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Principles of interdisciplinary orthodontic and restorative treatment

British Dental Journal volume 237, pages 326–331 (2024)Cite this article

Abstract

Dentistry has changed significantly in the last two decades. Interdisciplinary treatment planning strives to deliver the highest quality of care through innovative collaborations among providers and the patient. The complexity of the care and challenges in interdisciplinary team communications are primary hurdles. We discuss five principles of interdisciplinary orthodontic-restorative treatment and outline a four-step interdisciplinary treatment planning process, starting with a comprehensive clinical examination to collect subjective and objective data. Diagnostic records, including 3D models, videos, 2D photos, questionnaires, and reports, are then evaluated to develop a problem list and treatment objectives. Treatment simulation is used to envision the outcome and guide the formulation of an orthodontic-restorative treatment plan. The plan can be broken down into stages, depending on the condition of the teeth and the planned restorative treatment. The challenges and opportunities presented by digital dentistry and the potential for more efficient interdisciplinary treatment are presented. In sum, this article provides an overview of the principles and framework for interdisciplinary orthodontic-restorative treatment, emphasising the importance of collaboration, communication and comprehensive treatment planning.

Key points

  • Orthodontic-restorative interdisciplinary treatment planning includes four steps. Step one is the clinical examination and collecting diagnostic records. Step two is to evaluate the diagnostic data including 3D images. Step three is to create a problem list development. Finally, an interdisciplinary treatment plan is formulated.

  • Digital technology, especially dental 3D printing, can be used in treatment planning during the discussion among the interdisciplinary team and the patient.

  • Asynchronous interdisciplinary team communication (eg screen recordings) eliminates various logistical barriers in orthodontic-restorative interdisciplinary treatment.

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Author information

Authors and Affiliations

  1. Clinical Associate Professor, Department of Orthodontics, University of Washington, USA

    Rooz Khosravi

  2. Teaching Professor and Director, Graduate Prosthodontics, Department of Restorative Dentistry, School of Dentistry, University of Washington, USA

    Van Ramos Jr

Authors
  1. Rooz Khosravi
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  2. Van Ramos Jr
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Contributions

RK: Developed the outline of the manuscript and wrote the paper. Created figures and flowcharts presented. VR: Developed the outline of the manuscript. Participated in various discussions with RK on the information presented in the manuscript. Proofread and edited the manuscript. RK and VR: Contributed to treatment planning of presented cases.

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Correspondence to Rooz Khosravi.

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The authors declare no conflicts of interest. Written consent to publish has been obtained for clinical photographs.

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Khosravi, R., Ramos Jr, V. Principles of interdisciplinary orthodontic and restorative treatment. Br Dent J 237, 326–331 (2024). https://doi.org/10.1038/s41415-024-7790-0

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