Orthodontics for seniors is not a novelty. When gums and bone are healthy enough, teeth can still move in the 60s, 70s and beyond. A common question from older adults is what to do about a front gap that has appeared or grown over the years. Age alone doesn’t rule you out; a careful exam decides. Southwest Smiles evaluates older adults at our Las Cruces and Deming offices. Results vary.
A new or growing gap can have more than one cause. In adults, gum disease and bone loss are among the most common, sometimes together with tongue or lip habits. That’s why we check your gums and bone before talking about moving teeth.
Can someone start braces at 70?
Often yes, if periodontal health is stable and medical history allows. Movement may be slower than in teens. Your doctor coordinates with your physician or general dentist when needed. Tell us about all your medicines, especially bone-strengthening medicines for osteoporosis (such as bisphosphonates or denosumab) and any that cause dry mouth, because they can affect how teeth move and how you care for them during treatment.
How can a tongue habit affect a gap?
When the tongue habitually rests against or between the front teeth, that light but constant pressure can, over time, help push them apart, especially if the gums and bone are weakened. Closing the space without addressing the habit can invite relapse. Your doctor will explain whether the habit needs attention as part of your plan, and long-term retainers help keep teeth in place.
What if I have gum recession or bone loss?
Active gum disease needs control before or alongside orthodontics. Recession does not automatically rule out treatment, but it changes planning. Tell us if your gums bleed or if you’ve had deep cleanings before.
Retainers after treatment
Spaces can reopen, so retention matters at any age. Retainers are worn practically for life: after an initial period, most people wear them at night, as your doctor indicates. In some spacing cases your doctor may recommend a fixed retainer behind the teeth.
About the images
The photos in this article are illustrations, not patients. When we share real cases, we do so only with the patient’s written authorization and show teeth only.
Frequently asked questions
Can older adults have orthodontic treatment?
Many can, when gums, bone and overall health support tooth movement. Every treatment has risks, such as gum changes or root shortening, which your doctor will explain. The exam decides, not a birthday.
Can gaps from tongue habits be improved?
Often the space can be reduced with orthodontics. Keeping it closed usually requires long-term retainers, sometimes a fixed retainer behind the teeth. Spaces can reopen, especially if the habit or gum problems continue. Results vary.
Do older adults use braces or aligners?
Either may fit. Dexterity, compliance and bite complexity guide the choice.
Does insurance cover adult orthodontics?
Many dental plans do not cover orthodontics for adults, so check your benefits. New Mexico Medicaid covers braces only for eligible members under 21 when medically necessary and approved in advance, and Original Medicare does not cover routine dental care. Bring your insurance card and we’ll check your benefits before treatment.
Where can older adults ask about orthodontics in southern New Mexico?
Las Cruces: 1700 N Main St, Mon–Thu 9–5. Deming: 710 S Gold Ave, Tue–Thu 9–5 and Fri 9–3. Call (575) 546-1400 or book online.
Age is not the only factor
See our Adult Orthodontics page and Meet Our Doctors, then book online or call (575) 546-1400 or send us an SMS.
This article is general information, not medical advice. Results vary; your doctor will evaluate your case.
Ready to talk with our team?
Book a full consultation in Las Cruces or Deming, or call (575) 546-1400 or send us an SMS.