Orthodontics in adolescent patients

Correcting the position of the teeth during adolescence is a more recommendable option if we bear in mind that the eruption of the final pieces has already taken place, as well as it is possible to carry out all kinds of changes in the position of the dental pieces. Then we will know all kinds of details about orthodontics in adolescent patients , in this way, we will know the wide variety of advantages that this process involves in this group.

Orthodontics in adolescent patients | what should we know?

It is estimated that the ideal age to start an orthodontic process varies between 11 and 13 years, coinciding with the appearance and formation of definitive teeth. Initiating this process at an early age can lead to a series of damages for the patient, such as interceding in the correct eruption of the teeth, however there is a series of processes prior to orthodontics that will be very useful for children (Interceptive orthodontics).

Regarding adolescents, we can say that the vast majority of orthodontic problems are related to misalignment or crowding, as well as many that present skeletal problems, that is, problems related to the asymmetry of the maxillary bones , this being a very common that causes both aesthetic and functional problems. Today there are a wide variety of techniques that aim to correct these problems since Orthodontics and Orthopedics are at the service of adolescents.

Regarding the techniques dedicated to orthodontics, we must highlight the wide range of possibilities available to us, which makes it possible for each patient to choose the method that best suits their needs. Among the most common techniques we would highlight the Damon system, the aesthetic brackets composed of ceramic or sapphire as well as the Invisible Orthodontic systems, such as the Envisaging Technique or the Lingual Orthodontics, whose main peculiarity is that the placement of the buckets takes place on the face internal of the teeth.

One of the most frequent questions among the patients of Prop dental Clinics is to know what the time of an orthodontic process is, although to know this answer a specific examination and diagnosis is necessary, since each patient will require a specific time depending on the changes that are necessary to perform to achieve a correct dental alignment. In short, we can say that orthodontics in adolescent patients is a highly recommended alternative if we take into account the interesting results that this process offers us, both aesthetically and functionally.

Orthodontics in adulthood

Until relatively recently, orthodontic treatment was associated only with children and adolescents. However, it is now increasingly common to see young and not so young adults in orthodontic consultations who come seeking a better dental aesthetic.

One of the major disadvantages of conventional orthodontic techniques is the aesthetics of the appliance. The great majority of adults decline the possibility of improving the state of their mouth if they must wear visible devices, but progress in the field of orthodontics makes it possible to have today in day of diverse options that are much more comfortable and minimize the aesthetic repercussions of conventional appliances.

Among these alternatives are the different types of fixed appliances (brackets) made of more aesthetic materials that, with the same effectiveness as metallic ones, considerably reduce the visual impact.

Another option for those who want greater discretion is lingual orthodontics, in which case the brackets are placed on the inside of the teeth, so they cannot be seen from the outside.

Finally, it is also with the so-called invisible orthodontics, which is on the rise due to its comfort and transparency and which consists of the use of transparent aligners.

Orthodontics in adults

Your teeth overlap? Are they too advanced or misaligned? Do not worry, it has a solution: orthodontics. This is not reserved only for children, adults can also benefit from it.

If we keep the four wisdom teeth, we have thirty-two teeth. Four incisors are counted above and four below, then a canine on each side of the incisors, after each canine two premolars and then two molars.

The goal of orthodontics is often an aesthetic problem for the patient, but the teeth are first and foremost indispensable for a good chewing. Orthodontics also allows dental problems such as tartar and cavities to be prevented, as it is difficult to correctly brush overlapping pieces.

Preferably it is carried out when you are young, at the moment when the final teeth have just replaced the temporary ones. But adults are thrown more and more, and there are also different devices much more discreet than metal brackets reserved for children.

First possibility, thermoformed splints, transparent and perfectly adjusted to your teeth; but they only serve to align the teeth, they do not correct the occlusion of the upper and lower teeth.

Ceramic brackets (or staples) are more discreet than metal brackets. Very aesthetic and very effective for a supplement of approximately $ 300 per arch.

Orthodontics is not always enough in the adult to align the teeth.. Sometimes you have to resort to other disciplines. Maxillofacial surgery, for example, allows improving the position of the jaws by placing them facing each other. Sometimes we also have to resort to periodontics to make sure that the structure that supports the teeth is healthy before correcting them.

