With ever-increasing desire to look picture perfect and beautiful, the demand of braces in adults is increasing with every day. People nowadays are very conscious of how they look and especially very particular about their facial appearance and smile. Gone are the days when it used to be considered that braces can be used only in young children and you cannot have braces when you grow up.
Treating a patient at early age when dentofacial growth is active has numerous benefits such as scope for growth modification, scope for prevention and interception of developing occlusssal problems and harnessing natural growth forces in a young child compared to an adult. Also the treatment carried out at an early age avoids psychological disturbances as a result of coping with full fledged malocclusion.
Orthodontic Treatment carried out during adolescence or still later in an adult has certain drawbacks like the treatment carried out in in adult patients cannot make use of growth potential. At the same time, most skeletal malocclusion indicated for orthognathic surgery are to be treated after growth completion so as avoid recurrent growth changes associated with continuation of abnormal growth pattern. The treatment options in adults are limited to moving teeth and surgery.
Young patient exhibits increased vascularity and cellularity of the periodontal membrane and bone as compared to older patient. Patients of younger age are hence more responsive to orthodontic force, which makes it possible to move teeth faster. Most of the orthodontic corrections are effectively carried out during the growth period. Due to this fact that younger growing patient react more favorably to treatment. It is nevertheless possible to move teeth in older patient by altering the force magnitude and duration. As adult exhibits greater density of bone, orthodontic tooth movement is much slower.
There are various reasons for increase in adult patients demanding braces because of Improved appliance design and placement techniques, Innovations in material research such as ceramic brackets & tooth coloured wires and management of skeletal dysplasias with advanced orthognathic surgical techniques.
INDICATIONS FOR ADULT ORTHODONTICS ARE to improve tooth periodontal tissue relationship, to improve spaces to provide normal tooth-to-tooth contact and to satisfy the esthetic desire.
CONTRAINDICATIONS FOR ADULT ORTHODONTICS are Local and systemic diseases, Alveolar bone loss, Poor prognosis and lack of patient motivation.