Adult Orthodontics in orthodontics .pptx

orthodontics

1. Adult Orthodontics By YOUSEF ADEL MOHAMED WAHBA BDS,2016, Faculty of Dentistry, Alexandria University Dentist at Ministry of Health

2. Contents Reasons for increased number of adult orthodontic patients . Differences between orthodontic treatment of adolescents and adults . Goals of adult orthodontic treatment . Types of orthodontic treatment in adults . Which orthodontic records are necessary for proper diagnosis and treatment planning of the adult orthodontic patient ? Sequence of adult treatment . Considerations and limitations in planning treatment for adult orthodon tic patients . Adjunctive versus comprehensive treatment for adults . Procedures of adjunctive orthodontic treatment . When should orthognathic surgery be considered for the adult patient?

3. Reasons for increased number of adult orthodontic patients. Differences between orthodontic treatment of adolescents and adults. Goals of adult orthodontic treatment . Types of orthodontic treatment in adults. Which orthodontic records are necessary for proper diagnosis and treatment planning of the adult orthodontic patient? Sequence of adult treatment. Considerations and limitations in planning treatment for adult orthodon tic patients. Adjunctive versus comprehensive treatment for adults. Procedures of adjunctive orthodontic treatment. When should orthognathic surgery be considered for the adult patient? Contents

4. Reasons for increased number of adult orthodontic patients: 1) Improvements in material research such as ceramic brackets and tooth colored wires. 2) Availability of esthetic treatment options like lingual orthodontics and clear aligners. 3) More successful management of symptoms associated with temporomandibular joint (TMI ) dysfunction . 4) More effective management of skeletal malocclusion using advanced orthognathic surgical techniques . 5) Increased desire of patients and restorative dentists for treatment of dental problems using tooth movement and fixed prostheses rather than removable restorations . 6) Reduced susceptibility for periodontal breakdown as a result of improved toothrelationship and occlusal function . 7) Greater awareness of health and esthetic concerns . 8) Role of family dentist, media, and visual aids . 9) Improved socioeconomic status.

5. Contents Reasons for increased number of adult orthodontic patients. Differences between orthodontic treatment of adolescents and adults . Goals of adult orthodontic treatment . Types of orthodontic treatment in adults. Which orthodontic records are necessary for proper diagnosis and treatment planning of the adult orthodontic patient? Sequence of adult treatment. Considerations and limitations in planning treatment for adult orthodon tic patients. Adjunctive versus comprehensive treatment for adults. Procedures of adjunctive orthodontic treatment. When should orthognathic surgery be considered for the adult patient?

6. Differences between orthodontic treatment of adolescents and adults: 1. In children and adolescent amount and direction of growth determines treatment plan. In adults no significant residual growth to take its advantage So , patients with skeletal discrepancy will undergo orthognathic surgery or to accept less perfect camouflage treatment . 2. Adults are more concerned with esthetics than children and adolescents. They usually need esthetic appliances, such as lingual appliances , clear aligners, and ceramic or tooth-colored brackets . 3. Different degrees of periodontitis are more common in adults So it is important to control any existing periodontal disease before starting treatment . 4. Less vascularity in adults causes slower bone and tissue turnover could affect duration of orthodontic therapy . 5. Adults have a high incidence of missing permanent teeth. especially in posterior region so anchorage considerations become more important.

7. 6. Adult orthodontic treatment is usually initiated by the general dentist requesting establishment of occlusal harmony. 7. Require a different approach for retention due to lack of long-term stability, resulting from periodontal problems. 8. Increased incidence of temporomandibular joint (TMI) disorders in adults which should be carefully evaluated before initiating any orthodontic treatment. 9. Chronic systemic problems more common in older patients so should be taken in consideration because have a significant effect on bone turnover. 10. Orthodontic tooth movement is affected by some drugs used primarily by adults, e.g. some potent prostaglandin inhibitors used for arthritis. Also, inhibitors of bone resorption used to treat osteoporosis may also impede tooth movement. 11. Most adults require a multidisciplinary treatment plan in which orthodontist must work together with periodontist, oral and maxillofacial surgeon, and restorative dentist to give the best outcome and adequately restore esthetics and function. Space regaining in posterior region and achieving parallelism of abutment teeth, molar uprighting or intrusion might be necessary to facilitate prosthetic replacement of missing teeth.

8. Contents Reasons for increased number of adult orthodontic patients. Differences between orthodontic treatment of adolescents and adults. Goals of adult orthodontic treatment. Types of orthodontic treatment in adults. Which orthodontic records are necessary for proper diagnosis and treatment planning of the adult orthodontic patient? Sequence of adult treatment. Considerations and limitations in planning treatment for adult orthodon tic patients. Adjunctive versus comprehensive treatment for adults. Procedures of adjunctive orthodontic treatment. When should orthognathic surgery be considered for the adult patient?

9. Goals of adult orthodontic treatment: The objectives of adult orthodontic treatment are : 1) To achieve improved function, stability, and esthetics. 2) To eliminate occlusal interferences and trauma →reduce tooth mobility and promote periodontal healing. 3) To establish proper tooth position improve the plane of occlusion for prosthetic rehabilitation. 4) To obtain better bone and gingival architecture. 5) To achieve harmony between teeth and TMJ function. 6) To address the patient's chief complaint which is usually related to dental and facial esthetics.