This structure is the periodontium, that is, the set of tissues that hold the tooth.

It is constituted by the gum, a ligament called dental alveolus, an alveolar bone and cement, a kind of coating that allows the ligament to attach itself to the tooth root. The periodontium can be the target of anomalies or serious infections that cause mobility and sometimes even the loss of teeth. In these cases, orthodontics is not performed for aesthetic purposes but for medical reasons against periodontal disease.

The smile is a spontaneous act that is good to spread. If someone is not satisfied with their smile they can lean towards orthodontics that offers treatments for adults.

Orthodontics in adults a question of health and aesthetics

More and more adults are undergoing orthodontic treatment to solve their dental problems. In these cases, the treatment is more complex and slow than in the child population since sometimes a piece is missing or the mouth has already undergone some reconstruction.

Therefore, an adult can stay in this treatment from 6 months onwards, although, obviously, everything varies depending on the needs of each case. The best recommendation, as usual, is that before carrying out this type of intervention to specialists determine the treatment plan appropriate to the need and possibility of the patient.

Most adults who undergo this therapy do so for an aesthetic issue, although many of them are not decided by the discomfort that involves carrying metal devices or brackets in view of all. This is the reason why it is increasingly used what is known as invisible orthodontics; transparent splints that go unnoticed and perform the same function as metal splints.

Although many people think that because of their age it is too late to face such treatment that is a wrong approach. Actually, it’s never too late to have a healthy and well-placed denture. Because, in addition to aesthetics, health plays a fundamental role in orthodontics. A properly aligned mouth avoids problems of dental malocclusion, wear and jaw delays.

Orthodontics in adults

Orthodontics in adults has tripled in the last five years because the population increasingly values ​​the smile as one of the main elements of the face. It is among the most demanded treatments, especially among women although earlier this technique was requested by more women. At present, 35% are men, although in a few years there will be very little difference in demand between men and women.

The youngest, that is, under 35, do so for aesthetics, largely because in recent years, dental care has risen sharply. These patients want to have healthy and straight teeth because, according to the expert, positively affects the level of self – esteem of people, positively conditioned the way of relating to others, both in social and professional life. Those who are satisfied with their facial image have greater self-confidence.

It is striking that, of adults who ask to undergo orthodontic treatment, at least one in 4 patients’ requests that the devices are invisible. This technique, whose equipment is made to measure, ( consists of moving the teeth to put them in place and get a good smile and a mouth that works well). It only requires, like the rest of the devices, a period of adaptation and a little “patience” until the language gets used, then the patient can make a normal life.

Orthodontics in adults, it’s never too late

Most people who ask me about orthodontic treatments are worried about the aesthetics of their mouth, their smile and they realize that their teeth are crowded, or misplaced.

The answer is affirmative, it is never too late, because today, orthodontics in adults is a reality, it is a treatment with excellent results, regardless of age. I have orthodontic patients who started it when they retired and other cases of mothers, who take advantage of the occasion and begin their orthodontic treatment at the same time as their children.

What most people do not know, is that the result of orthodontic treatment, in addition to improving the aesthetics of the mouth with a nice smile and return to talk and smile without complexes, goes further and will provide other benefits, also very significant for your oral health and your general health, without a doubt the most important thing. For an adult, orthodontics is a global improvement of their quality of life, let’s see why.

More and more patients are undergoing orthodontic treatment in adulthood and today they represent one in three children. Many people could not do it when they were children and now they are encouraged and decide that it is time.

Benefits of orthodontics in adults

With orthodontics you will smile openly, as you like but at the same time, these are the benefits that some, you still do not know what you are going to get:

  • Dental Aesthetics. You get the healthy and pretty smile you wanted and a new facial aesthetic.
  • Correct bite the problem of malocclusion is solved and there will no longer be excessive tearing of the teeth, nor their joint problems. The typical contractures or tension of the musculature of the neck or back are also resolved.
  • Correct chewing if the jaws are well fitted with each other, you can chew and grind the food with better digestions.
  • Proper occlusion. Well-aligned teeth with good occlusion improve bone formation, tooth loss is avoided and teeth are generally stable and healthy for more years.
  • Optimal result of other subsequent treatments. After orthodontics with teeth and a well-aligned mouth, better results are obtained in the placement of implants or in the rehabilitation of teeth with veneers.
  • Daily effective dental hygiene. Orthodontics has removed the nooks and crannies between hard-to-reach areas. Oral hygiene will be more effective in preventing cavities and gingivitis.
  • Eat without remaining food in your mouth. You no longer have the gaps and spaces between the teeth where the remains of food that so bothered you stayed and thus prevent halitosis.

