Adult Orthodontics

When straightening teeth in adults, it is important to be aware of the following:

  1. By adulthood, the jaw has completed its growth process.  Therefore, full correction of deficient jaw growth such as a “small” jaw or a protruding jaw requires surgical intervention. 
  2. The older a patient is, the greater the rehabilitative aspect becomes due to fillings, crowns, missing teeth or periodontitis that causes loss of bone support and shifting of teeth, all phenomena typical for an adult patient.
  3. The adult patient tends to seek focused short term treatment together with invisible aesthetic solutions.

These and other factors require close cooperation among all dental staff involved in the patient’s case. The patient undergoes comprehensive testing and an orthodontic examination, a periodontal examination and a general dental examination in preparation of the treatment rehabilitation program.

Treatment itself will commence only after a discussion has been held with the patient to clarify all consequences and possible outcomes, priorities, and a detailed treatment protocol.

Aesthetic orthodontics

Traditional orthodontistry uses metal supports commonly known as “braces”.  They are mounted on the teeth for a large number of months if not years, and as such deter many who would otherwise be interested in improving the aesthetic appearance of both teeth and smile.

Several innovative methods are currently available for straightening teeth, all developed out of an awareness of the importance of aesthetics not only after the process is complete but during the process itself.

A variety of transparent braces exist, some made of plastic materials or silicon, and others of ceramic.  The latter are attached to the external facet of the teeth much like metal braces but do not change their transparency throughout the course of treatment.  The visible parts are only the wire passing between the supports.

Lingual Braces

In this cutting-edge method, the braces are attached to the inner, rather than the outer, facet of the teeth.  The method developed strongly in the USA and Japan already in the 1970s and is currently very commonly used in Europe and the Far East.

Its advantages are in preserving maximum aesthetics while the teeth are being straightened.  The method is suited to a broad range of orthodontic problems and is used in simple and complex cases with equal success.  The duration of treatment with lingual braces is no different than with externally showing braces.  Certain problems can be resolved simply and quickly with lingual braces.  Some discomfort is felt as the patient adapts to their presence in the mouth, which can take up to about ten days.  Adaptation may cause disruptions to speech, unclear enunciation, or a slight whistling, some awkwardness with the tongue, and slight difficulty in chewing.  However, once adaptation has occurred, the after-effects disappear almost completely. 

The cost of lingual braces is more expensive than traditional external braces due to the high costs of the equipment and laboratory preparation of the custom-made brace suited to each patient personally.

Moria Periodontal Center’s orthodontic staff have trained specifically in this method and hold broad experience, ensuring your treatment’s success.


This modern method straightens teeth without any braces.  Instead, it uses transparent aligners that wrap around the teeth.  The aligner is removable, but must be worn at least 22 hours per day, removing them for eating, drinking or brushing natural teeth.

The aligner is prepared in a laboratory in the USA or Germany using computerized technology.

A mold of the teeth is cast and sent to the laboratory where it is scanned, enabling a simulation of the orthodontic procedure.  The orthodontist plans correction of teeth positioning using the transparent custom-made mold.  A new mold is produced for each stage of the treatment, according to the orthodontist’s treatment program.  Generally a new mold is needed every two weeks.

The method’s advantages include maximized comfort for the patient, especially to the tongue and lips, compared to other types of braces; and the almost invisible aligner promotes maximum aesthetics.

The disadvantage is that the method requires the patient’s strict observance of the need to wear the aligner as instructed.

The method is suited to treating almost all orthodontic needs, but as with all orthodontic protocols, the patient must consult with the orthodontist to ascertain its suitability to the particular aesthetic deficiency.

The cost of the INVISALIGN aligner is more expensive than other options due to the high costs of the equipment and laboratory preparation of custom-made aligners.

This method requires that the orthodontist holds appropriate training and experience, as does Moria Periodontal Center’s orthodontic staff.

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