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FAQ:  Orthodontics - Children - Teens



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Question:
Orthodontic movement of adults molars? One orthodontist says that molars can be moved, one says they can't.

The one that says they can't is the one I'm receiving treatment from, but I feel that the treatment is incomplete, leaving large gaps in my mouth and a crossbite where my upper molars are "out of place".

Is it possible to move molars in an adult? ....Visitor from NY

Answer:
Absolutely!

As long as a tooth is not ankylotic (where a tooth is attached directly to the bone rather than periodontal ligament and is unable to move), in that it has an intact peridontal ligament around the roots of the tooth and it is not periodontally comprimised, the tooth can be moved.

Now... it is more difficult to move molars, because they have more root structure and would require more anchorage, but they can be moved.

There is better news, however. Today, we have the advent of skeletal anchorage using mini-titanium screws and we can pretty much move a tooth in any direction without the loss of anchorage.

Talk with your orthodontist about these screws. They are going to be the future of orthodontics as far as making difficult movements in orthodontics quite simple.

If you are in a posterior crossbite as a adult, then skeletal or boney expansion across the upper jaw is usually needed and this will require a surgical procedure to alleviate the crossbite.

Alleviating a skeletal crossbite, by moving the molars orthodontically without surgery can lead to excessive gum recession and relapse. However, if the crossbite is only on one tooth, then possibly this can be accomplished orthodontically without surgery, but a proper diagnosis is required.

I recommend that you get another opinion from a reputable orthodontist in your area.

Editorial Staff

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