Adult orthodontics - aesthetic orthodontics

Adult orthodontics differs from child orthodontics in many ways. It requires a precise treatment plan and special adjustments. It differs because:

  • As an adult, growth is over.
  • the adult may have numerous tooth restorations and/or extractions, which makes adult orthodontics more complex in the treatment plan.

The peculiarity of adult orthodontics also lies in the possible presence of periodontal disease and/or abrasions of dental surfaces, thus complicating the treatment plan and the technical difficulty. It requires special considerations because the adult has often benefited from orthodontic treatment in adolescence. The decision to undertake a new treatment has become possible; thanks to a positive psychological reflection which allows the new techniques of adult orthodontics, lingual orthodontics and Invisalign treatment with successive transparent aligners.

These techniques make up invisible and aesthetic orthodontics and are popular with adults who want to perform orthodontic treatment to improve their smile and chewing function.

Adult orthodontics can be used to resolve prognathism, retrognathism, narrow jaws, dental crewding and rotations, as well as dental mesioversions (pre-prosthetic orthodontics in adults). The adult orthodontics represents a large part of the activity of our orthodontic practice, particularly because of the development of invisible and aesthetic orthodontic techniques.

The orthodontics of Paris are equipped with a latest-generation radiology device to perform conventional orthodontic x-rays (lateralcephalograms) within the office. and dental panorex) of a very high precision. These snapshots are diagnostic elements essential to the treatment of child and adult orthodontics as well as the detection of any caries. In particular, they orient the orthodontist on the movements to be expected during the treatment. The implementation of this radiology equipment within the office facilitates and allows an immediate diagnosis. The patient no longer needs to move to another facility, which saves our patients valuable time and comfort.

The techniques used in adult orthodontics and aesthetic orthodontics (Drs A.SEYED MOVAGHAR and R.MOVAGHAR, orthodontist in Paris)

  • Aesthetic braces (Aesthetic Orthodontics of Adults)
  • Lingual Orthodontics (Invisible and Aesthetic Orthodontics of Adults)
  • Invisalign (invisible and aesthetic orthodontics of adults)

Lingual device or lingual orthodontics (Drs A.SEYED MOVAGHAR and R.MOVAGHAR, orthodontist in Paris)

Lingual orthodontics is the only totally invisible treatment: it is therefore aesthetic and invisible orthodontics since the attachments are bonded to the inside of the teeth. After the individualized study of each case, specific impressions are made for the manufacture of the braces of the aesthetic and invisible lingual orthodontic treatment. Lingual orthodontics now makes it possible to treat all cases in orthodontics; from small crowding to open bite as well as preimplantation adult orthodontic cases. In a number of well-selected cases, it is possible to treat with invisible and aesthetic lingual orthodontics young or adolescent adults.The lingual orthodontic technique used in the office uses the latest generation of braces, which are made of gold (for reasons of brace accuracy).

Each lingual brace, aesthetic and invisible, is designed to fit on a given tooth: these are real "made to measure shoes" made on each tooth. The thickness of the braces is very small (less discomfort for language and speech). The arches are also made to measure and folded thanks to a robot, which makes it possible to obtain a very important precision for the different stages of invisible and aesthetic lingual orthodontic treatment.

  • Advantages of lingual orthodontics: invisible orthodontics and therefore aesthetic orthodontics, precision (because root and crown movement in lingual orthodontics), rapid alignment in lingual orthodontics, particularly thanks to biomechanics (more efficient and effective previous SL system), a greatly reduced risk of decalcification in lingual orthodontics compared to vestibular (external) orthodontics, speed and ease of treatment of the overbites by invisible and aesthetic lingual orthodontics.
  • Disadvantages of lingual orthodontics: relatively high cost due to laboratory costs, discomfort for language and speech for a few days for this invisible and aesthetic lingual orthodontic treatment.

Examples of arches treated by invisible and aesthetic lingual orthodontics

- Here are 2 cases of adult orthodontics treated in lingual orthodontics:

CAS 1: this is a case of adult pre-prosthetic orthodontics

CASE 2: This is a case of adult orthodontic crewding

Invisalign(Drs A.SEYED MOVAGHAR AND R.MOVAGHAR, orthodontist in Paris)

Practitioners of the orthodontic practice in Paris are DIAMOND PROVIDER , which means they are very experienced in the Invisalign practice and treat many cases by Invisalign.

Invisalign  is aesthetic orthodontic technique that allows to perform the invisible orthodontic treatment through the use of a number of invisible transparent aligners.

The success of the Invisalign treatment depends on the number of hours of wearing of each set of invisible aligners, ie 300 hours every two weeks, or about 20 hours a day. The Invisalign technique can now be used to solve a large number of cases thanks to advances in research: invisalign allows to treat cases of surgical and non-surgical adult orthodontics with or without extractions, in an aesthetic and almost invisible way. It is now possible to perform axis straightening in Invisalign technique as well as to treat cases of open bite and overbite. The process of the Invisalign technique can be summed up in:

  • Silicone impression performed by the practitioner.
  • sending impressions to the lab Invisalign.
  • Model scanning and simulation of dental movements according to the instructions and the treatment plan of the practitioner allowing the constitution of a "Clincheck".
  • validation or modification of the "Clincheck" by the practitioner.
  • manufacturing the series of transparent aligners.

