Adult -ortho lectur2016.pdf_63899.pdf - Interdisciplinary...

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Dr . Asmaa Moawed Lecturer of Orthodontic Nahda University Interdisciplinary Orthodontic Treatment in Adults
Interdisciplinary Orthodontic Treatment in Adults Adult patients can be classified into: Group I: 18 to 25 years of age. Group II: 26 to 35 years at age. Group III: 36 years to older age.
It can be performed for: 1.Esthetic. 2.Periodontal. 3.Prosthodontic. 4.Tempro-mandibular joint (TMJ). Why we perform orthodontic treatment in adults? Interdisciplinary Orthodontic Treatment in Adults
1.Esthetic: this remains the most important motivation for a patient to seek orthodontic treatment. Why we perform orthodontic treatment in adults? Interdisciplinary Orthodontic Treatment in Adults
2.Periodontal breakdown: as observed in crowding of teeth, accumulation of plaque & calculus. Why we perform orthodontic treatment in adults? As well as the presence of spacing between teeth that presents ideal location for food impaction, which ends by formation of the periodontal pockets & loss of bone.
It tends to pathologically migrate, space & elongate. Interdisciplinary treatment could improve their periodontal conditions & enhance aesthetic. The periodontally involved teeth: Interdisciplinary Orthodontic Treatment in Adults
Interdisciplinary Orthodontic Treatment in Adults 3. Prosthodontic: orthodontic appliances can achieve the following; Parallelism of abutment teeth. Uprighting of titled teeth. Regaining of lost extraction spaces. Derotation of abutment teeth. Intrusion of supraerupted teeth. Distribute abutment teeth more favorably both inter & intra-arch.
A female 26 y. old had class III with short face, anterior crossbite & asymmetric exposure of mandibular incisors during function. She had clicking in right TMJ & as well as chin deviated to right during mouth opening. 4. TMJ dysfunction: caused by malocclusion, early loss of posterior teeth or /& decrease in the lower facial height. Interdisciplinary Orthodontic Treatment in Adults
Orthodontic treatment was started with resin bite block to open bite posteriorly to prevent traumatic occlusion during anterior crossbite correction. Treatment was finished after 17 m. Interdisciplinary Orthodontic Treatment in Adults
Medical condition. Periodontal condition. Skeletal malocclusions. Motivation of the patient. Limitations for orthodontic treatment in adults The situation may arise because of four main reasons:
Growth potential. TMJ adaptability. Periodontal problems. General health. Appliance esthetics, tolerance & speech. Retention planning. Motivation, cooperation & treatment appreciation. Interdisciplinary Orthodontic Treatment in Adults Difference between adolescent & adult patients:
palatal grafts
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Restorative considerations when treating adults Lateral alveolar bone remodeling may occur by moving teeth in a narrowed ridge with direct bone resorption that achieve lateral expansion of the of ridge through compensatory bone formation.

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