Do Braces Still Make Sense for Adults?

You see them again and again: adults wearing braces. But the question inevitably comes up whether braces still make sense in adulthood. This article shows how braces can support adults and what to keep in mind. You can find everything about orthodontics for adults here.

Why do many adults have braces?

The reasons for braces in adulthood are diverse. Most often, the patient did not have orthodontic treatment during childhood — whether due to a conscious decision or because their parents missed it. It may also be that the treatment result has been lost because the teeth have shifted again over time.

Adults also often consider orthodontic correction for esthetic reasons. Sometimes medical reasons add to the concern.

Severe crowding or gaps between the teeth can, for example, make cleaning more difficult and thus increase the risk of cavities. In addition, many people find crowding or gaps unattractive.

An open bite or deep bite also represents an esthetic concern for some individuals, but it also brings problems. Those affected may sometimes not be able to chew properly. The same applies to an underbite or a large overbite, as well as crossbite and reverse crossbite (buccal nonocclusion).

Furthermore, temporomandibular joint problems are a common reason for the decision. They can be the cause of muscle tension, sleep problems, and teeth grinding. Psychological factors should also not be overlooked. Many people no longer feel comfortable in their own skin due to misaligned teeth, which increases their distress.

What are the benefits of braces for adults?

Of course, braces can still be worn in adulthood to correct misalignments of the jaw and teeth. Various complaints can be resolved with them. In some cases, orthodontic correction for adults is even advisable to maintain a healthy oral cavity long-term.

It is not uncommon for spaces between teeth or certain teeth to be difficult to clean properly due to misalignments. Since dental cleaning and care form the basis for a healthy oral cavity and thus for overall health, orthodontic correction can provide relief in the long run.

How do misalignments develop in adulthood?

Some people notice quite late that they are affected by misaligned teeth. It is not always a matter of parental oversight. In some cases, a misalignment only becomes apparent in adulthood. There are various possible reasons for this, such as:

• advanced periodontitis

• shifts due to erupting wisdom teeth

• shifts due to tooth loss and resulting gaps

• accidents and other jaw injuries

• tooth migration due to improper stress such as grinding

Options for Adults: Types of Braces Available

There are several options for adults who want or need to wear braces:

• fixed braces on the outer surface

• fixed braces on the inner surface

• removable aligner trays

• removable appliances

Which type of braces an adult chooses depends on many factors. Aesthetic considerations play a particularly important role. However, in some cases the type of braces also depends on the nature of the misalignment.

Fixed Braces on the Outer Surface

A fixed braces system from the outside (also called brackets) is one of the most common methods. These braces are highly visible and therefore not popular with all adults. You can choose between ceramic brackets, which have the same color as the teeth, and silver metal brackets.

The brackets are attached to the front surface of the teeth. With the help of a ligated archwire that runs across the rows of teeth, the teeth are gradually moved into the desired position. While fixed braces can be quite inconvenient in some situations, their major advantage is that they can work on the teeth over a long period of time—without interruption.

Fixed Braces on the Inner Surface

Lingual technique is used when the brackets should not be visible. This is also a type of fixed braces. However, since the brackets are attached behind the teeth, other people do not notice them. This makes these braces popular with many adults. The only potential problem is speech difficulties, as many patients develop a lisp from wearing these fixed braces.

Removable Aligner Trays

Removable solutions are considerably more popular than fixed braces. Aligner traysare almost invisible. A model of the teeth is created, on the basis of which step-by-step correction can be performed. Each new tray achieves a small tooth movement.

Patients change the aligner trays themselves. It is recommended to wear them 20 to 22 hours a day. They are only removed for eating. While this is very convenient for patients, it also requires discipline. For best results, they must follow their orthodontist’s recommendations.

Removable Appliances

Not for all misalignments, but in some cases the classic removable appliance is also an option. The base consists of acrylic. It is attached to the teeth with small wire clasps. With the help of additional elements such as screws and springs, the jawbones can be expanded and teeth can be guided into a specific position.

However, this type of braces is only suitable for adults to a limited extent. Since the adult bone is fully grown and can no longer expand, this option rarely makes sense. Moreover, the method is often not precise enough, resulting in unsatisfactory outcomes.

Braces for Adults: How Does the Treatment Work?

If braces are desired in adulthood, or if there is a suspicion that they are medically necessary, the first step is a consultation with an orthodontic specialist. Typically, a referral is provided by the treating dentist.

During the initial consultation, the patient’s goals are discussed, existing misalignments are assessed, and the appropriate correction method is determined. The patient’s requirements are always at the center of this process. An individualized treatment plan is therefore essential.

How long treatment with braces for adults will take depends on the individual dental and jaw misalignment. Anything from a few months to several years is possible.

How Much Do Braces for Adults Cost?

Since there are different types of orthodontic corrections, costs vary. The severity of the dental and jaw misalignment, as well as the number of jaws being treated, is also a deciding factor. Typically, costs range between 2.500 and 8.500 Euro.

For patients entitled to reimbursement, a court ruling on reimbursement for orthodontic treatment in adults may also be relevant.

However, patients should always seek individual advice from their orthodontist. At the same time, it should be clarified whether additional costs will be added to the braces costs—for example, for lost brackets, repairs, or professional cleanings.

Many patients also wonder whether health insurance will cover part of the costs—especially when braces for adults are medically necessary. The clear answer is: No. Statutory health insurance does not cover costs for orthodontic treatment after the age of 18.

Exceptions apply in cases of severe dental and jaw anomalies that require additional jaw surgery. Statutory health insurance usually pays the standard rate for treatment. If the patient has special requests such as discreet ceramic brackets, they must pay for those privately.

Depending on the plan, private health insurance or supplemental dental insurance may provide payment. However, this must always be clarified individually.

What Should You Keep in Mind with Braces for Adults?

Regardless of the reason for braces in adulthood, there are a few factors to keep in mind. In addition to the question of costs, the patient’s overall health must always be assessed.

The basic prerequisites for braces in adults are a healthy periodontal apparatus and a cavity-free dentition. Dental diseases such as periodontitis and gingivitis must also be ruled out. Such problems must be treated first before braces come into play.

The reason is simple: braces exert pressure on the tooth root. If it is already compromised by disease, severe damage to the periodontal apparatus can occur.

Individual consultation is essential. Therefore, choose a specialist who takes time for you and your needs. After all, you should be satisfied not only with the result but also with the path to get there.

We at JUST KFO are happy to advise you on braces for adults. As experts in orthodontics, we will find the solution that suits you best individually. Your concerns will soon be a thing of the past.

Braces are worthwhile at any age

Tooth alignment with braces can also be advisable in adulthood. Tooth corrections are not just for children. Whether for esthetic or medical reasons: various treatment methods are available. Consult an orthodontic expert and choose the individually best solution for you.

FAQ: Frequently Asked Questions About Braces for Adults

When are you too old for braces?

Basically, there is no age at which braces are no longer an option. The only important thing is that the jaw bone structure and gums are in good condition and that no dental diseases are present.

How long do adults wear braces?

The duration of wearing braces in adults depends on the treatment method. In some cases, just a few months are sufficient.

How much do braces cost for an adult?

Costs vary depending on the type of braces. Anything between 2.500 and 8.500 Euro is possible. As a general rule: if the patient requests special features such as invisible brackets, this usually costs extra.

When does health insurance cover the costs of braces?

As a rule, health insurance does not cover any costs for braces for adults. Exceptions are severe jaw anomalies. Therefore, the question of cost coverage must always be clarified individually.