Lingual orthodontics,Adult patients and General Dentistry

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Lingual orthodontics,Adult patients and General Dentistry

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

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