Studies have shown that an aesthetic smile improves quality of life and boosts self-confidence. In most cases, orthodontic treatment is possible up to the age of 120 (at least…), following a thorough preliminary diagnosis, consideration of associated conditions and medical background, detailed explanations, and provision of aesthetic solutions.

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Why are more and more adults undergoing orthodontic treatments?

If, years ago, the typical orthodontic patient was usually a child or teenager, today, adults account for up to 50% of orthodontic patients. This trend is part of the pursuit of quality of life and uncompromising aesthetics at any age, a trend often referred to as "Wellness." It reflects a lifestyle aimed at achieving physical and mental balance, enjoying a full and happy life through activities such as sports, education, travel, or aesthetic enhancements. Adults now understand that there is no need to give up on improving their appearance and that solutions exist for straightening teeth, providing excellent results with minimal effort using nearly invisible appliances.

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When is it recommended for adults to seek an orthodontic consultation?

1. Long-desired teeth straightening that was never performed for various reasons (“I’ve always dreamed of straightening my teeth”).

2. Orthodontic treatment was completed in the past, but the result was unsatisfactory (“I wasn’t happy with the outcome from the start”).

3. The results of a previous treatment did not last, and the situation has partially or fully returned to its original state (“Over time, the problem reappeared”).

4. A specific tooth is misaligned and negatively affects the aesthetics of the smile (“If I could just fix this one tooth, my smile would look so much better”).

5. Orthodontic treatment is required as a preliminary step for dental rehabilitation (“I need a dental implant to replace a missing tooth, but it can’t be done because the adjacent teeth are misaligned and block the placement of the crown”).

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Why has orthodontic treatment for adults become more popular in recent years?

1. Advancements in orthodontic knowledge allow for shorter, more focused treatments compared to the past.

2. Improvements in orthodontic devices and the introduction of aesthetic and convenient methods, such as clear aligners, make treatment accessible even for those who prefer their appliances to remain unnoticed.

3. The understanding that straight teeth enable better hygiene, which significantly contributes to dental and periodontal health.

4. The emphasis on aesthetic trends in all areas of life encourages treatments that enhance quality of life.

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Is there a difference between orthodontic treatment for children/teenagers and adults?

There are several differences between teenagers and adults when it comes to orthodontics:

• Teeth can move at any age, but the rate of movement is generally slower in adults, so treatments may take longer compared to identical cases in children.

• After growth is complete, certain treatments aimed at encouraging or inhibiting jaw growth become impossible.

• Adults are more likely to have periodontal diseases, which may limit certain orthodontic treatments.

• Adults often have a greater demand for aesthetics during treatment, not just afterward. Typically, adults prefer discreet orthodontic appliances. Therefore, selecting a treatment that combines effective orthodontic results with excellent aesthetics is crucial. Clear aligners are an excellent tool for these needs, offering a solution that is aesthetic, precise, comfortable, and allows for maintaining excellent hygiene during treatment.

• For these reasons, precise diagnosis and the formulation of an accurate treatment plan are even more critical for adults.

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How do adults adapt to orthodontic treatment?

From my experience, most adults who choose orthodontic treatment adjust extremely well.

• In the first few days, patients experience mild discomfort, which is natural and results from the biological process of tooth movement.

• Usually, this discomfort subsides within a few days.

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Are there medical conditions that affect orthodontic treatment?

Certain medical conditions and medications can influence orthodontic treatment, potentially requiring adjustments or even preventing treatment altogether.

1. Periodontal diseases: Pre-existing gum diseases must be considered, as orthodontic treatment may worsen the condition in some cases.

2. Root resorption: This is one of the side effects of orthodontic treatments. It involves a shortening of the roots of one or more teeth. Monitoring this condition during treatment is essential, and it should be addressed if it occurs. Additionally, certain root shapes or previously resorbed roots (due to prior orthodontic treatment) are at greater risk of resorption.

3. Medications: Certain medications affect orthodontic tooth movement. Some slow it down, while others accelerate it. It is crucial to provide complete information about any medications being taken before starting orthodontic treatment. Common medications that influence treatment include steroids, thyroxine, estrogen (birth control pills), and bisphosphonates (used to treat osteoporosis).

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Is retention necessary after completing orthodontic treatment for adults?

Retention is required at the end of any orthodontic treatment to minimize the likelihood of teeth shifting later on.

• Sometimes, due to a reduction in the bone supporting the teeth (common in adults), there is an increased tendency for teeth to shift, emphasizing the importance of retention.

• Retention can be done with a fixed retainer, a removable retainer, or both:

  • Fixed retainer: A thin metal wire bonded to the inner surface of the front teeth, holding them together as a single unit. It is invisible and highly effective.

  • Removable retainer: A thin, transparent plastic tray that the patient can put on and take off independently.