Too Old for Braces?

Prospective clients often use the phrase 'at my age...' or 'I thought I was too old for braces'. So I thought I'd have a look at who my 'typical' adult patient is.

You might be surprised to hear that last year more than half (59%) of my patients were aged 17 or over. The proportion is growing each year, when I started the practice in 2006 adults made up about a third of my clients. I think this reflects both the growing demand for cosmetic dentistry and the availability of more aesthetic types of braces. It's probably not so surprising that women make up 70% of my clients, but the proportion of men seeking treatment is also growing.

The mean age of my adult clients when they started treatment was 38, but this doesn't really tell the full story. My oldest client was 66, with the biggest proportion being the 30-44 year olds, but nearly a third being aged 45 or over. There is no age limit to braces, though the treatment plan may need to be modified depending on missing teeth or dental disease, and sometimes combined with other dental treatment like whitening, crowns or implants.

The types of braces used also reflect the wish of adults to keep treatment as discreet as possible. For teenagers it's quite acceptable to wear metal fixed braces and they often decorate them with bright colours. Whilst a few adults will opt to have this type of treatment I usually use more aesthetic treatments instead. For many years aesthetic fixed braces were considered inferior but modern braces are virtually equivalent so I rarely offer standard metal braces to my adult clients.

The choice of braces is determined both by the problem and the type of tooth movement to be carried out, and the preference expressed by the patient. Standard, or labial fixed braces are attached to the front of the teeth, usually using ceramic brackets which blend fairly well with the teeth. This is the simplest treatment and is often chosen over other, less obviously visible brace types for reasons of time, cost and comfort, which is why it makes up half of the treatments I carry out. Clear aligners are mainly Invisalign, removable clear braces that are virtually invisible. Lingual fixed braces like Incognito are fixed to the back of the teeth so they can't be seen at all, they are perhaps less popular due to cost and worries about comfort, but it's probably the biggest growing area in orthodontics at the moment.

So if you don't notice adults with braces every day, it's probably not because adults don't have them - just that these invisible treatments are often very hard to see!

The truth is, I don't have a 'typical' adult patient. I treat people of all ages, from all walks of life - some of whom travel quite a distance - for all sorts of problems. And I'm happy to say I have a range of skills and treatments available, so I can usually find a treatment to suit each person: it's all part of your assessment, when we sit down together and chat about what you'd like to do. 

It's actually quite common for adults to take action to get the smile they want. So if you'd like to pop in and see us, please do get in touch.

Brides and Braces

If you are getting married you are probably thinking about your appearance on the day, especially as it will be immortalised forever in the photos. Hair and makeup are just as important as the dress, but have you thought about your smile?

A wedding is often the factor that prompts brides into getting dental attention, whitening is probably the most frequently requested treatment but you may also be thinking about the position of your teeth. I have treated several brides-to-be (and mothers of the bride) to give them a better smile before their wedding. The limiting factor is often time, most orthodontic treatments need at least a year and the more time you have the better.

However, if you have less time don't panic, we can get a significant improvement in most people's teeth in about 6 months. We can fit the braces, progress the treatment as far as possible in the time available, then remove the braces in time for your big day. Afterwards we can reassess whether to re-fit braces to complete treatment.

Alternatively, you could pick invisible braces like lingual Incognito braces or removable Invisalign, which means your treatment can be continued without interruption, these are especially good options if time is a bit short or you don't want the additional cost and time of removing/refitting braces.

Recently one patient got married wearing her ceramic fixed braces as she was keen not to interrupt treatment. Ceramic braces are like traditional fixed braces but made of clear porcelain rather than metal so they blend with the teeth. I changed the wire for a tooth-coloured version before the wedding and she smiled with confidence all day. You can see the braces in the pictures (see above) but they are barely noticable. I know Faye herself was delighted that her teeth looked straighter and knows she made the right decision about keeping the braces on. I'd like to congratulate Faye and her husband on their wedding and wish them the best for the future.

If you would like to get your teeth straightened before your wedding please call us to arrange an appointment to discuss the options, it may be easier than you think!