Orthodontic Treatment in Your 50s: Correcting a Tilted Occlusal Plane and Buck Teeth with Crowding?

Hello,

Today, let’s talk about orthodontic treatment in your 50s.

When one side is lower and the other side is higher when viewed from the front, causing the occlusal plane to appear tilted, this is called canting.

A quick way to correct canting with Invisalign is to place orthodontic mini-screws on the lower side and use elastics.

I also posted a similar case last time.

Today, we’ll look at another similar case.

I’ll show you how results can be achieved with Invisalign Lite, a limited program for partial orthodontic treatment.

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This patient came in last June to improve the alignment of the front teeth.

They are stylish and impressive, which is hard to believe for someone in their 50s.

Originally, they were looking into laminate treatment, but after being told that the teeth would need to be shaved, they changed their mind and came to us for orthodontic treatment.

A black triangle caused by gum recession is visible in the center of the lower front teeth.

The right-side teeth are lower and the left-side teeth are higher, so the overall alignment looks tilted from the front.

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The molar occlusion is not bad.

The two front teeth are protruded.

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The lower front teeth are more crooked than the upper front teeth.

Since the molar occlusion is fairly good, we recommended Invisalign Lite with interproximal reduction and set the treatment period at around 10 months.

However, if you want to clearly improve the tilted occlusal plane within 10 months, it is better to place orthodontic screws and use elastic force at the same time.

With alignment improvement and canting correction as the treatment goals, we began treatment.

After wearing all 14 appliances in the first set for 5 months from August to December, this is the result.

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We hooked elastics between the blue arrows and onto the Invisalign appliance to actively intrude the right canine area.

We proceeded with a remake for further alignment improvement, and after wearing the additional appliances from January to May 2025, treatment was completed.

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The midline is well aligned, and the black triangle between the lower front teeth has decreased.

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If the occlusion is not good, we do not finish treatment.

Now, let’s compare before and after treatment.

The total treatment period was 10 months.

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The improvement in the angled axis of the lower front teeth is noticeable.

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Neat alignment, and

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The tilted occlusal plane has improved. In addition, the clean smile line stands out.

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Now that the buck teeth have been resolved, the face looks more refined.

I hope this post is helpful for those in their 50s or for anyone hesitant about orthodontic treatment because they think it will take too long.