• Combining orthodontic and restorative treatment is synergistic. Some of the advantages of combing both fields includes better aesthetics and less tooth preparation.
• Often there is a compromise – aesthetics vs cost (financial/biological).
• Don’t forget that an attractive smile is dependent on how it is framed i.e. the surrounding tissues/face can have a significant influence.
• The occlusion and changes to it should be retrained within the envelope of function.
• Anchorage is crucial – can be both horizontal and vertical.
• Examples for the uses of ortho:
  Creation of vertical space for implants by intrusion and the use of anchorage via mini-screws.
  Bio-engineering/making bone (1% less resorption after 3 years).
  Tooth wear cases – intrude and then build up
• Communication to the patient via photographs, mockup, provisional s in the mouth, CADCAM.
• Good record keeping is crucial  – photographs, radiographs, models, clinical assessment sheets, consents, warnings.
• Don’t forget to document the diagnosis – without this you cannot justify any treatment.

General Dental