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Adult patients- Lingual orthodontics and multidisciplinary dentistry:
Finding a common point
Dr.Dashrath KafleBDS,MDS
Lecturer,KUSMS
Dhulikhel Hospital 2
Dhulikhel Hospital 3
Age:53 years Sex:Female c/c: Unesthetic gap since childhood Wants to close the gap desperately
RPD on posterior segmentPeriodontal condition Normal except mild deposits of calculus.
Lesson I learnt!!!!!
Treatment of mass and treatment of class
29 years old female Nursing Incharge of ward
Worried about the increasing gap between front teeth
Does not want braces!!!!!
Treatment time 3 MonthsNow on retention
Keep it simple stupid!!!!! KISS
Age:43 years Sex:Female c/c: Gap between front teeth and Small teeth
Periodontal condition : compromised.
Treatment Duration : 4 Months Including Perio Therapy and Restorative Phase
Team approach
Age: 37 years Sex: Female c/c: Unesthetic gap since childhood Wants to close the gap desperatelyPeriodontal condition Normal Rotated 11.Crown Height -width Dicrepancy
Treatment time: 7 months.
Adult patients
• Esthetics• Expectation • Economy
The number has increased and will be increasing
Dental aesthetics produce a positive impact on quality of life.
1970
1980
1990
1999
5%
11%
??%
25%
Proffit WR, Field, HW. Sarver, DM. Contemporary Orthodontics: Fourth Edition. Mosby. 2012.
Adult Orthodontic Patients
Multidisciplinary Team Approach
Patient
Adult Ortho
Perio
SurgeryCons.
Prostho
Irregularly spaced dentitionMissing laterals
Cross bite IRT 13
Its never too late to correct myself
35 years old Business man. Dissatisfied patient.
Do No Harm!!!!!!
A life spent making mistakes is not only more honorable, but more
useful than a life spent doing nothing
• Thank you