Adolescent Orthotropics (between the ages 10.5 and 18 years old) treatment goals are similar, but treatment must be a modification of Early Orthotropic treatment due to the reduction in the remaining skeletal bone growth, and also because of the more "fixed positions" of any aberrantly erupting teeth. This is coupled with the slightly diminished ability to "relocate" these teeth to their more "correct" positions.
The "principle goal" for effective treatment of Orthotropics for all ages, is the ability of the patient to achieve an effective and duplicatable "Resting Oral Posture". [The definition of "Resting Oral Posture" is: 1. Lips comfortably closed; 2. Teeth together; 3. Tongue against the Palate]. The ability to achieve a proper "Resting Oral Posture" is totally responsible for the actual creation of effective Facial development as well as Airway enhancement.
To achieve effective Orthotropics for adolescent patients, the appliances used are usually fixed (bonded in place) instead of primarily removable, as with Early Orthotropic treatment. The advantage of fixed appliances is that cooperation is usually less of a problem with adolescent care, then with earlier children's care. The disadvantage is, of course, a somewhat diminishment of more robust tooth movement and bone modification, as opposed to what can be achieved a little more easily with earlier age orthotropics. But still, with good cooperation, we are usually able to achieve a most improved Facial development and vary effective Airway enhancement.