A frequent question is: will orthodontics hurt me? No, orthodontics does not hurt, the first days it bothers you until you get used to it. The teeth begin to move and you notice a certain tension but it is not pain.

For an orthodontic treatment to have the expected success it is necessary that the mouth be healthy and not have other problems. First, you start with a hygiene and if there is decay or some problem in the gums has to be resolved before.

Orthodontics in adults and boasts a smile

With today’s advanced orthodontic treatments, it is now possible to wear invisible orthodontics without anyone noticing, both with the lingual orthodontics where the devices are placed on the inside of the teeth, and in envisaging orthodontics. The fixed orthodontics with transparent aesthetic sapphire brackets has nothing to do with the old metal brackets, now this orthodontics is very discreet and does not affect daily life.

Orthodontics will change your facial aesthetics and you will have a nice smile, it is your first objective, but you will also enjoy a healthy mouth that will allow you to chew well, ensuring that you will live for many years with your healthy teeth and can improve your health and quality of life . With current treatments, orthodontics is now easier at any age.

Orthodontics in adults, when is it necessary

At what age is it too old? Why would someone have to use orthodontics in adulthood? And what are the differences in treatment for these patients?

There is really no age limit for orthodontics. Due to advances in dentistry, especially the diagnosis and treatment of periodontal disease (gum disease), patients keep their natural teeth longer than ever. My grandparents had false teeth and my parents lost some piece. My generation still has most of its teeth, but it has many crowns. The improvement of the condition of dental care has meant that many more adults are going to keep their own natural teeth throughout their lives and that orthodontics for adults is more common.

In the 80s the majority of patients in dentist offices were children, but in recent decades the ages of patients have gradually increased. Half of my current patients are between 12 and 18 years old but we also have a growing number of patients from 50 onwards.

Adult patients seek dental treatment for several reasons. Most of the time it is due to teeth that wear out due to a bad bite, or that need to be moved so that other dental procedures can be performed (for example, making room for an implant). Other times patients come because there is something in their smile that bothers them and finally decide to address it.

It is not uncommon for this to happen at an advanced age since these patients have more time and some savings that they want to invest in themselves, at last.

Adult patients have the most of the same options as younger patients with some exceptions. The correction of posterior cross bites cannot be achieved with an expander alone. Although it can be corrected, the expansion may require the surgical reopening of the middle palatal suture.

Because expansion is not so easy in adults, the correction of moderate to severe crowding usually requires more extractions than with adolescents. And although bad biting can be corrected in adults, doing it with elastic bands is not as effective as it is with younger and growing patients. For this reason, adult patients require more extractions and mandibular surgeries than adolescents. But each patient is different and there are very simple cases to correct, too, as a simple treatment, painless and inconspicuous.

When I talk to adult patients who are thinking about whether to undergo orthodontic treatment, we discuss their reasons for treatment, their goals and expectations, and their options. Sometimes they want to address a specific problem. Other times they want to solve a problem they have had all their lives, once and for all.

Oral piercing and its repercussions on oral health

It has become very common to see people using oral piercing. On the tongue, on the cheeks, on the lips, etc. Oral piercings to the consumer’s liking, which cause alarming oral injuries. And although said piercing is considered a modern adornment, its use dates back to ancient civilizations. It is a custom rescued by the punk movement in the late 70’s of the last century.

Your biggest users or fan is the youngest people. Oral piercing are applied for different purposes. Rebellion, religion, belonging to groups or urban tribes, for copying an idol of the song or fashion actor, for being accepted among his friends, for sexual pleasure, etc.

