How braces help both children and adults

Crowded or crooked teeth known as malocclusion not only spoil your smile, they also increase your risk of dental health problems.

Corrective procedures and appliances such as braces straighten teeth and correct jaw alignment.

Malocclusions are often noticed around ages 6 12, when the adult teeth begin to erupt.

The process of straightening out teeth, known as orthodontic treatment, often begins between ages 8 and 14. The best results are obtained when a child begins treatment while they are still growing.

This means its a good idea for a child to have an orthodontic evaluation by age 7. At this stage, they have a mix of baby teeth and adult teeth.

Its possible for braces to work later and even in adults but there are many advantages in starting as soon as possible.

Your dentist will be able to spot problems with emerging teeth and jaw growth early on, while the primary teeth are present.

Thats why regular dental examinations are important.

For adults, its not too late to correct problems such as crooked or crowded teeth, overbites, underbites, incorrect jaw position or jaw-joint disorders. The biological process involved in moving teeth is the same at any age.

The difference is that adult treatment takes a little longer than a child’s treatment. As an adult’s facial bones are no longer growing, certain corrections may not be accomplished with braces alone.

But, whatever your age, it’s never too late to improve your dental health and improve your smile.

Why Orthodontic Treatment Does Not Work for All Adults

While a surprising number of adults benefit from orthodontic treatment, not all adults can take advantage.

It can depend on how well you have looked after your teeth and gums.

For example, gums may have receded so much that orthodontic treatment is not an option or roots may be very shallow if they have not been cared for properly.

Although the state of your mouth may mean that orthodontic treatment is not possible, the benefits of it can apply at any age and it is always worth checking the situation out with an orthodontist.

All orthodontists are trained how to treat adult patients but some specialize in this area.

An experienced orthodontist will know that adult treatment can take longer and may need to be more gentle than treatment earlier in life when someone is still growing.

Orthodontic services can be provided by any licensed dentist trained in orthodontics though most treatment is done by orthodontists.

A dentist must complete 2-3 years of additional training to earn a special qualification in orthodontics.

Advantages of Adult Orthodontics

While many people think orthodontic treatment such as braces is mainly for children, it can help your health at any age.

Crooked teeth are harder to clean and the wear will be uneven. This can lead to inflamed gums and toothache which may even lead to you losing teeth.

Orthodontic treatment can therefore help prevent gum problems and tooth loss.

Another health benefit of having your teeth working effectively is that chewing is an important part of digestion. When you are not able to chew food properly, the rest of the digestive system has to work harder.

An important benefit of orthodontic treatment is therefore that in can help solve and prevent digestion problems.

Orthodontic treatment in adults is similar to teenage treatment although it normally takes a bit longer.

The healing process takes a bit longer as you get older so the orthodontist will need to move your teeth more slowly for example.

The Process of Getting Braces

If your doctor or orthodontist believes you need braces, they will start by examining your teeth visually.

They will then set up an appointment to take X-rays and make molds and impressions so that they have a clear record of how your mouth currently looks.

These records will help them establish the problem and what course of action to take.

A short time before you receive the braces, spacers are added into your mouth to make sure there is enough space for the bands.

An adhesive will be applied to the teeth to help the cement bond to the surface of the tooth.

In most cases the teeth will be banded and then brackets will be added.

The bracket will be applied with dental cement and light may be used and to help harden it. This may takes a few seconds for each tooth.

Molar bands may be needed to ensure the brackets stay in place.

Bands may also be needed if previous dental treatment such as fillings cause problems with attaching the bracket.

Once the brackets have been added, an archwire is threaded between them. This is fixed in place by ligatures, which may be elastic or metal.

Archwires are tightened frequently to help deliver the results required.

Brackets and or hooks may be added to the archwire for affixing the elastic.

Braces often use nickel-titanium archwires and temperature-sensitive materials. The archwire is flexible when cold and, when it is heated to body temperature, it stiffens and tries to retain its shape so this creates constant light pressure on the teeth.

There are now many different types of braces and the exact procedure may vary depending on the specific option you choose.

The Future of Orthodontics and Braces

While steps have been taken to straighten teeth for hundreds of years, the biggest steps forward have come in the last few years.

Dentists had known for many years that removable plastic appliances could move teeth.

Some even made simple plastic “aligner trays” for minor adjustments.

But a major step forward was the invention of Invisalign.

This was the brainchild of Zia Chishti and Kelsey Wirth, graduate students in Stanford University’s MBA program.

Wirth had traditional braces in high school and Chishti had adult treatment with traditional braces and now wore a clear plastic retainer.

Chishti noticed that if he didn’t wear his retainer for a few days, his teeth shifted slightly – but that the plastic retainer soon moved his teeth back to the desired position.

In 1997, using 3-D computer imaging graphics, they created the Invisalign method.

The dental profession – perhaps understandably – was initially skeptical because of their lack of professional dental training.

But, when Invisalign braces became available to the public in 2000, they proved extremely popular with patients.

Technology continues to push forward the science of orthodontics and techniques such as digital computer imaging are being used to make orthodontic treatment more precise.

For example, one system takes a detailed 3-D model of a patient’s teeth to help the orthodontist develop a precise treatment plan for tooth movement.

As companies develop more precise, high-tech materials and methods, orthodontic treatment will become easier, faster and more comfortable.

The Introduction of Self-ligating Brackets for Braces

A significant development in the field of orthodontics was the introduction of self-ligating brackets.

