The scope of orthodontics has widened to include not only children and adolescents but also adults, thereby abolishing the upper age limit. With growing esthetic conscience among the society, a great number of young adults are seeking orthodontic treatment primarily for esthetic reasons. They undergo comprehensive orthodontic treatment involving major occlusal changes to get the utmost esthetically pleasing face. The older adults with poor dental conditions requiring perio-restorative treatment undergo adjunctive orthodontic treatment to attain a long-term prognosis. The orthodontist faces challenges to practice adult orthodontics due to various issues being under considerations, which are quite different than routine orthodontic treatment oriented to children and adolescents. This article highlights the difficulties and limitations faced by the orthodontist while practicing adult orthodontics with remedies to overcome them.
The reader's corner. J Clin Orthod 2005; 39(4): 219–223.
The role of orthodontics as an adjunct to periodontal therapy, In: Newman MG, Takei HH, Carranza FA, eds. Clinical periodontology, 9th edn, Philadelphia, WB Saunders Co. 2002:704–718.
WB Saunders Co. 2001:494–531.
Effects of space closure of the mandibular first molar area in adults. Am J Orthod Dentofac Orthop 1984; 105:25–34.
Contemporary Orthodontics. 4th Ed, St Louis, Mosby. 2007:635–685.
Recent advances in bonding to gold, amalgam and porcelain. J Clin Orthod 1993; 27:661–675.
Ligature wires and elastomeric rings: two methods of ligation and their association with microbial colonization of Streptococcus mutans and Lactobacilli. Eur J Orthod 1991; 13:416–420.
Limitations in adult orthodontics. In: Melsen B (ed). Current controversies in orthodontics. Quintessence Publishing Co. 1991:147–180.
Periodontal implications of orthodontic treatment in adults with reduced or normal periodontal tissues versus those of adolescents. Am J Orthod Dentofacial Orthop 1989; 96:191–198.
Alveolar bone loss as related to oral hygiene and age. J Periodontol 1959; 26:7–16.
The effect of external forces on the periodontium. In: Melcher, AH Bowen WH (eds) Biology of the periodontium. New York, Academic Press, 1969:363–419
The orthodontic treatment of malocclusion in patients with previous periodontal disease. Br J Orthod 1982; 9:178–184.
Effects of force magnitude and direction of tooth movement on different alveolar bone types. Angle Orthod 1964; 34(4): 244–255.