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    William Proffit, Graber Vanarsdall

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    Harneet Kaur
    This document discusses adult orthodontics, including what it is, why interest has increased, goals of treatment, and principles and procedures. Adult orthodontics involves tooth movement to facilitate other dental work in patients over 20 years old. Interest has grown due to cosmetic appliances, awareness, and longevity. Goals include aesthetics, function, stability, and periodontal health. Treatment principles consider reduced periodontal support and force levels in adults. Procedures described are uprighting teeth, crossbite correction, forced eruption, alignment, and space closure. Examples of adult cases treated are also provided.

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    William Proffit, Graber Vanarsdall

    Uploaded by

    Harneet Kaur
    649 views23 pages
    This document discusses adult orthodontics, including what it is, why interest has increased, goals of treatment, and principles and procedures. Adult orthodontics involves tooth movement to facilitate other dental work in patients over 20 years old. Interest has grown due to cosmetic appliances, awareness, and longevity. Goals include aesthetics, function, stability, and periodontal health. Treatment principles consider reduced periodontal support and force levels in adults. Procedures described are uprighting teeth, crossbite correction, forced eruption, alignment, and space closure. Examples of adult cases treated are also provided.

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    Undergraduate orthodontic lecture

    Original Title

    Adult orthodontic_ppt

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    This document discusses adult orthodontics, including what it is, why interest has increased, goals of treatment, and principles and procedures. Adult orthodontics involves tooth movement to facilitate other dental work in patients over 20 years old. Interest has grown due to cosmetic appliances, awareness, and longevity. Goals include aesthetics, function, stability, and periodontal health. Treatment principles consider reduced periodontal support and force levels in adults. Procedures described are uprighting teeth, crossbite correction, forced eruption, alignment, and space closure. Examples of adult cases treated are also provided.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    649 views23 pages

    William Proffit, Graber Vanarsdall

    Uploaded by

    Harneet Kaur
    This document discusses adult orthodontics, including what it is, why interest has increased, goals of treatment, and principles and procedures. Adult orthodontics involves tooth movement to facilitate other dental work in patients over 20 years old. Interest has grown due to cosmetic appliances, awareness, and longevity. Goals include aesthetics, function, stability, and periodontal health. Treatment principles consider reduced periodontal support and force levels in adults. Procedures described are uprighting teeth, crossbite correction, forced eruption, alignment, and space closure. Examples of adult cases treated are also provided.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 23

    William proffit, Graber vanarsdall

    CONTENTS
    o What is adult orthodontics?
    o Why increased interest of adults in orthodontics?
    o Goals of adult orthodontic treatment.
    o Principles considerations in adult orthodontics.
    o Treatment procedure for adult orthodontics.
    WHAT IS ADULT ORTHODONTICS
    When orthodontic treatment is carried out in adults
    it is known as adult orthodontics.
    Adult orthodontic treatment usually requires
    adjunctive orthodontic procedure which by definition
    is tooth movement carried out to facilitate other
    dental procedures necessary to control disease,
    restore function and/or enhance appearance.
    Adults can be divided into 2 groups.
    Younger adults Older adults
    ( 20- early 40’s) (30 -60’s)
    Why increased interest in adult
    orthodontics.
     Availability of cosmetic appliance.
    Better management of joint dysfunction.
    Advanced orthodontic surgical techniques.
    Increased desire of patients for treatment of dental
    mutilation.
    Increased awareness
    Development of technology - Implants, cu- NiTi
    wires
    Increase in longetivity of life.
    How adult orthodontic is different
    from adolescent treatment?
     To attain Andrews 6 keys is not always the objective
    Cases may not require full arch bonding
    Psychological considerations – concerns like
    improvement in personal/ professional life.
    Keep in consideration periodontal disease
    Diagnose TMJ dysfunction
    May require surgical management
    A team effort is required for achieving desired results.
    GOALS OF ADULT ORTHODONTIC
    TREATMENT
    So the goals of adult orthodontic treatment are :-
    1. Aesthetics
    2. Function
    3. Stability of abutment teeth
    4. Favourable distribution of forces – periodontally
    compromised – group function occlusion
    5. Favourable distribution of teeth
    6. Improved crown to root ratio
    7. Improved self maintainance of periodontal health
    PRINCIPLES OF ADJUNCTIVE
    TREATMENT/ADULT
    ORTHODONTIC RX
    Diagnostic and treatment planning consideration
    1. Periapical’s of specific area might be needed
    2. Articulator mounted casts might be needed
    3. Lateral cephalograms may not be compulsory.
    Biomechanical considerations :-
    Appliance selection:
     0.022 slot P.E.A. recommended.
     esthetic appliances – ceramic brackets, clear aligner
    therapy, lingual brackets.
     Effect of Reduced Periodontal support :-
     Adult patients have – bone loss – longer crown
    shorter root – force should be reduced (lighter forces)
    Timing & sequence of treatment

     CONTROL ACTIVE CARIES / PDL DISEASE.


    TREATMENT PROCEDURES :-
     UPRIGHTING POSTERIOR TEETH :
    CROSSBITE CORRECTION :
    FORCED ERUPTION OF ROOTS FOR POST & CORE
    OR TO INCREASE CROWN LENGTH
    ALIGNMENT OF CROWDED TEETH
     ANTERIOR DIASTEMA CLOSURE & SPACE
    REDISTRIBUTION.
    ADULT CASES
    BEING TREATED
    IN OUR
    DEPARTMENT
    SYNDROMIC PATIENTS
    MISSING TEETH
    SKELETAL CLASS III-SURGICAL
    RETAINED DECIDOUS/OPENBITE
    MIDLINE DIASTEMA
    CROWDING
    SURGICAL-MUTILATED DENTITION
    ANOMALIES IN TOOTHFORMATION
    IMPACTED TEETH
    MICRODONTIA
    PERIODONTALLY COMPROMISED

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