These don’t need tie wires or elastic ligatures to hold the arch wire onto the bracket of the braces.

Instead, they are held on by a “trap door” built into each bracket.

The idea of self-ligating brackets dates back to the 1930s but, while many designs were patented over the years, it was not until the 1070s that a system was widely available.

During the 1980s and 1990s, many companies improved upon the idea in various ways and there is now a range of self-ligating options.

Another significant development in the 1970s was the Ortho-Tain appliances, which guide jaw growth and help correct orthodontic problems and malocclusions.

They look just like custom plastic mouth guards, and are worn mainly at night, or for only a few hours each day. Nevertheless, they still help address many types of orthodontic problems.

Around 1975, two orthodontists working independently developed systems which placed braces on the inside surfaces of the teeth.

These “lingual braces” offered people the benefits of bonded brackets with the big advantage that they were on the inside of the teeth.

This meant nobody else could see them and they became known as “invisible braces”

The Development of Braces and The First Metal Mouths

In the early 20th century, a wide variety of materials was used in orthodontics.

The materials used by orthodontists ranged from gold, platinum and silver to gum rubber, vulcanite, ivory and wood.

18 carat gold was routinely used for wires, bands, clasps, ligatures, and spurs.

Gold was used because it was easy to shape.

However, among the drawbacks of gold was that its softness meant it required frequent adjustments.

And, of course, it was very expensive.

However, the original “metal mouth” was often real gold or silver.

Around the time the first dental specialty board – the American Board of Orthodontics – was set up in 1929, stainless steel was becoming widely available.

However using it in braces was controversial and it was not generally accepted as a material for orthodontic treatment until the late 1950s and early 1960s.

Braces continued to wrap around the teeth until the mid 1970s, when direct bonding became a reality.

Although the bonded bracket was invented earlier, the adhesive wasn’t perfected until almost a decade later.

Like any new approach, it took some time to catch on and many people continued wearing the old “wrap around” metal braces into the late 1970s.

The Development of Orthodontics

Though various devices have been used to straighten teeth since the days of the Ancients Greeks and Romans, it was only in the late 19th and early 20th centuries that orthodontics began to develop as separate science.

There is no one person who is universally seen as “The Father of Orthodontics” but several have a claim to the title.

One claim goes as far back as, 1728 when the French surgeon Pierre Fauchard published his book “The Surgeon Dentist”, which included a whole chapter on ways to straighten teeth.

This certainly gave orthodontics a huge push forward – although that term was actually coined in 1841 by Joachim Lafoulon.

But the science was not really put on the map until more than 100 years later.

First, dentist and writer Norman W. Kingsley wrote the first article on orthodontics in 1858 and published his book “Treatise on Oral Deformities” in 1880.

Another major step forward was when dentist J. N. Farrar wrote “A Treatise on the Irregularities of the Teeth and Their Corrections”.

Farrar was also very good at designing brace appliances and was the first to suggest using mild force at timed intervals to move teeth.

In the early 1900s, Edward H. Angle devised a classification system for malocclusions which is still used today.

This system was a way for dentists to describe how crooked teeth were and how they fitted together.

Angle contributed significantly to the design of orthodontic appliances and founded the first college of orthodontics in 1901.

Gradually the field of orthodontics became a respected dental specialty in its own right.

The Early History of Braces

You may think the desire for straight teeth is a feature of our modern image-conscious society.

But there is evidence going back hundreds of years of devices being used to straighten teeth.

Archaeologists have discovered mummified remains where there were crude metal bands wrapped around individual teeth.

And Roman tombs also revealed evidence of teeth being bound with gold wire.

Around 500BC, Hippocrates and Aristotle both talked about how to straighten teeth and fix various dental conditions.

Nevertheless, it was much later that significant progress was made in orthodontics.

In 1728, French Dentist Pierre Fauchard published a book called the “The Surgeon Dentist” with an entire chapter on ways to straighten teeth.

Scottish surgeon John Hunter wrote “The Natural History of the Human Teeth” in 1771, which described dental anatomy in clear detail and came up with terms in use today such as cuspids, incisors and molars.

While teeth straightening has been practiced since early times, orthodontics did not exist as a separate science until the mid-1800s.

The introduction of the wire crib in 1819 is seen as marking the birth of contemporary orthodontics although the term orthodontia was actually coined by Joachim Lafoulon in 1841.

In the late 1800s, Eugene Solomon Talbot was believed to be the first person to suggest using X-rays for orthodontic diagnosis.

But the real advancements in orthodontics came in the late 19th and 20th Centuries.

Why Adults Wear Braces

Orthodontic treatment and braces are not just for kids.

It’s not only children who want a better smile.

Most adults get orthodontic treatment because they know that your smile is one of your most important features.

As you get older you want to keep a smile that makes you look good rather than haggard.

The fact is that many people did not get braces when they were young.

That may be because their parents could not afford it at the time or that their teeth could not be fixed with the techniques then available.

Now they may have problems with their teeth and gums or perhaps they get indigestion a lot or maybe they are just unhappy with their smile.

Now they have the money and the treatment they need is available so they are going to take advantage.

There are also many people who did have orthodontic treatment when they were younger but did not get the full benefits as they stopped wearing their retainers.

Even after wearing braces, their teeth may still be crooked.

Now up to a quarter of orthodontic treatment is on adult patients.

Orthodontic treatment goes slower when you are older, and it feels different.

But people as old as 90 are getting braces.

It’s never too late to take care of yourself and have a great smile.