Young people who seem owners of the habit of piercing. But oral piercing is not only carried by young people. It is a fashion that people of all kinds are using. According to the statistics, today approximately 8% of the population over 14 years old, carry them of some kind. Although oral piercings are the most common.

The fashion of oral piercing has brought with it a series of health complications. Especially for oral health because the mouth is one of the places in the body where more bacteria and pathogens pass. It is where it is easier to contract and spread diseases. For this reason, the problems of infections, broken teeth have increased. In addition, there are the oral piercings of the tongue, which cannot be opened, it has had to proceed to cut them to be able to remove them and make the necessary cures.

Study results of the use of piercings

After so many consultations on problems contracted after the use of oral piercings, studies have begun to be carried out in this regard. In one of the investigations carried out by the Rey Juan Carlos University of Madrid, it can be seen that 72% of those who wear oral piercing suffer from a problem caused by the use of the ornament and the complications that most frequently occur are:

  • Inflammation (35%)
  • Pain (18%)
  • Difficulty speaking and chewing food (15%)
  • Alteration of the sense of taste (5%)
  • Bleeding (4%)
  • Increased salivation, tingling and infections (2%)
  • Allergies (1%)
  • Although in reality the injury that most worries dentists and doctors are the periodontal injuries that end up suffering almost half of the users of oral piercing (48.1%), especially metal.

How long to wait after the dentist to eat

The time you have to wait before eating after having a procedure in the dentist’s office depend heavily on the type of work you have done specific.


If you’ve been through a cleaning and regular examination, 1greatwhitesmile.com recommended to wait for 30 minutes before eating, if you have made ​​a fluoride treatment. If not, you can and eat.

Anesthesia and numbness

The procedures dental, such as extractions, crowns and fillings, require that your gums are numb to feel no pain when the procedure is performed. Wait until the numbness to go to eat. Otherwise, you could bite your tongue or the inside of your gums.


You extract a tooth is quite invasive. Ask your dentist specific instructions about when you can eat.

Tooth whitening

According to Mickey Bernstein, DDS, Memphis, if your teeth whitened, wait several days before eating or drinking something dark color, like red wine, coffee, cranberry juice, mustard or tea. Open pores in the teeth need time to close. Lance Timmerman DMD, Seattle, note that teeth whitening recently are in what is considered a demineralized state, and are more likely to stain. Saliva will help demineralizer enamel in 48 hours, and then when you’ll be able to eat foods that tend to bleach them.


How does a dentist teeth whitening

There are many commercial options available in the market today for teeth whitening. Strips and trays to specialized toothpastes, gums and mouthwashes, many companies have tried to grab a piece of the whitening craze. However, the most effective treatment is still office whitening by your dentist.


The effectiveness of tooth whitening by a dentist it is in the tools they use. The first is the hydrogen peroxide gel industrial strength (15 to 35 percent). The dentist will also use a shield to protect the gums from harmful effects of the same gel. The last important tool teeth whitening is laser light, which helps to increase the bleaching effect of the peroxide gel.


The teeth whitening process begins with protective gel or mouth parts. These are carefully placed on any area of ​​the gums that may be exposed to the high concentration of hydrogen peroxide. The dentist may also use special clamps to keep the mouth open better access to their teeth and gums. Once gums have been protected, the dentist will apply the gel completely hydrogen peroxide through the surface of the teeth. The gel is allowed to sit on your teeth for a prescribed amount of time (depending on how the teeth are stained), usually under a special light that helps increase the ability of bleaching gel. After the gel has had time to sit down, the dentist then rinse the patient’s mouth until you have removed all the gel. The process can be repeated several times, depending on how severe and deep the stains.

Side effects

Because the dentist whitening protects gums, it can be much safer than any of the commercial products in the market. However, due to the high percentage of hydrogen peroxide in the solution gel, deciduous tooth sensitivity may be a common side effect of whitening office visits.


Certain types of crowns or fillings that becomes more noticeable after tooth whitening. This is especially true of crowns or fillings that were installed before the end of the nineties. This is because the fillings available at that time were not as white as the teeth can now become after a typical bleaching session. However, these crowns and filling may be replaced by whiter most new implants if it bothers the color difference.