Invisalign invisible orthodontic treatment may require the addition of attachements (invisible bendigns) or proximal enamel reduction.

The use of auxilliares with Invisalign as intermaxillary elastics reduces the gap between the dental arches. Preoperative orthodontic preparation can also be performed using Invisalign invisible and aesthetic orthodontic technique. The surgeon will use intraoperative miniscrews to position the maxillae in the desired position. Preprosthetic orthodontics can also be performed using the Invisalign invisible and aesthetic orthodontic technique (see Pre-Prosthetic Orthodontics with Invisalign).

The advantages of invisible orthodontic technique by Invisalign are:

  • aesthetics because the treatment is done without "the braces" but with "aligners" ie invisible appliances.
  • spacing of appointments: the patient is reviewed every 8 weeks and 4 pairs of invisible aligners are entrusted to him at each appointment.
  • Respecting hygiene with the Invisalign technique because you have to remove the aligners to eat and brush your teeth.
  • the absence of pain or very little pain in invisible and aesthetic Invisalign orthodontic technique.
  • the comfort of the Invisalign invisible and aesthetic orthodontic system (no wires or braces that hurt).
  • The highly active research team improves the precision of invisible and aesthetic Invisalign orthodontic treatment as well as the materials used which become more elastic, releasing softer, progressive and constant forces over time.
  • Easy insertion and removal thanks to the new materials used for Invisalign aesthetic and invisible orthodontic technique.

The disadvantages of the invisible orthodontic technique in Invisalign are:

  • a lisp during the first days of treatment (slurred speech)
  • the need for strict cooperation: the patient must wear invisible transparent gutters all day long except during mealtimes and brushing teeth.

- Here is a case of adult orthodontic crewding treated with Invisalign technique:

Preprosthetic orthodontics (Drs A.SEYED MOVAGHAR and R.MOVAGHAR, orthodontist in Paris)

The goal is to obtain optimal conditions for the prosthetic realization (implant, bridge, removable plates). It often involves straightening a mesiovery molar (lying forward), opening a space necessary for the realization of implant, closing a space by advancing a wisdom tooth for example avoiding the implant or the bridge, to reassemble an upper tooth in order to have enough space to make a prosthesis at the level of the lower jaw. This orthodontics can be performed with invisible and aesthetic orthodontic techniques (Lingual Orthodontics and Invisalign).

See next article: SEYED MOVAGHAR A., MOVAGHAR R. Contributions of orthodontics to the treatment of partial edentulousness. Quintescence, alternatives n ° 30-p.55 to 60.

See next article: LAUWERS L.; WOJCIK T.; DELBARRE A.; MOVAGHAR R.; FERRI J. Oligodontics, Therapeutic strategy from 30 cases. Journal of Stomatology and Maxillofacial Surgery Volume 110, Number 5 pages 263-268 (November 2009).

In some cases, the use of mini-implants may be necessary.

Preimplantation preprosthetic orthodontics in complex cases of multiple agenesis can be performed with Invisalign's invisible and aesthetic orthodontic technique. "Pontics" filled with composite can hide unsightly spaces. These cases may require a short phase of multiband finishings for root axis correction.

Orthodontic preparation for orthognathic surgery (Drs A. SEYED MOVAGHAR and R.MOVAGHAR, orthodontist in Paris)

When there is insufficient jaw growth, and there is significant skeletal discrepancy between the jaws, orthodontic-surgical protocol involving orthodontic and orthognathic surgery is indicated. This orthodontics can be performed with invisible and aesthetic orthodontic techniques (Lingual Orthodontics and Invisalign).

See the following article: VEREECKE F.; RAOUL G.; S. MOVAGHAR R.; BARALLE M.M. FERRI J. Interests of maxillary distraction in the treatment of endomaxillies. Journal of Stomatology and Maxillofacial Surgery: Ed. April 2003. Book of abstracts.

See next article: FERRI J.; MOVAGHAR R.; SEBILLE S. Osteogenic distraction in orthopedic surgery of the mandible. French Orthodontics, 2005; 76: 287-295.

See next article:FERRI J.; MOVAGHAR R.; SEYED MOVAGHAR A. Posterior vertical deficiencies of the mandible: Presentation of a new correction technique and retrospective study of 15 cases. International Orthodontics 2007; 5: 98-110.

See next article:A SEYED MOVAGHAR; R. MOVAGHAR Osteodictraction of the maxillary in the transverse deficits of the adult: analysis of the literature and clinical case International Orthodontics 2011; 9: 157-178.

After the end of the growth, from 14 years for girls and 16 years for boys. In cases of anteroposterior gap of the jaws, narrow jaws or lateral deviation of the jaws. How ? The first stage is a preparation of dental arches by orthodontics to form two aligned and coordinated arches that can fit after surgery. Then comes the surgical overset correction stage for example, and finally the orthodontic finishing stage. Risks ? Like any surgery: the risks associated with general anesthesia, loss of sensitivity of the lower lip and chin, hemorrhage, infection, delayed consolidation ... But with progress, major risks are rare. In cases where surgery of the upper jaw is performed, patients usually swell at the level of the face on which bruises (hematomas) can occur/appear. Edema and hematoma subside after a few weeks.