Adult patients may suffer from tooth problems that might interfere with their orthodontic treatment. Gum disease, the inadequate bone between the roots to allow for adequate blood flow, and marginal bone loss are examples of these conditions.
Adult bones are also denser and more durable than those of youngsters since they have completed their growth. Therefore, adults' jawbones are less responsive to treatment than children's jawbones, and it might take longer for the teeth to adjust to their new locations as a result of the therapy.
Because of these biomechanical restrictions, orthodontic treatment in adults can often be a more complicated procedure than it is in pediatric patients.
A good portion of patients requires treatment to rectify a malocclusion (an improper bite). When it comes to adults, this can be particularly tough to correct. For example, an adult patient with a significant overbite may not have enough space in his or her mouth for the teeth to shift into the proper position without the need to remove one or more teeth.
In addition, many adult patients have some wear on their teeth, which can exacerbate the overbite problem even further. In these situations, the dental team might focus on making the adult patient's bite functional rather than on getting the patient's bite perfectly straight.
Issues With Previous Tooth Extractions
When an adult patient has had one or more teeth pulled in the past, the dentist may encounter difficulties in the treatment process. It is possible that old extraction sites are not suitable for tooth movement and that they will need to be rebuilt by grafting artificial bone into the region. In addition, closing the gaps left by pulled teeth might be challenging due to the fact that adult bone does not respond to pressure in the same way that developing children's bone does.
Risk of Root Resorption
Root resorption is more common in adult patients having orthodontic treatment than it is in pediatric patients undergoing orthodontic therapy. When your body reabsorbs the root of a tooth, this is referred to as root resorption.
It is possible that the friction caused by orthodontic treatment will alter the tooth's root structure and cause them to become loose and finally fall out. In order to detect indications of resorption, your orthodontist should closely examine your teeth during treatment.
Risk of TMD
Adult patients are also at a higher risk of acquiring temporomandibular dysfunction (TMD) when undergoing orthodontic treatment. To determine whether you are at risk for TMD, your dentist may do a risk assessment.