H “ΑΟΡΑΤΗ” ΟΡΘΟΔΟΝΤΙΚΗ (LINGUAL ORTHODONTICS)
                                                                                                                         Διεύθυνση Α: Δερβενακίων 30 Κτήριο : Αττική Ιατρική 153-51 Παλλήνη Αθήνα
                                                                                                                    Διεύθυνση Β: Δεκελείας 34 Αχαρναί 136 71
ORTHODONTICS FOR ADULTS
 Patients with orthodontics problems who were not treated at young age, can do orthodontic treatment as adults. However, some cases require cooperation of orthodontist with other medical or dental specialties (dentist, periodontist, prosthodontist, oral surgeon e.t.c.) in order to achieve an optimum functional and esthetic result. Cooperation with other medical or dental specialties doesn’t mean that orthodontic treatment time will be increased.
1) Increased overjet
 It’s the situation when upper teeth flare and there is increased distance between upper and lower teeth, while normally upper teeth should be in contact with lower teeth. This  could be due to a skeletal or dental problem. When there is both a skeletal and dental problem, lower jaw is behind the upper jaw. Normally, the upper and lower jaw should be at the same line.                                                                       

 Profile where lower jaw is
behind  the upper jaw
Profile where there is a normal rela- tionship between upper/lower jaw
 Profile where upper jaw is
behind lower jaw  
2) Anterior cross-bite

 It’s the situation when upper teeth are behind lower teeth. Normally, upper teeth should be in front of lower teeth. This situation is a result  of a dental or skeletal problem or combination of both. When, there is a skeletal problem, upper jaw is behind the lower, while normally, upper and lower jaw should be at the same line. This situation has to be treated because there is increased risk of trauma of periodontal tissues.

          


Anterior cross bite
3) Crowding

 Prolonged crowding in adults causes wear of teeth and inhibits good oral hygiene. Relieving the crowding improves and facilitates oral hygiene and as a result improves the prognosis and longevity of teeth.


 Crowding
 4) Increased overbite
 It’s the situation when upper teeth overlap lower teeth at a very big percent. Normally, upper teeth should overlap  lower teeth by 1-2mm. This situation usually doesn’t  cause esthetic problems, but creates intense and  extensive wear of the  edges of lower teeth and therefore should not be left untreated.


Increased overbite
5) Open bite
                              
 It’s the situation when there is a distance between upper and lower teeth. Normally, upper teeth should touch the lower teeth. This situation has to be treated in order to improve prognosis of involved teeth.


Open bite
6) Periodontal problems
 Teeth which are positioned away from the center of the bone result in gingival problems. Teeth should have sufficient bone and gingiva around them. Adult patients that already have periodontal problems have to be evaluated orthodontically because usually  an orthodontic problem coexists and worsens the already existent periodontal problem.


Periodontal problems
7) Tooth wear
   Extensive dental wear shows that there is a dental or jaw problem. This should be treated orthodontically. Normally, no tooth grinding should be present, only a minimal physiologic wear is acceptable.


Tooth wear
8)Impacted, ankylosed teeth
Impacted and ankylosed teeth cause problems in neighbouring teeth and create malocclusion. Orthodontic treatment is necessary even at a later age.