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Adults Orthodontics in the 21st Century Adults Orthodontics in the 21st Century

Author(s):

Vincent G. Kokich, Sr., DDS, MSD

Date Added:

1/1/0001


Summary:

For the past two decades, increasing numbers of adults have been referred to orthodontists for correction of their malocclusions. Adults usually are cooperative, clean their teeth, show up for appointments, and are appreciative of the clinician's efforts. However, adults may have problems other than malposed teeth and jaws that make their orthodontic treatment more challenging. Adults may have old and failing restorations, edentulous spaces, abraded teeth, periodontal bone defects, gingival level discrepancies, hopeless teeth, and a variety of other restorative and periodontal problems that could compromise the orthodontic result. In the past, orthodontists made all of the decisions about the treatment plan for a child or adolescent. However, in the compromised adult malocclusion, the team of orthodontist, oral and maxillofacial surgeon, periodontist, and restorative dentist must interact together to make prudent treatment decisions for the patient. This article will describe a series of five guidelines to help manage the interrelationship of orthodontics with periodontics and restorative dentistry.

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