Adult Orthodontic Treatment Methods
Dec 29, 2021
Source: Cainiu Health
Dr. Liu Dong
Introduction
1. Conventional fixed orthodontics: This method involves bonding small metal brackets onto the teeth, followed by ligating orthodontic archwires to these brackets.
2. Orthognathic surgery: Some dentofacial deformities cannot be corrected by orthodontic treatment alone.
3. Fixed lingual orthodontics: Orthodontic treatment performed on the lingual (inner) surface of the teeth.
Orthodontic treatment for adults is comparatively challenging, primarily because adult teeth are more firmly set in place. Additionally, conditions such as alveolar bone resorption and gingival recession may be present. Therefore, before initiating orthodontic treatment, a thorough assessment of the patient’s dental condition is essential. For adult orthodontics, local anesthesia is typically administered prior to treatment, and following corrective procedures, stabilization—often using wires or other appliances—is required to secure teeth in their new positions. Below, we outline the main orthodontic approaches available for adults.
Orthodontic Methods for Adults
1. Conventional Fixed Braces
This method involves bonding small metal brackets onto the surfaces of the teeth, followed by threading an archwire through them and securing it with ligatures. The gentle, continuous force exerted by the archwire gradually moves the teeth into proper alignment. However, this approach is highly visible and may negatively impact facial aesthetics.
2. Orthognathic (Surgical) Orthodontics
Certain severe dentofacial deformities cannot be adequately corrected with orthodontics alone. In such cases, coordinated orthognathic surgery—performed in conjunction with conventional orthodontic treatment—is necessary to achieve optimal functional and aesthetic outcomes. This combined approach is commonly referred to as surgical orthodontics.
3. Lingual Fixed Braces
With this technique, brackets and wires are placed on the lingual (tongue-side) surfaces of the teeth—i.e., on the inner side—rendering them virtually invisible from the outside. Compared to traditional braces, lingual braces offer superior aesthetic discretion.
4. Clear Aligner Therapy (Bracketless Invisible Orthodontics)
This method utilizes custom-fabricated, transparent, removable aligners designed specifically for the patient’s dentition. Worn sequentially over time, these aligners apply controlled forces to gradually shift teeth into their desired positions, achieving effective alignment without visible hardware.
The above outlines the principal orthodontic options available for adult patients. We hope this information proves helpful.
