Is orthodontics possible in old age?

The ideal age for dental orthodontics is between 10 and 14 years; Does this mean that **orthodontics in old age** cannot be done and adults should refrain from arranging their teeth? Obviously not. The fact is that all over the world 20% of those seeking treatment are adults; It means the age groups of 22 to 44 years, 45 to 64 years and even over 65 years. Join us to explain the conditions of treatment in adults, the complications of orthodontics in old age and its special care. Also, we will see if the cost of treatment is different for these people. Is orthodontics possible in old age? In addition to being possible, orthodontics in adults is also successful; But it has two important points. The first point is that the treatment period in old age is longer than in childhood and adolescence. why because the density of the jaw bones is higher and their growth is complete (stopped); This slows down the movement of the teeth. The second point is the specific prerequisites of orthodontics at the age of 50 or generally old age; Things like the health of the roots of the teeth, the proper density of the jaw bone and the absence of periodontal or gum diseases. These prerequisites are necessary so that the orthodontist can be sure that the person will not suffer complications during the treatment. What are the side effects of orthodontics in old age? The most important "complications of orthodontics in old age" are: - **tooth decay or gum disease**: teeth are more vulnerable by themselves in old age; The presence of braces also makes cleaning the teeth challenging. This causes the accumulation of dental plaque and increases the risk of tooth decay and gum disease. - **Root analysis**: Root analysis is often minor and does not cause problems for the teeth. The problem here is that the risk of analysis increases with long-term use of braces (over 2-3 years). Given the slow progress of treatment in old age, it is logical that this should be a concern; However, orthodontists will monitor the roots of the teeth with careful examination and photography. - **Dental ankylosis**: Ankylosis is one of the rarest complications of orthodontics in old age and it means fusion of the root to the bone. If a tooth is fused to the jaw, braces cannot move it; But the rest of the teeth start moving around the ankylosed tooth. This complication is sometimes identified by photography and clinical examination. - **Pain and Discomfort**: Inflammation and occasional pains of orthodontic treatment, especially in the early stages and after tightening the braces, can bother older people more than usual. In case of damage to the soft tissue and the occurrence of plague, the healing process may be longer. - **Relapse of orthodontics**: Relapse is not exactly one of the complications of orthodontics in old age and is actually a potential consequence. Relapse refers to the movement of teeth after removing braces, which does not completely disappear for several years after treatment. This issue (especially in old age) is normal and can be controlled with a retainer. The reason for orthodontic complications in old age As the age increases, the mouth and teeth see changes that are not visible at a younger age. These changes can exacerbate general orthodontic complications or create new challenges, including: - **Analysis of gums and bones**: aging can aggravate periodontal disease; Diseases that destroy the gums and even have a negative effect on the underlying bones. This is extremely important; Because without healthy gums and bones, teeth cannot be moved properly (and with lasting results). - **enamel erosion**: tooth enamel is very strong, but it wears out over time; Especially if the elderly orthodontic applicant is prone to teeth grinding, smoking, acidic foods, etc. These lead to thinning of the enamel and tooth weakness, ultimately making the teeth vulnerable to pressure from braces/aligners. - **Jaw bone problems**: Osteoporosis in old age directly affects the jaw. In this complex situation, osteoporosis of the jaw increases the risk of tooth loss, and tooth loss also weakens the jaw. Orthodontics (on time) in old age breaks this cycle and preserves the bone structure by improving the bite and distribution of forces. - **Loss of teeth and their displacement**: When adults lose a tooth, the remaining teeth move towards the empty space. The result of these displacements is the alignment of the teeth and bite. With orthodontics, teeth movement can be managed and realigned for optimal function. - **Dry mouth**: Saliva is the unsung hero of oral and dental health, which usually decreases with age. Dry mouth is an important risk factor for tooth decay and gum disease, both of which aggravate orthodontic complications in old age. - **Some drugs/diseases**: Some drugs or specific diseases affect the treatment and cause complications. For example, hormonal changes slow down teething; Cortones reduce bone density; Autoimmune disorders cause inflammation in bones and oral tissue and... Prevention of orthodontic problems in old age Some of the effective strategies to prevent the problems of **orthodontics in old age** are: - **Proper nutrition**: consuming dairy products, leafy vegetables, nuts, seafood and generally having a healthy diet is vital for this purpose. Such a diet provides calcium, vitamin C, antioxidants and protein necessary for gums and teeth. **Sufficient movement**: Along with a healthy diet, physical activity increases bone density and reduces the chance of osteoporosis. - **Control of unhealthy habits**: smoking, grinding teeth, chewing on foreign objects, opening things with the teeth, etc. are among the habits that can damage the soft tissue of the mouth (especially the gums) and teeth and make the complications of orthodontics more prominent in old age. - **Addressing diseases**: Some systemic diseases such as diabetes can cause gingivitis, mouth ulcers and other problems. Timely care to control and treat these diseases can limit orthodontic problems in old age to a good extent. - **Attention to the gums**: performing strengthening activities to maintain the health of the gums and bone around the teeth are also useful, such as massaging the gums with soft toothbrushes. - **Protection of the teeth**: If you grind your teeth or are a fan of sports in which the probability of impacting the jaw and teeth is high, be sure to use a dental guard. - **Expert consultation**: Before starting the treatment, be sure to consult an experienced orthodontist and get advice from him about the treatment process, the best orthodontic method, ways to control side effects, etc. What is the best method for orthodontics in old age? Fixed orthodontics is very suitable for the elderly. Braces can move teeth very well and can correct almost all dental abnormalities. If the client does not like the metal appearance of metal braces, ceramic brackets can be used that are the same color as the teeth, which are much less noticeable. If the misalignment is mild, clear orthodontics is also a suitable option. Clear aligners are removable, easier to maintain, and are popular options for senior orthodontics. Orthodontic care in old age The most important points of care during orthodontic treatment at the age of 30 or older are the following: - **Maintaining oral and dental hygiene**: it is necessary to carefully brush and floss twice a day so that all surfaces of the teeth and the orthodontic device are completely clean. Fluoride mouthwash is also recommended. - **Regular visits to the orthodontist**: The treatment seeker must visit the specialist according to the specified schedule for device adjustment, examinations, photography, etc. so that the treatment process is not disturbed. - **Quick action when a problem occurs**: If the device is damaged (the wire breaks, the bracket breaks, the bracket separates from the tooth, etc.), the patient should see an orthodontist urgently. - **Proper maintenance of the device**: Regardless of whether the treatment is with aligners or braces, the patient must use and maintain the device according to the expert's instructions. - **Adherence to the orthodontic diet**: It is very important to avoid hard, crunchy, sugary and sticky foods. These foods can also damage the device; It is also difficult to completely remove them from the teeth and corners of the device. How much is the price of orthodontics in old age? As we have seen, the duration of orthodontic treatment in old age is longer and has certain complications. This issue increases the price of orthodontics in adults. If you are worried about the costs, don't postpone your treatment any longer and use the special conditions of installment orthodontics in Dr. Saeed Qureshi's clinics and office. **Orthodontics in old age** is still possible, successful and lasting; But it requires a combination of suitable conditions of the patient, his cooperation and the expertise and experience of the orthodontist. Dr. Qureshi, an orthodontic specialist in Tehran, is by your side on this path with the successful treatment of dozens of adult cases. Right now, you can book an appointment at one of their clinics or offices, and if you have any questions, contact us via WhatsApp for a free consultation.