Is Age a Barrier to Orthodontic Treatment?
In the past, many people believed that orthodontic treatment was primarily for teenagers. However, modern dentistry has shown this to be a misconception. The primary factor determining eligibility for teeth straightening isn't age, but rather the overall health of a person's teeth, gums, and jawbone. As long as your oral health is good, with no active gum disease or significant bone loss, you are a viable candidate for orthodontic treatment, whether you are 17 or 70. The American Association of Orthodontists reports a growing number of adult patients, reflecting this shift in perception and capability.
The Impact of Age on Treatment
While age isn't a blocker, it does influence the treatment process. The bones of older adults are more mature and dense than those of children, which means teeth might move more slowly. This can lead to a longer overall treatment duration. Additionally, older adults may have more pre-existing dental work, such as crowns, bridges, or fillings, which an orthodontist must consider when creating a treatment plan.
Orthodontic Options for Seniors
Seniors have access to a wide range of teeth straightening options, many of which are discreet and comfortable.
Clear Aligners (e.g., Invisalign)
Clear aligners are a popular choice for adults seeking a less visible treatment. They are a series of custom-made, transparent plastic trays that are removable. This offers several benefits for older patients:
- Aesthetics: The aligners are virtually invisible, which appeals to those who are self-conscious about their appearance.
- Hygiene: Being removable, aligners make it easy to maintain excellent oral hygiene, which is crucial for seniors.
- Convenience: There are no dietary restrictions, as aligners are taken out for eating and drinking.
Traditional Metal Braces
Modern metal braces are smaller and less obtrusive than those from decades past. They are highly effective for correcting even severe malocclusion and are often the most affordable option.
Ceramic and Lingual Braces
- Ceramic Braces: These use tooth-colored or clear brackets, making them less noticeable than traditional metal braces.
- Lingual Braces: Attached to the back of the teeth, these are completely invisible from the front but can be more challenging to clean and may cause temporary speech changes.
Benefits of Straightening Teeth in Your 70s and Beyond
Beyond the cosmetic improvements, there are significant health benefits to aligning teeth in later life.
- Improved Oral Health: Straight teeth are easier to brush and floss effectively, reducing the risk of plaque buildup, tooth decay, and gum disease.
- Enhanced Functionality: Correcting a misaligned bite can improve chewing efficiency, which aids in digestion and can make eating more comfortable.
- Prevention of Dental Problems: Proper alignment can prevent uneven wear and tear on teeth, reducing the likelihood of fractures and jaw pain (TMJ issues).
- Boosted Confidence: A straighter smile can significantly improve self-esteem and confidence in social situations.
- Better Overall Health: Improved oral health has been linked to better overall systemic health, with links to heart disease and diabetes management.
Important Considerations and Potential Risks
While orthodontic treatment is generally safe for seniors, a few factors require careful consideration.
Oral Health Assessment
Before beginning, a comprehensive dental and orthodontic exam is essential. Any underlying issues like gum disease, bone loss, or receding gums must be addressed and stabilized first.
Treatment Time
As mentioned, treatment in older adults may take longer due to increased bone density. Patience and commitment to the process are key for successful outcomes.
Potential Risks
While rare, some risks exist, such as root resorption or gum recession, which should be discussed with a qualified orthodontist. Regular check-ups and good communication with your dental provider are crucial to manage these.
The Orthodontic Process for Older Adults
- Initial Consultation: An orthodontist will perform a thorough examination, including X-rays and digital scans, to assess your oral health and determine the best course of action. They may collaborate with your general dentist or a periodontist if necessary.
- Treatment Plan: A customized plan is developed, outlining the type of appliance, expected duration, and cost.
- Active Treatment: You will wear your chosen appliance, whether braces or aligners, for the specified period, with regular check-ups to monitor progress.
- Retention Phase: This is a lifelong commitment. A retainer, either removable or fixed, is required to maintain the new tooth position and prevent relapse.
Comparison Table: Braces vs. Aligners for Seniors
| Feature | Traditional Braces | Clear Aligners (e.g., Invisalign) |
|---|---|---|
| Appearance | Visible metal or less visible ceramic brackets | Nearly invisible clear trays |
| Removability | Fixed to teeth | Removable for eating, drinking, and cleaning |
| Dietary Restrictions | Yes (avoid sticky/hard foods) | No, aligners are removed |
| Hygiene | More challenging to clean around brackets/wires | Easier to brush and floss normally |
| Comfort | Potential for mouth irritation from brackets and wires | Smooth plastic, generally more comfortable |
| Effectiveness | Excellent for complex cases | Very effective, though complex cases may require braces |
| Compliance | Less dependent on patient compliance | Requires strict adherence to wearing 20-22 hours/day |
Conclusion: A Worthwhile Investment at Any Age
Ultimately, whether a 70 year old can straighten teeth is not a question of possibility, but of commitment. The benefits of improved oral health, better function, and increased confidence make orthodontic treatment a valuable investment in your quality of life. With advances in technology and a range of discreet and comfortable options available, there is no reason to let age deter you from achieving the smile you've always wanted. A consultation with an experienced orthodontist can provide all the information you need to make an informed decision for your health and happiness. For more information on adult orthodontics, consult a reputable source like the American Association of Orthodontists.
