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Adult orthodontics part 1: special considerations in treatment

From Volume 7, Issue 3, July 2014 | Pages 89-92

Authors

Alastair Gardner

Glasgow Dental Hospital

Articles by Alastair Gardner

Abstract

Adult orthodontic demand in the UK has increased significantly in both private and National Health Service sectors, the reason being improvement in the availability of orthodontic services and an increased patient awareness towards orthodontics; in particular the desire for adults to have an aesthetic smile. There is also the role of orthodontics as an adjunct to restorative, periodontal and orthognathic treatment.

Clinical Relevance: Successful orthodontic treatment of adults depends on an understanding of the biological, mechanical, psychological and aesthetic needs of adult patients.

Article

The demand for adult orthodontic treatment has increased during the last two decades. The reasons are most likely an improvement in the availability and accessibility of orthodontic services as well as an increased patient awareness. It has been reported in the USA that up to 25% of orthodontic patients are adults.1 A Swedish survey by Salonen et al2 showed that the prevalence of malocclusion, in the 920 surveyed adults aged more then 20 years, ranged from 17–53%. However, only 5% requested orthodontic treatment. Another study, in Holland, reported similar findings.3 In the UK, the major orthodontic traits in adults seeking treatment were mal-alignment of the lower/upper arch and Class III malocclusion, while 90% of adult orthodontic treatments were provided using fixed appliances.4

More people are keeping their teeth longer owing to the improvement of the dental health services and awareness leading to an increase in the demand for orthodontic treatment for aesthetic reasons and also as adjunctive treatment to a restorative and/or periodontal treatment plans. Another reason for the increase in demand for adult orthodontics is recent advances in the treatment modalities which have been developed to address the desire for aesthetic treatment. These methods will be discussed in detail in the second part of this review.

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