It is never too late to achieve attractive and confident smiles. The number of adults choosing orthodontics is on the rise. Regardless of a person’s age, orthodontic treatment is usually a change for the better. The mechanics involved in the movement of teeth are essentially the same in adults as in children. Gaps between teeth, crowding, protruding front teeth and teeth in abnormal positions are problems that may be corrected in the adults by orthodontic treatment.
However, because an adult’s facial bones are no longer growing, certain conditions cannot be resolved with braces alone. Sometimes, inter disciplinary approach is required to obtain the correct result. The health of teeth, gums and supporting bone, as well as jaw relationships, are key factors in determining the prospects of improving one’s appearance through orthodontic treatment.
Adults who have disproportionate growth of the jaw are often concerned about their unaesthetic facial appearance. The correction involves surgery to align the upper and lower jaw. Prior to surgery the teeth in both the jaws have to be aligned and coordinated to facilitate the surgery. Following surgery orthodontic treatment is essential to fine-tune the position of the teeth to enhance chewing efficiency. Thus It has 3 stages- Pre surgical Orthodontics, Surgery, Post surgical orthodontics. This combined efforts results in better function and superior facial esthetics.
Who needs surgical orthodontics?
We will consider surgical orthodontic treatment for non-growing adult patients with improper bites and those with facial esthetic concerns. Jaw growth is usually completed by age 16 for girls and 18 for boys. All growth must be completed before jaw surgery can be performed. However the pre-surgical orthodontic treatment can begin one to two years prior to these ages.
Surgery is performed in the hospital with an oral surgeon, and can take several hours, depending on the amount and type of surgery needed. In lower jaw surgery, the jawbone behind the teeth is separated and the tooth-bearing portion is moved forward or backward, as needed. In upper jaw surgery, the jaw can be repositioned forward or backward, or the jaw can be raised or lowered.
When you have completed surgery, you should be able to return to your work within two weeks. After the necessary healing time (about 4-8 weeks), we “fine-tunes” your bite.