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Teeth can shift with age, and many adult patients have difficulty in properly cleaning their teeth. Misaligned teeth increase the chances of food, plaque, and calculus buildup and cause the individual to periodontal disease and jaw pain. Instead of overaggressive tooth reduction to align teeth with cosmetic restorations, today’s informed adult sees braces as a worthwhile investment of time in exchange for decades of uncompromised straight teeth. Age should not be a consideration for orthodontic treatment because a healthy bite is as important at age 50 years as it is at age 15 years. There are a variety of orthodontic appliances available, including metal braces, tooth-colored braces, braces that are positioned behind the teeth, clear aligners, and other devices.