osteoporosis and orthodontics; Is orthodontics possible with osteoporosis?
Dr. Alireza Khadavi
تهرانOrthodontic specialist
Osteoporosis and orthodontics is a topic which has become important for many people, especially adults who seek to correct their dental abnormalities. When bone density decreases, it is natural to have concerns about the feasibility of dental treatments, including orthodontics. This is where an important question arises: Is it possible to do orthodontics even with osteoporosis?
Maybe this concern prevents many people from starting treatment, because they don't know what is the relationship between osteoporosis and orthodontics and whether weak bones can withstand the pressure of treatment or not. Stay with us to check the answers to these questions.
List of titles Show What is osteoporosis? Primary osteoporosis Secondary osteoporosis How does osteoporosis affect orthodontics? Is orthodontic treatment possible with osteoporosis? Osteoporosis severity bone density Radiography Special orthodontic conditions for people with osteoporosis Related contentWhat is osteoporosis?
Osteoporosis is a disease that makes bones weak and fragile. When bone density decreases, even normal stress such as falling or bending over can cause a fracture. This disease is more common in older people, especially postmenopausal women, but it can also occur at younger ages. Various factors such as calcium deficiency, hormonal changes or unhealthy lifestyle can increase the risk of it.
The relationship between osteoporosis and orthodontics is important because the jaw bones play an important role in the success of orthodontic treatment. If you are planning to do adult orthodontics, you should first check if you have osteoporosis; In case of infection, you must consult an orthodontic doctor.

Primary osteoporosis
Primary osteoporosis is usually caused by aging and the natural decline of hormones such as estrogen or testosterone. This type is more common in postmenopausal women and men over 70 years old. Those who are thinking orthodontics at age 30 or older, should first check the condition of their bones before starting the treatment to avoid any possible problems.
Secondary osteoporosis
Secondary osteoporosis occurs for certain reasons such as chronic diseases, the use of certain drugs (such as corticosteroids) or nutritional problems. This type may be seen at a younger age and needs more special care. If you are suffering from this type of osteoporosis and want to follow orthodontics and osteoporosis treatment, you must consult a specialist so that your conditions are carefully examined.
How does osteoporosis affect orthodontics?
The connection between osteoporosis and orthodontics is due to the fact that in orthodontics, either fixed orthodontics or gel orthodontics, a force is applied to the teeth to move them. This process depends on the jawbones, which must be able to withstand the pressure and regenerate themselves. Because osteoporosis causes a decrease in jaw bone density, this process may be slower or faster.
However, this does not mean that in case of osteoporosis; Orthodontics cannot be done. With advances such as digital orthodontics, specialists can more accurately examine the condition of the bones and design an appropriate treatment plan. If you are thinking about orthodontics at the age of 50, don't worry; By consulting an experienced orthodontic doctor, you can start the treatment with confidence. It is enough to check the condition of your bones first.

Is orthodontic treatment possible with osteoporosis?
If your osteoporosis is mild and under your doctor's control, you can usually get orthodontics. For example, using gel orthodontics or lighter brackets can put less pressure on the jaw. Also, taking calcium and vitamin D supplements can help strengthen bones.
In more severe cases, additional measures may be needed before treatment can begin. Hence, people who are looking for orthodontics for seniors should consult an orthodontist first.
Severity of osteoporosis
The severity of osteoporosis depends on the amount of bone loss and can be mild, moderate or severe. In severe cases, the risk of broken bones is greater and dental treatments such as orthodontics may become more challenging. Therefore, it is very important to assess the severity of the disease before starting any treatment, especially orthodontics.
Two methods of measuring bone density and radiography are used to check the severity of osteoporosis.
Bone density
Bone density is measured with a test called bone densitometry (DEXA). This test shows how strong or weak your bones are. In adult orthodontics, checking the density of the jaw bone is very important, because the jaw must be able to withstand the pressure caused by the movement of the teeth. The results of this test will help the orthodontist to decide what type of orthodontics is best for you.
Radiography
Radiography is one of the best tools to investigate the relationship between osteoporosis and orthodontics. X-ray images of the jaw and teeth show the specialist whether the bones are healthy or have signs of reduced density. In modern methods such as digital orthodontics, these images are analyzed more accurately and help to plan treatment better.

Special conditions of orthodontics for people with osteoporosis
The orthodontic treatment process for those with osteoporosis must be completely personalized. It means that you cannot do orthodontics like a normal patient; Because the bones are more sensitive, they need more care and the amount of pressure must be adjusted carefully.
Considerations that must be observed include the following:
- Using very gentle and gradual forces to move the teeth
- Exact and frequent control of jaw bone density
- Doing orthodontics with the coordination of an endocrinologist or rheumatology specialist
- Choosing less invasive methods such as gel orthodontics or digital orthodontics
- Special health care to prevent gum and bone loss
- Designing a longer-term treatment schedule to reduce pressure on the bone
- More examination sessions
- Using strengthening materials and bone-building supplements under the supervision of a doctor
- Full training to the patient about proper care and nutrition
Osteoporosis and orthodontics, if done with planning and under more care, have positive results. Although this disease may present challenges, with the help of a professional like Dr. Khadeevi, you can achieve a beautiful and healthy smile. To start the treatment, call Dr. Khedevi's office today and book a consultation appointment.
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