Adult Orthodontic Treatment

dr-patient-adultAdult orthodontic treatment is common today. In fact, adults make up approximately 25% of Elite Smiles Chastain’s practice, which is a higher percentage than most orthodontists. They come to see us for a variety of reasons, but one of the most common is, “Now that my kid’s braces are done, it’s my turn.”

We examine many adult orthodontic patients over the age of 50. They often have teeth that are worn and malaligned which often requires the combined efforts of Elite Smiles Chastain and their dentist. This team approach achieves results that are not only esthetic but long lasting.

We enjoy the challenge of treating adults. Dr. Sebastian has taken a special interest in adult treatment since the beginning of his practice more than 25 years ago. He is extensively trained in TMD and bite restoration, having taken many post-graduate courses at the Pankey and Spear Institutes.

Invisalign is a treatment option often recommended by Dr. Sebastian for adults, because of the results which can be achieved with this comfortable esthetic appliance.

View Our Adult Orthodontic Results


Crowding is the most problem we see in orthodontics. The teeth may be twisted or displaced. Crowding occurs when there is disharmony in the tooth to jaw size relationship or when the teeth are larger than the available space. Crowding can be caused by improper eruption of teeth and early or late loss of primary teeth. Crowding is the lack of space for all the teeth to fit normally within the jaws. If you have crowded teeth and you want them straight then you have to make room. There are three ways to make room, expand the teeth, IPR (interproximal reduction) or extract.

Interproximal Reduction (IPR) is a quick and easy procedure used for crowding where very precise tools are used to change the shape and size of your teeth, primarily on the sides where they touch each other. This is done for three reasons. First, the upper or lower teeth may be naturally the wrong size and don’t fit together well. Second, the shape of individual teeth may not allow them to lay next to each other ideally. This can adversely affect the appearance of a smile even though the bite may fit perfectly. Third, IPR is used in cases of mild crowding so that the removal of teeth can be avoided.


Before                                      After
 This patient "always wanted straight teeth." The treatment plan included IPR and expansion.


Spacing is an excess of space for your teeth which results in gaps between your teeth. This generally occurs when the teeth are smaller than the available space. Spacing can also be caused by protrusive teeth, missing teeth, or impacted teeth.


Before                                  After
 This patient was "embarrassed to smile because of my gaps."

Open Bite (Treated with TADs)

Open bite is a condition in which either the front or back teeth of the opposing arches do not contact or overlap. It is caused by oral habits such as tongue thrust, finger sucking or when the jaws don't grow evenly.



Over Bite (Class II)

Over Bite is when the upper teeth are too far ahead of the lower teeth, not only the front teeth but the back teeth also. It can be caused by the upper teeth being protruded or a recessive lower jaw.



Deep Bite

A deep bite is when the lower teeth are completely overlapped by the upper teeth and the lower front teeth may come into contact with the gum tissue behind the upper front teeth.



Under Bite (Class III)

Under bite is when the lower teeth bite on top of or ahead of the upper teeth. it can be caused by the teeth being out of position, missing teeth or the jaws not coordinated in growth. There are 3 ways to treat an under bite: TADS, extraction or jaw surgery.


Before                                           After
 Elite Smiles Chastain used a single TAD on the left lower back teeth with braces to correct. A simple way to resolve a complex problem.

Restorative Surgery

Surgical orthodontics, also known as orthognathic surgery, is a type of orthodontic treatment used to correct severe cases that include bad bites and jaw bone abnormalities. This patient's treatment involved braces and surgery to widen her upper jaw and move her lower jaw forward.


Combination Restorative and Orthodontic Treatments

These patients usually have worn, damaged and sometimes missing teeth. Their treatment requires a combination of orthodontics and restorative dentistry to correct.


Before                                       After
 This patient felt his teeth were too short. His treatment required 12 months of braces to open his bite so his dentist could restore the proper length to his upper and lower front teeth.


Elite Smiles Chastain

91 W. Wieuca Rd., Suite 300 • Atlanta, GA 30342Orthodontics: 404.303.7400 • Pediatric Dentistry: 404.252.5900

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