Adult Orthotropics (18 years old and older) treatment goals are also very similar to both Early, as well as Adolescent Orthotropics, but again the actual treatment must be a modification of the treatment goals of Early Orthotropic treatment. In adults, there is essentially no remaining skeletal bone growth, and there may be missing teeth, porcelain veneers, implants, damage or broken and worn teeth due to years of masticating food and often from poor oral hygiene and sometimes from poorly accomplished dental restorative care. This is, of course, maybe coupled with an additional diminished ability to "relocate" any teeth to their more "correct" positions. Often in adult Orthotropics the use of Surgically Facilitated Orthodontic Treatment (SFOT) is very useful to achieve a better more robust final result in Adult Orthotropics.
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 adult patients, as similarly with adolescent patients, the appliances are usually fixed (bonded in place) , but certainly different then with early Orthtropic patients, which are primarily removable appliances. [Although in the restoration of extraction sites that were created by earlier orthodontic tooth extractions, the appliances used to restore these extraction sites are usually removable]. The advantage of fixed appliances is that cooperation is again good and similar to adolescent care, and obviously, less of a problem then with earlier children's Orthotropic treatment. 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 an improved Facial development and vary effective Airway enhancement.