniques. 4th edition, St Louis: Mosby: 937-992.
Valarelli FP.( 2017) Treatment of a Class II malocclusion with deep overbite in an adult patient using intermaxillary elastics and spee curve controlling with reverse and accentuated archwires. Contemp Clin Dent.8(4):672-78
