Article

Do braces still make sense for adults?

You see them all the time: braces for adults. However, the question inevitably arises as to whether they still make sense at all in adulthood. This article shows how braces can support adults and what needs to be considered.

About the author

Picture of Dr. Julia Steinmaier

Dr. Julia Steinmaier

Specialist dentist for orthodontics
Owner of JUST KFO in Cologne, sought-after speaker and author who regularly appears in specialist publications and the media.

Why do many adults have braces?

There are many reasons for braces in adulthood. In most cases, the patient did not have orthodontic treatment as a child - either as a result of a conscious decision or because their parents neglected to do so. However, it is also possible that the treatment result is no longer valid because the teeth have shifted again over time.

Adults often think about having their teeth corrected for aesthetic reasons. Sometimes there are additional medical reasons.

Severe crowding or gaps between the teeth, for example, can make cleaning more difficult and therefore increase the risk of tooth decay. In addition, many people find crowding or gaps between teeth unaesthetic.

An open or deep bite is also an aesthetic reason for some people, but it also causes problems. Those affected are sometimes unable to chew properly. The same applies to a premature bite or a large overbite as well as a crossbite and reverse crossbite (buccal non-occlusion).

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

What are the benefits of braces for adults?

Of course, braces can also be worn in adulthood to correct misaligned jaws and teeth. Various complaints can thus be eliminated. In some cases, tooth correction for adults is even advisable in order to maintain a healthy mouth in the long term.

It is not uncommon for interdental spaces or certain teeth to not be cleaned properly due to misalignment. As tooth cleaning and care are the basis for a healthy oral cavity and therefore for general health, tooth correction can provide a long-term remedy.

How do malocclusions develop in adulthood?

Some people only realize quite late that they are affected by misaligned teeth. This is not always the fault of the parents. In some cases, malocclusion only becomes apparent in adulthood. There are various possible reasons for this, such as

  • advanced periodontitis

  • Postponements due to eruption of the wisdom teeth

  • Displacements due to tooth loss and resulting gaps

  • Accidents and other injuries to the jaw

  • Tooth migration due to incorrect loads such as grinding

Options for adults: These types of braces are available

There are a number of options for adults who want or need to wear braces:

  • Fixed braces from the outside

  • Fixed braces from the inside

  • Removable aligner splints

  • Removable loose braces

Which type of braces you choose as an adult depends on many factors. Aesthetic aspects in particular are taken into account. However, in some cases the type of braces also depends on the type of malocclusion.

Fixed braces from the outside

External fixed braces (also known as brackets) are one of the most common methods. These braces are highly visible and therefore not popular with all adults. There is a choice between ceramic brackets, which are the same color as the teeth, and silver metal brackets.

The brackets are attached to the front of the teeth. With the help of a ligated wire arch that goes over the rows of teeth, the teeth are gradually moved into the desired position. Fixed braces can be very inconvenient in some situations. However, their great advantage is that they can act on the teeth over a long period of time - without interruption.

Fixed braces from the inside

The lingual technique is used when the brackets should not be visible. This is also a fixed brace. However, as the brackets are placed behind the teeth, other people do not notice them. This makes braces popular with many adults. The only problem is any speech impediments, as many patients lisp when wearing these fixed braces.

Removable aligner splints

Removable solutions are much more popular than fixed braces. Aligner splints are almost invisible. A model of the teeth is created, on the basis of which a gradual correction can be made. A small tooth movement is achieved with each new aligner.

Patients change the aligner splints themselves. We recommend wearing them for 20 to 22 hours a day. They are only removed when eating. Although this is very practical for patients, it also requires discipline. For best results, they must follow the orthodontist's recommendations.

Removable loose braces

Not for all malocclusions, but in some cases the classic loose braces are also an option. The base is made of plastic. It is attached to the teeth with small wire brackets. With the help of additional elements such as screws and springs, the jawbones can be stretched and teeth can be guided into a certain position.

However, this type of brace is only suitable for adults to a limited extent. As the adult bone is fully grown and can no longer stretch, this option rarely makes sense. In addition, the method is often not precise enough so that the result is not satisfactory.

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 expert. As a rule, a referral is made by the treating dentist.

During the initial consultation, we clarify the patient's wishes, which malpositions are present and which method is suitable for the correction. The focus is always on the patient's requirements. An individual treatment plan is therefore essential.

The duration of treatment for braces in adults depends on the individual tooth and jaw misalignment. Anything from a few months to several years is possible.

How much do braces for adults cost?

As there are different types of tooth correction, the costs vary. The severity of the tooth and jaw misalignment and the number of jaws to be treated are also decisive factors. As a rule, the cost is between 1,800 and 8,500 euros.

However, patients should always seek individual advice from their orthodontist. At the same time, it should be clarified whether there are any additional costs on top of the braces costs - for example, for the loss of brackets, repairs or teeth cleaning.

Many patients also wonder whether their health insurance will cover part of the costs - especially if braces for adults are medically necessary. The clear answer is no. Statutory health insurance companies do not cover the costs of orthodontic treatment from the age of 18.

Exceptions apply to severe tooth 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 inconspicuous ceramic brackets, they must pay for these privately.

Depending on the tariff, private health insurance or supplementary dental insurance will make a payment. However, this must always be clarified on an individual basis.

What should I bear in mind with braces for adults?

Regardless of the reason for braces in adulthood, there are a few factors to consider. In addition to the question of cost, it is always necessary to check the patient's state of health.

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

The reason is simple: braces exert pressure on the root of the tooth. If this is already affected by a disease, serious damage can occur to the periodontium.

Individual advice is essential. So choose a specialist who will take the time to listen to you and your needs. After all, you should not only be satisfied with the result, but also with the way to get there.

We at the JUST KFO practice will be happy to advise you on braces for adults. As experts in orthodontics, we will find the solution that suits you best. This will soon make your discomfort a thing of the past.

Conclusion: Braces suitable for all ages

Straightening teeth with the help of braces can also be advisable in adulthood. Tooth correction is not just for children. Whether for aesthetic or medical reasons: There are various treatment methods that can be considered. Seek advice from an orthodontic expert and decide on the best solution for you.

FAQ: Frequently asked questions about braces for adults

When are you too old for braces?

In principle, there is no age at which braces are no longer an option. It is only important that the jawbone structure and gums are in good condition and that there are no dental diseases.

How long do you wear braces as an adult?

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?

The costs vary depending on the type of braces. Anything between 1,800 and 8,500 euros is possible. Basically, if the patient wants special features such as invisible brackets, this usually costs extra.

When does health insurance cover the cost of braces?

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

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