The Scope And Limitation Of Fixed Appliances

• Treatment considerations and limitations– B. Social considerations– C. Reduced scope for growth modifications

Nazeer Ahmed Meeran, Madhuri, MF Jaseema Parveen, The Scope and Limitations of Adult Orthodontics, Indian Journal of Multidisciplinary Dentistry, Vol. 2, Issue 1, November 2011 to January 2012, 383-387.

SOCIAL CONSIDERATIONS• More desire for esthetic appliances and are more concerned

about social acceptance– Tayer and burek:

• Found that nearly 74% adult patients indicated that they had initial fears concerning peer reaction to their treatment.

– The patients demand clear aligners, esthetic brackets and lingual appliances • Have hesitation in accepting visibility of fixed appliances mainly for social

reasons.

• Expectations of adult patients are usually high – The limitations of orthodontic treatment must be explained at the

beginning of treatment, in order to arrive at realistic treatment objectives.

Reduced Scope For Growth Modifications

• The main treatment consideration in adults is the limited scope for growth modification and functional appliances.

• Skeletal malocclusions have to be treated by camouflage and orthognathic surgery.

• Camouflage in orthodontics:– implementation of a less intensive treatment plan

option in a patient with a severe problem so as to obtain optimum results within physiologic limits and which may not be addressing the correction of the actually existing problem in the patient.