Orthotown September 2015 - (Page 14)
case presentation // feature
Combined Orthodontic
Restorative Treatment:
A CASE PRESENTATION
by Alan A. Curtis, DDS, MS, Clinical Director, Orthotown Magazine
One of the most frustrating parts of
being an orthodontist is knowing that you
did the very best to align the teeth for superior esthetics and function, but still come
short due to improper tooth morphology
(Bolton discrepancies, large marginal
ridges, etc.).
I would imagine that restorative dentists feel the same-they would love to
restore every case to the ideal form, but due
to the position of the roots in the alveolus
the ideal form can't always be achieved.
When a patient understands the importance of both treatments, truly magical
things can occur.
The following case illustrates the point
with synergistic treatments that combine to
create amazing results.
Fig. 1A
Fig. 1B
Fig. 2
Pretreatment
A 27-year-old male was referred by his
dentist for pre-restorative orthodontics. His
initial presentation included a diagnosis of
mild Class III dental and skeletal malocclusion with accompanying incisal attrition.
This patient lacked the anterior, posterior
and interocclusal clearance to restore the
teeth to their virgin morphology (Figs.
1A-1B & Fig. 2).
Our orthodontic treatment objectives
were simple: 1. Intrude upper incisors while
advancing them to create the needed overjet
and final restorative overbite. 2. Align other
teeth for mutually protected occlusion.
Due to the fact that the tooth is wider
at the incisal area compared to the cervical
region, the more attrition that occurred
from the incisal, the less mesial distal arch
length the patient had, further aggravating
14
SEPTEMBER 2015 // orthotown.com
Initial
3/6/2014
27 Yrs 6 mo.
Fig. 3
When a patient
understands the
importance of both
treatments, truly magical
things can occur.
http://www.orthotown.com
Table of Contents for the Digital Edition of Orthotown September 2015
Orthotown.com Highlights
Embrace Progress: How Staffing Helps Mitigate the Threat of Corporate Dentistry
Vertical Control
Combined Orthodontic Restorative Treatment
Industry News
How CBCT Can Help Jaw Alignment and Airway Issues
What’s On Your Tray? Banding and Bonding
What is Your Retainer Protocol?
New Products
Practice Solutions
Leveling the Playing Field: Partner with Staffing Experts
The Time for a Cloud-Based HCM Solution
Poll
A Response-Driven Treatment Plan: Navigating a Diffi cult Case Without a Road Map
GORP Review 2015
Ad Index
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