Adults with crooked or gappy teeth-why and how orthodontics should be a 1st thing to consider

Sunday, 22 Sep 2019 Andrew Chang 155 hits Print it

Why orthodontics is becoming more popular in adults with crooked or gappy teeth

There are several reasons why this is the case:

  1. Often, placing crowns or bridges on the teeth without first straightening the teeth would lead to poor outcomes ie: unnaturally looking or sized teeth, or aggressive  teeth preparation (in crowded teeth) that may affect the long term health of the teeth or crowns/ bridges, or unnaturally wide teeth (in gappy teeth cases). Below is an adult who had her own lower natural teeth made very wide by a dentist to mask her gaps. This was affecting her ability to keep her gums and teeth clean due to the bulkiness, apart from still making her very self conscious on smiling. She had them reduced to their normal width for the lower, though made a conscious decision to keep the wide upper front crowns  as is and had orthodontic treatment.

2. Many adults would never consider the thought of wearing outside braces. Now, there are discreet options like clear removable aligners ie: InvisalignⓇ, AngelⓇ Aligners, SparkⓇ Aligners and SuresmileⓇ Aligners, that allow the straightening of your teeth without braces. These are usually a series of clear aligners that are changed every 10-14 days. They are generally more comfortable than braces and easier to clean. 

Crowded teeth in an adult – orthodontic treatment first

The best way to explain why orthodontics is generally done first before any prosthetic new crowns or bridges is so the orthodontist can lay the right foundations for your dentist. This can be through creating the size dimensions needed by your cosmetic dentist to create an ideal yet natural looking width tooth.

Case 1: This adult did not like her smile, especially her 2 upper front teeth. Following her orthodontic treatment to correct the marked upper front teeth crowding, she has had 2 crowns placed on the upper front teeth. Of course, she was elated with her new smile, especially as she used to hold back smiling socially.

Gappy teeth in an adult- orthodontic treatment first

Case 2: Orthodontics is needed to close the gaps or if closing all the gaps would make the smile unnatural, then distributing the gaps so your dentist can build up any narrow teeth. The two smaller upper 2nd front teeth were built up with her dentist after her orthodontic treatment and new retainers fitted.

It is true there are situations where braces is quicker and more effective. It is now possible to use a combination of upper aligners and lower braces to deliver effective outcomes for more severely crowded or deep bites, quicker than what upper and lower aligners would do. 

Large overbite in an adult – orthodontic treatment first (upper aligners & lower braces): 

Left photos show before and right ones show after.

Generally, if any cosmetic dental work needs to be done, it can be done during the final stages or at the completion of your orthodontic treatment at your convenience if you needed to do so to budget & plan for this next stage. It is recommended to have this done in Sydney, so Smiles & faces Orthodontics can collaborate with your dentist to take particular care to ensure your teeth remain straight during this time that you are having cosmetic work done. 

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