January 20th, 2019

031-563 1665 info@rtortho.co.za

Dr. Renton Tindall Inc. Orthodontist B.D.S.,M.DENT. (Witwatersrand)

Adult Orthodontics

Many people associate braces with school children, but getting braces as an adult is becoming much more common. Almost 20% of braces wearers are now adults. This is mostly due to the rise of more subtle, less visible options like the Damon Clear braces and the Essix aligner system

Why do adults choose to get braces?
Teeth can shift with age. This can be due to injury, tooth loss, unnatural growth patterns, habits like clenching and grinding of teeth and a tongue thrust when swallowing and so some adults find that their previously natural straight teeth have become crooked and overcrowded. They may also start experiencing jaw joint pain, gum problems due to difficulties when cleaning teeth, or simply being self conscious about their smile they find unattractive.

Other adults get braces because they’ve always had crooked teeth, but their parents couldn’t afford to pay for braces when they were growing up.
Overall, many adults see braces as a worthwhile investment of less than 2 years in exchange for decades of straight teeth.

I had braces as a kid. Why do I need them again?
Teeth shift as you get older, and some people’s teeth shift more than others. If you didn’t wear your retainer as much as the orthodontist recommended, or are simply unlucky with your jaw’s natural growth, your teeth can become crooked again. Orthodontists have also recently realised through extensive research that retainers should now be worn much longer than recommended in previous decades, and sometimes indefinitely, to prevent tooth movement. Unfortunately, this means that even adults who were model patients as kids may find themselves needing braces again.

With the Damon System of treatment adult treatment now goes along quite quickly with the treatment times being reduced to as little as 18 months. With the force system being substantially lighter it is very much more comfortable. Also with this gentle system we are now able to broaden smiles substantially as we are able to move both the teeth and the surrounding bone. For this reason in many cases we are also able to move the teeth sufficiently to prevent the need for jaw surgery.

When would I need jaw surgery?
There are instances when we cannot move the teeth sufficiently to achieve a good bite and facial balance. It is then that we need to adjust the jaw positions surgically in conjuction with an oral surgeon. Often adults who have this problem elect not to have the surgery as they are so happy with what has been achieved with the braces alone and are managing with their less than perfect bite without any noticeable side effects.

Before After
before1 after1
before2 after2
before3 after3

Surgical plan showing surgery to both jaws

Dr. Renton Tindall Inc. Orthodontist, Durban North, KwaZulu-Natal