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Adult Braces and Orthodontics: Something To Smile About

Orthodontic braces conjure up lots of images, most of them about children and the temporary metallic smiles that they cause. But many strides have been made in the world of dental braces. More adults are now choosing teeth straightening and are glad braces aren't just for kids anymore.

Why Do Adults Wear Orthodontic Braces?

Braces offer a good choice for improving your smile and oral health. Some adults have problem teeth because their parents could not afford getting braces or retainers when they were young. Or perhaps the problem with their teeth is more recent. Now, options are available for correcting them and adult braces provide many advantages.

Crooked teeth or teeth that overlap are harder to clean around. As a result, this serves as hiding places for bacteria that cause bad breath, gum disease and tooth decay.

Protruding teeth or gaps between teeth interfere with your smile and create an uneven bite, but getting braces or orthodontic appliances can straighten crooked teeth and move teeth into proper position.

Adults now enjoy the results of adult orthodontics, which so beautifully provide a healthier-looking smile. Today's braces are much less noticeable than those you may remember as a child. Taking care of your teeth sends the message that you are taking care of yourself, reflecting self-respect and confidence.

What Are My Orthodontics Choices?

The orthodontic appliances of today provide greater comfort and style than in the past. Another feature of modern adult braces is that they work more quickly than the traditional style braces, which means a shorter time to wear them and fewer trips to the orthodontist.

Older dental braces used bands that wrapped around teeth. While these are still available, other braces offer new options. One type features brackets made of metal or plastic, bonded to the teeth and used in conjunction with thin, gentle wires.

Another type of braces stay discreetly hidden from view, using brackets attached to the back of the teeth. Both types require wires to move the teeth into their correct positions. Your dentist or orthodontist will help you decide which style of braces is right for you.

Braces: An Investment of Time for Long-Term Benefits

Most patients usually wear full braces from 18 to 30 months, depending on specific treatment needs. When your dental braces are removed, retainers are used to prevent your teeth from repositioning themselves. Your orthodontist will determine how long you will have to use your retainer after treatment is completed.

How To Care for Orthodontic Braces

One thing hasn't changed: if you wear dental braces, regardless of whether they're metal or ceramic braces, you must take care of them. Careful brushing and flossing between them and under wires will keep your teeth and gums clean and healthy. Avoid eating foods that can break wires and loosen brackets such as those that are sticky (caramels and gum), hard to bite (uncut carrots, apples, and ice), or crunchy (popcorn, nuts, hard candy).

Orthodontic braces can make a world of difference and give you something to really smile about!

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Crooked Teeth and a Bad Bite

How's your occlusion today? When your jaws meet nicely and teeth are configured properly in your jaw, that's occlusion. When the fit's awry, it's called a malocclusion .

About 2,000,000 Americans know malocclusion inside and out. So what's wrong with a little overbite? For 20% of us, it's a handicap, for 5%, it's a physical and mental hardship. That's why there's orthodontics.

The gist of jaws

The upper jaw, or maxilla, is part of the skull and it doesn't move. In children, the maxilla is joined at the root of the mouth by soft tissue that grows into one bone mass by about age 17. Our upper teeth are a little bigger than the lowers. We call the lower jaw the mandible. When the maxilla and the mandible work properly, they chew, grind, and tear our food, facilitate normal speech, swallowing, and basic oral health. When your jaws don't align well, you may not be able to eat, breathe or communicate normally.

Getting the bite right

Orthodontic theory, and attempts at bite correction, can be traced to ancient Greek and Roman cultures. But until dentists could agree on the problem, each rigged his own correction device. Some of these 19th century "designer" orthodontic appliances were fanciful, some merely crude.

The early orthodontist Edward Angle classified occlusions into three types. His principles are still the standard today.

• Class I occlusion is a "normal" bite. Since there is argument what "normal" is, Class I could be defined as a jaw/bite relationship that seems to be okay and doesn't cause any problems, although there may be some tooth crowding caused by eruption of extra teeth or missing teeth.
• Class II brings us to true malocclusions, in this case, the buckteeth of Bugs Bunny fame. It's certainly more amusing as a cartoon than reality though. Class II lower jaws are usually small and crowded. Along with a protruding upper jaw, the chin recedes. Children with Class II bites, and adults, for that matter, seem especially subject to social derision. Aside from problems with keeping teeth clean, Class Iis can expect cruel jokes.
• Class III malocclusions are relatively rare (5%)and may include a jutting lower jaw and lower teeth that close in front of the uppers (think Dick Tracy). Treatment is complex, and may require bone surgery.

In any case, seeing your dentist on a regular basis is very important. In the case of Class Iis and IIIs, seeing an orthodontist could make a big difference in your self-esteem and make your life much easier.

With more adults seeking treatment their parents couldn't afford when they were youngsters, this is a very exciting time in orthodontics—we have a world of new orthodontic materials that work better and faster.

Heavy metal bands? Most of us have heard the news about braces. They're lighter, smaller, easier to clean—dare we say it—almost comfortable. Plastics and bonding adhesives mean no more heavy metal bands around teeth. Wire and brackets can be "super-glued" directly onto the teeth (Look, Ma, no bands!).

NASA's missile technology has given us Nitinol, a "memory" metal that retains its shape better than stainless steel. Arch wires made of Nitinol exert a light, steady force that stands up to the push and pull of orthodontic appliances. And lingual braces, glued to the back (tongue side) of the tooth, are proving effective in closing moderate gaps. It's like having invisible braces.

A new breed of patient

The best part of new orthodontics for your orthodontist, though, is a willing, and eager patient. Home care is critical to any orthodontic treatment plan. Careful, constant cleaning, wearing your retainers, and avoiding foods that make a mess of all the handiwork is a must. Most adult patients appreciate the investment of time and energy and tend to go about home care with vigor.

If you're considering adult orthodontic braces, use our search area above to find an orthodontist in your town. Whether nature planned your smile a little off, or a missing tooth changed the geography over the years, you now have the option of a bite made in heaven.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.