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When the Patient Refuses
Orthodontic Treatment
Additive direct composite for a patient who declines orthodontics as a treatment option.
Dentaltown.com > Message Boards > Cosmetic Dentistry > When the Patient Refuses Orthodontic Treatment
Toof DK
Member Since: 03/19/04
Post: 1 of 110
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Introduction
Have posted some cases using orthodontics combined with a restorative modality (composite, ceramics). Have even shown some old-school ortho treatment with crochet thread. If
orthodontics is indicated and the patient refuses, my next-best option is to perform an additive
smile enhancement with direct composite, if possible.
The patient was unhappy with the mesial rotation of
her central incisors. She said that it looked like she had
a gap or something black between her teeth when she
smiled. Ortho was not currently a viable option, and she
asked if something could be done.
Additive composite was placed on teeth #8 and #9.
The teeth were not drilled.
Ortho Referral?
Ortho Referral
Left lateral before and after view.
Demonstrating shade match, including value. A
polarized view is also added to evaluate shade without
spectral highlights.
Right lateral final view. The patient's tooth structure
can be observed "peeking out" on the mesio-lingual.
Conclusion
Although not an ideal treatment, it is reversible as there
was no reduction of tooth structure. If the patient is able or
desires to, orthodontics can be initiated at a later date. ■
MAR 3 2015
satchdds
Member Since: 04/19/02
Post: 3 of 110
Very nice presentation and outcome. To nitpick, a little violet blue to simulate translucency
at the incisal would have been over the top. ■
MAR 3 2015
DrJarett
Member Since: 10/22/05
Post: 12 of 110
Toof DK
Member Since: 03/19/04
Post: 15 of 110
Pedsdude
Member Since: 01/17/12
Post: 17 of 110
Bioclear techniques here? ■
MAR 4 2015
No Bioclear matrix used here. Used straight Mylar for this case. ■
MAR 5 2015
Wow! Impressive! I can never achieve a polish like that. Do you mind sharing your
polishing technique? ■
MAR 5 2015
Continued on p. 84
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Table of Contents for the Digital Edition of Dentaltown December 2015