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Digital planning in joint orthodontic-restorative care

British Dental Journal volume 237, pages 317–325 (2024)Cite this article

Abstract

Combined orthodontic-restorative treatment represents an increasing proportion of our practice, mirroring increasing provision of adult orthodontics and refinements in appliance design. By harnessing simple digital technology, it may be possible to promote more predictable aesthetic, biological and functional interdisciplinary outcomes. In particular, digital approaches can be embedded in the diagnostic and treatment planning phase, enhancing our communication with patients and colleagues while also permitting more detailed analysis and more refined planning.

Key points

  • Digital smile design concept used in orthodontic restorative cases.

  • Digital wax-ups and injection moulding techniques for better case finishing.

  • Surgical stents for gingival contouring and surgery.

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References

  1. Proffit W R. Equilibrium theory revisited: factors influencing position of the teeth. Angle Orthod 1978; 48: 175-186.

  2. Scott P, Fleming P, DiBiase A. An Update in Adult Orthodontics. Dent Update 2007; DOI: 10.12968/denu.2007.34.7.427.

  3. Vandenberghe B. The digital patient - Imaging science in dentistry. J Dent 2018; 74: S21-S26.

  4. Lynch C. Defining digital dentistry: A survey of recent literature. J Dent 2017; 59: 1.

  5. Joda T, Gallucci G O. The virtual patient in dental medicine. Clin Oral Implants Res 2015; 26: 725-726.

  6. Vaid N R. Digital technologies in orthodontics - An update. Semin Orthod 2018; 24: 373-375.

  7. Miglioretti D L, Johnson E, Williams A et al. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatr 2013; 167: 700-707.

  8. Nguyen T, Jackson T H. 3D technologies for precision in orthodontics. Semin Orthod 2018; 24: 386-392.

  9. Calamia J R, Levine J B, Lipp M, Cisneros G, Wolff M S. Smile design and treatment planning with the help of a comprehensive esthetic evaluation form. Dent Clin North Am 2011; 55: 187-209.

  10. Coachman C, Calamita M, Ricci A. Digital Smile Design. In Goldstein R E, Chu S J, Lee E A, Stappert C F J (eds) Esthetics in Dentistry, Third Edition.pp 84-111. NJ: John Wiley Sons Ltd, 2018.

  11. Magne P, Belser U C. Biomimetic restorative dentistry, Volume 2: Advanced Clinical Procedures and Maintenance. Batavia: Quintessence Publishing, 2022.

  12. Andrews J, Alwafi A, Bichu Y M, Pliska B T, Mostafa N, Zou B. Validation of three-dimensional facial imaging captured with smartphone-based photogrammetry application in comparison to stereophotogrammetry system. Heliyon 2023; DOI: 10.1016/j.heliyon.2023.e15834.

  13. Blatz M B, Chiche G, Bahat O, Roblee R, Coachman C, Heymann H O. Evolution of Aesthetic Dentistry. J Dent Res 2019; 98: 1294-1304.

  14. Jamilian A, Perillo L, Rosa M. Missing upper incisors: A retrospective study of orthodontic space closure versus implant. Prog Orthod 2015; 16: 1-6.

  15. Silveira G S, de Almeida N V, Pereira D M T, Mattos C T, Mucha J N. Prosthetic replacement vs space closure for maxillary lateral incisor agenesis: A systematic review. Am J Orthod Dentofacial Orthop 2016; 150: 228-237.

  16. Behrents R G. Growth in the aging craniofacial skeleton. Ann Arbor: University of Michigan, 1985.

  17. Kokich Jr V O, Kinzer G A, Janakievski J. Congenitally missing maxillary lateral incisors: restorative replacement. Counterpoint. Am J Orthod Dentofacial Orthop 2011; DOI: 10.1016/j.ajodo.2011.02.004.

  18. Zachrisson B U, Rosa M, Toreskog S. Congenitally missing maxillary lateral incisors: canine substitution. Point. Am J Orthod Dentofacial Orthop 2011; DOI: 10.1016/j.ajodo.2011.02.003.

  19. Whiteman Y Y. A Communication Guide for Orthodontic-Restorative Collaborations: Digital Smile Design Outline Tool. Dent Clin North Am 2020; 64: 719-730.

  20. Coachman C, Calamita M A, Coachman F G, Coachman R G, Sesma N. Facially generated and cephalometric guided 3D digital design for complete mouth implant rehabilitation: A clinical report. J Prosthet Dent 2017; 117: 577-586.

  21. Andrews L F. The 6-elements orthodontic philosophy: Treatment goals, classification, and rules for treating. Orthod Philos 2015; 148: 883-887.

  22. Zhou M, Zhang H, Camhi H et al. Analyses of oligodontia phenotypes and genetic etiologies. Int J Oral Sci 2021; 13: 32.

  23. Naoum S, Allan Z, Yeap C K et al. Trends in orthodontic management strategies for patients with congenitally missing lateral incisors and premolars. Angle Orthod 2021; 91: 477-483.

  24. Rosa M, Lucchi P, Ferrari S, Zachrisson B U, Caprioglio A. Congenitally missing maxillary lateral incisors: Long-term periodontal and functional evaluation after orthodontic space closure with first premolar intrusion and canine extrusion. Am J Orthod Dentofac Orthop 2016; 149: 339-348.

  25. Kravitz N D, Miller S, Prakash A, Eapen J C. Canine Bracket Guide for Substitution Cases. J Clin Orthod 2017; 51: 450-453.

  26. Ypei Gia N R, Sampaio C S, Higashi C, Sakamoto A, Hirata R. The injectable resin composite restorative technique: A case report. J Esthet Restor Dent 2021; 33: 404-414.

  27. Sarver D M. Principles of cosmetic dentistry in orthodontics: Part 1. Shape Proportionality Anterior Teeth. Am J Orthod Dentofac Orthop 2004; 126: 749-753.

  28. Sarver D M. Interactions of hard tissues, soft tissues, and growth over time, and their impact on orthodontic diagnosis and treatment planning. Am J Orthod Dentofac Orthop 2015; 148: 380-386.

  29. Machado A W. 10 Commandments of Smile Aesthetics. Dental Press J Orthod 2014; 19: 136-157.

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  1. Private Practice, Perth, Western Australia, Australia

    James Andrews

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  1. James Andrews
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Correspondence to James Andrews.

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Andrews, J. Digital planning in joint orthodontic-restorative care. Br Dent J 237, 317–325 (2024). https://doi.org/10.1038/s41415-024-7838-1

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