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 years
Sex:Female
c/c: Unesthetic gap since childhood Wants to close the gap desperately
RPD on posterior segment
Periodontal condition Normal except mild deposits of calculus.

12. Lesson I learnt!!!!!
Treatment of mass and treatment of class

13. Nursing Incharge of ward
29 years old female
Worried about the increasing gap between front teeth
Does not want braces!!!!!

14. Treatment time 3 Months
Now on retention

15. Keep it simple stupid!!!!! KISS

16. Age:43 years
Sex:Female
c/c: Gap between front teeth and Small teeth
Periodontal condition : compromised.

21. Treatment Duration : 4 Months Including Perio Therapy and Restorative Phase
Team approach

22. Age: 37 years
Sex: Female
c/c: Unesthetic gap since childhood Wants to close the gap desperately
Periodontal condition Normal
Rotated 11.
Crown Height -width Dicrepancy

24. Treatment time: 7 months.

25. Adult patients
• Esthetics
• Expectation
• Economy
The number has increased and will be increasing
Dental aesthetics produce a positive impact on quality of life.

26. Adult Orthodontic Patients
25%
1999
??%
1990
11%
5% 1980
1970
Proffit WR, Field, HW. Sarver, DM. Contemporary Orthodontics:
Fourth Edition. Mosby. 2012.

27. Multidisciplinary Team Approach
Periodontics
Surgery Orthodontics
Patient
Restorative
Prosthodontics
Dentist

28. Prostho Perio
Adult
Ortho
Surgery
Cons.

29. Missing laterals
Irregularly spaced dentition
Cross bite IRT 13

36. Its never too late to correct myself

37. 35 years old Business man.
Dissatisfied patient.

43. Do No Harm!!!!!!

44. A life spent making mistakes is not
only more honorable, but more
useful than a life spent doing
nothing
• Thank you