Differences between Adults with braces and Child orthodontics
In recent years orthodontic treatment is not only for teens and adolescents. Adult patients are choosing this treatment because they understood the importance of appearance and oral health. The treatment in adult orthodontics and child orthodontics does not differ much, although a few differences can be noted.
What are the differences between adult orthodontics and child orthodontics? The basic difference is there is no growth potential in adults and should deal strictly with tooth movement only. In children tooth movement is possible in addition to growth modification. The need for orthodontic treatment in the adults is often symptom related which can be detected by the patient by his own, while in children it is based more often by signs detected by the parents or the dental practitioner.
There are, however, several other differences between adults with braces and children with braces:
- In adults the appearance of the appliance is often of great concern because they give importance to esthetics while in children usually it is of little concern. Use of tooth colored braces, invisible braces can be considered for adult patients.
-Children will tolerate appliances more readily but adults find appliances more uncomfortable and less adaptable. Appliances must be simple, well made and carefully adjusted for adults so that they are more comfortable.
- Speech adjustment is quick and easy in children while it is more difficult in adults with braces.
- Periodontal diseases may be a complicating factor in adults and they must be eliminated before starting the treatment. Periodontal care should be undertaken as frequently as possible during the orthodontic treatment to keep a check on periodontal diseases. In children periodontal disease is usually not seen or not severe.
- General health of the patient is considered more carefully prior to adult orthodontic treatment. In children general health is less considered.
- Adult patients are usually well motivated and co-operation is excellent but in children the co-operation with dentist ranges from poor to excellent.
-Adults show decreased blood flow, dense bone and less progenitor cells which limit the treatment process while in children rich vascularity, spongy bone and more progenitor cells helps in orthodontic treatment.
- The forces used in adults should be at a lower level than those used in children especially the initial forces to prevent the bone loss.
- The treatment prognosis is good and is more stable in children while poor stability can be observed in adults after treatment.
- Treatment appreciation is usually very good in adults but not very much appreciative in children.
- Retention of teeth after braces is the critical and challenging aspect of adult orthodontics compared to child orthodontics.