Adult orthodontics
Orthodontic treatment for adults, including options, treatment time, and what is different when the jaw is no longer growing. CDZ Ortho, Johns Creek.
Treatment works at any age
Teeth move the same way in an adult mouth as in a child’s. The biological process that allows a tooth to move through bone does not stop with age.
The requirement is healthy gums and healthy supporting bone. If there is active gum disease, that is treated before orthodontic treatment starts.
Adults make up a meaningful share of orthodontic patients.
What is different
No growth to work with. In a child, jaw growth can be directed to help correct a bite. In an adult the jaws are set, so a significant skeletal discrepancy may need surgery in combination with orthodontics rather than orthodontics alone. Most adult cases do not fall into this category.
Existing dental work. Crowns, bridges, implants, and fillings all affect planning. Implants do not move. Dr. Cen works around them.
Longstanding wear. Years of an uneven bite leave worn edges and recession. Correcting the bite can reduce the forces causing that wear. Where grinding or acid erosion is also a factor, those are treated separately. Restoring what has already worn is done with your general dentist afterward.
Slightly slower movement. Adult bone remodels a little more slowly. The difference is modest.
Common reasons adults start
Teeth that have shifted after previous orthodontic treatment, usually because retainers were stopped.
Crowding that has increased over time, which is normal, particularly in the lower front teeth.
A bite that is causing wear, recession, or jaw discomfort.
Preparation for restorative work, where moving a tooth first allows a better crown or bridge.
Appearance.
The options
Invisalign® is the most common adult choice, because it is unobtrusive and fits around work.
Clear braces are used where the case is not suited to aligners.
Metal braces are entirely reasonable and are the fastest route for some cases.
Time and cost
Twelve to thirty months for most cases, with simpler cases finishing sooner.
Full fee in writing at the free consult. Monthly payment plans available. Adult orthodontic coverage is less common than coverage for dependents, so check your plan. HSA and FSA funds are eligible.