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Lingual orthodontics,Adult patients and General Dentistry

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  • 1. Adult patients- Lingual orthodontics and multidisciplinary dentistry: Finding a common point Dr.Dashrath Kafle BDS,MDS Lecturer,KUSMS
  • 2. Dhulikhel Hospital 2
  • 3. Dhulikhel Hospital 3
  • 4. Age:53 yearsSex:Femalec/c: Unesthetic gap since childhood Wants to close the gap desperatelyRPD on posterior segmentPeriodontal condition Normal except mild deposits of calculus.
  • 5. Lesson I learnt!!!!! Treatment of mass and treatment of class
  • 6. Nursing Incharge of ward 29 years old femaleWorried about the increasing gap between front teeth Does not want braces!!!!!
  • 7. Treatment time 3 MonthsNow on retention
  • 8. Keep it simple stupid!!!!! KISS
  • 9. Age:43 yearsSex:Femalec/c: Gap between front teeth and Small teethPeriodontal condition : compromised.
  • 10. Treatment Duration : 4 Months Including Perio Therapy and Restorative Phase Team approach
  • 11. Age: 37 yearsSex: Femalec/c: Unesthetic gap since childhood Wants to close the gap desperatelyPeriodontal condition NormalRotated 11.Crown Height -width Dicrepancy
  • 12. Treatment time: 7 months.
  • 13. Adult patients• Esthetics• Expectation• Economy The number has increased and will be increasing Dental aesthetics produce a positive impact on quality of life.
  • 14. Adult Orthodontic Patients 25% 1999 ??% 1990 11%5% 19801970 Proffit WR, Field, HW. Sarver, DM. Contemporary Orthodontics: Fourth Edition. Mosby. 2012.
  • 15. Multidisciplinary Team Approach Periodontics Surgery Orthodontics Patient Restorative Prosthodontics Dentist
  • 16. Prostho Perio Adult Ortho Surgery Cons.
  • 17. Missing lateralsIrregularly spaced dentition Cross bite IRT 13
  • 18. Its never too late to correct myself
  • 19. 35 years old Business man.Dissatisfied patient.
  • 20. Do No Harm!!!!!!
  • 21. A life spent making mistakes is not only more honorable, but more useful than a life spent doing nothing• Thank you