Dentaltown march 2016 - (Page 44)
orthodontics
feature
Limited Adult Orthodontics
Contributes to Overall Function
and Esthetics of Lithium
Disilicate Restorations
Brent Engelberg, DDS, PC
Dr. Brent Engelberg
graduated from the
Indiana University
School of Dentistry
before establishing
his current practice
in Arlington
Heights, Illinois.
Engelberg not only seeks out educational
opportunities for himself, but also strives
to educate other dentists. He co-directs
his multidisciplinary dental study club in
the Chicago suburbs, which attracts many
local and national speakers. He is widely
published in professional dental journals
on the subject of esthetics and cosmetic
dentistry, and teaches other dentists
cosmetic procedures through his courses.
44
MARCH 2016 // dentaltown.com
Introduction
Many adult patients are hesitant to accept
orthodontics as part of their restorative
treatment.
However, creating a stable and wellaligned foundation is often a prerequisite to
minimally invasive dentistry. Orthodontics
prior to restoration reduces biomechanical
and functional risks, potentially minimizing
the number of restorations and amount
of necessary preparation.1, 2 According to
a literature review completed by Buttke
and others, two-thirds to three-fourths of
adults possess some form of malocclusion,
yet adults constitute only 15 percent of all
orthodontic patients.3
Patients refuse orthodontic treatment
for a variety of reasons, including cost, time
constraints, concern about possible pain
or discomfort, and apprehension about
social acceptance.3 However, less-expensive
partial or limited orthodontic treatments
can achieve similar occlusal outcomes in
a shorter amount of time. While conventional orthodontics may accomplish perfect
occlusion, sometimes patients' goals do not
require this extensive treatment.
Adults can live for years with a malocclusion, failing to recognize their occlusal
deviations as a problem. A patient requesting
improved esthetics may only require some
orthodontic alignment to establish a stable
foundation, and it is important for the
dentist to create a treatment plan that avoids
overtreatment.
For example, excellent stability and
function can be just as practically attained
in a posterior crossbite as it is with normal
intercuspation.4 The anterior occlusal relationship (e.g., establishing anterior guidance
and canine guidance) is more important for
the case's success than correcting a posterior
crossbite.
Clinical presentation
A 67-year-old male presented with chipping and fractured anterior teeth and was
very dissatisfied with his smile (Fig. 1). He
explained that his financial clients used to
always tell him that he looked too young to
do his job, but now he felt as if his clients
thought he looked too old. After diagnostic
and orthodontic records were captured, a
comprehensive examination was completed.
The clinical evaluation revealed that
the patient's occlusion was not conducive
for functional success over time (Figs. 2 &
3). Clinicians are now seeing more patients
with fractured or failed restorations because
occlusal problems either were not corrected
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown march 2016
On Dentaltown.com
HOWARD SPEAKS: Do Your Employees Feel Safe?
PROFESSIONAL COURTESY: Wonder Women in Dentistry
Continuing Education Update
SECOND OPINION: Pedonomics and the Affordable Care Act: Emerging Economic Impacts That Can Propel Your Practice
Industry News
Rod’s Incredible Perio Protocol: The Remix!
Assistance with Provisional Fabrications
Transitioning with a DSO: How it Works
Function and Esthetics of Lithium Disilicate Restorations
What Happens if You’re Not There?
The Role of CBCT Imaging in Dentistry
Why Your Site Must Be Mobile-Ready in 2016
Make Lower Denture for Existing Upper Denture?
Product Profi le: AMD Lasers
Women in Dentistry: INTRODUCTION: FACING CHANGE
GIVING SURVIVORS A REASON TO SMILE
WOMEN IN THE BOARDROOM
“DEAR DENTIST...”
FROM REFUGEE TO RENAISSANCE WOMAN
IN THE VANGUARD
WHEN IT’S YOUR CIRCUS
CECILIA MESCAIN
Product Profi le: Schick
Implant Maintenance Protocol
The New Force in Dental Marketing
Product Profi le: OCO Biomedical
Practice Solutions: Perio Protect
Ad Index
Product Profile: Integrated Dental Systems
New Products
You Should Know: Kallpod Health
Poll
CONTINUING EDUCATION: An Observation on the Superiority of Articaine versus Lidocaine in Dental Anesthesia
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