The document discusses the importance of partnership between orthodontists and restorative dentists. It emphasizes beginning treatment with the end goal in mind by creating pre-restorative setups/models to plan tooth movements and ensure restorative work can achieve the desired outcome. Examples are provided of cases where orthodontics and restorative dentistry worked together successfully to give patients excellent function, esthetics and health.

1. In Partnership With The Restorative Dentist

3. Avoid solving restorative problems with orthodontics alone. dayanorthodontics.com The top and bottom teeth are straight, and from the front it looks like we may be finished. A special retainer design is used to maintain tooth positions until the final restoration is placed for ideal function, stability and esthetics. However the lower left central incisor is worn down from the previous excess forces on it, and it does not touch the top tooth. If we leave it like this, anterior guidance is not ideal and the top tooth will likely fall back lingually. The patient will be unsatisfied with the orthodontic relapse of the top teeth. Partnership With Restorative Dentist

4. dayanorthodontics.com Uneven wear related to crooked and uneven bite. Smile during invisible orthodontics making room for restorative dentistry. A wonderfully restored smile. Avoid solving restorative problems with orthodontics alone. Avoid creating uneven gum and bone tissue for even looking teeth. Partnership With Restorative Dentist For more learning about worn teeth and restoring the crooked and worn smile, see other slide show called Restoring Worn, Chipped & Broken Teeth.

5. dayanorthodontics.com Fractured tooth has little sound tooth exposed outside the alveolar bone. Extruded tooth can be restored without encroaching on biological width limitations. Partnership With Restorative Dentist Avoid removal of healthy bone gum tissue to expose restorative margins in order to fix teeth broken off at the gum line. For more learning about broken teeth and restoring the crooked and worn smile, see other slide show called Restoring Worn, Chipped & Broken Teeth.

6. Patient now has extra tissue in area for more predictable implant success. At present there is a bonded lingual retainer as bone and gum tissue mature for implant. Before After dayanorthodontics.com Partnership With Restorative Dentist Avoid bone defect following removal of hopeless teeth, which would compromise placement of future implant. For more learning about gum and bone tissue considerations in orthodontics, see other slide show called Improving Gum and Bone Tissue Health Through Orthodontics . Upper right central incisor is going to be replaced with implant. The concern is that final tissue height will be too high compared to adjacent central incisor.

7. dayanorthodontics.com Missing upper lateral incisors and subsequent spacing of top teeth. Invisible orthodontics with false tooth added. Implants placed and ready to be restored. Dentition restored to excellent esthetics, health and function. Partnership With Restorative Dentist Consolidation of spaces due to missing teeth and drifting, in order to replace teeth of normal size and position. For more learning about missing teeth and collapsed bite, see other slide show called Restoring Missing Teeth & Collapsed Bite.

8. Partnership With Restorative Dentist Restoring facial balance and lip balance, due to collapsed bite. Before After dayanorthodontics.com For more learning about the collapsed bite, see other slide show called Restoring Missing Teeth & Collapsed Bite.

10. Pre-Restorative Setup = Post-Orthodontic Setup The patient has several restorative and periodontal concerns. The planned tooth movements are carefully mapped out and clearly communicated by the setup. The patient, dentist and orthodontist are all aware of the pre-restortative goals. The patient is committed to all phases of the treatment from the start. dayanorthodontics.com Partnership With Restorative Dentist Radiograph shows upper right central incisor requires removal. There is concern that the remaining bone defect will create a restorative and esthetic challenge. Case continued on next slide

11. In Partnership With You During the orthodontic treatment reference to the pre-restorative setup is made to ensure the next phase of treatment can be accomplished. dayanorthodontics.com Partnership With Restorative Dentist Case continued from previous slide Case continued on next slide

12. Using pre-restorative setup to ensure orthodontic objectives are completed, the patient is ready to proceed to restorative phase of treatment. dayanorthodontics.com Partnership With Restorative Dentist Case continued from previous slide Case continued on next slide

13. dayanorthodontics.com Final Result Final Result After Orthodontics During Orthodontics Before Partnership With Restorative Dentist Case continued from previous slide Case continued on next slide

14. From start to finish, the final outcome is clear. Beginning With The End In Mind dayanorthodontics.com Partnership With Restorative Dentist Case continued from previous slide

15. Beginning With The End In Mind dayanorthodontics.com Upper left cuspid soon to be removed, midline smile discrepancy and lower crowding, are some of the features of this combined orthodontic and restorative challenge. Pre-Restorative Set-up confirms that final result will be esthetic and functional. Partnership With Restorative Dentist Case continued on next slide

16. Partnership With Restorative Dentist Case continued from previous slide Post-Orthodontics Pre-Restorative During Orthodontics Before Set-Up Case continued on next slide Final Result Final Result Final Result

17. From start to finish, the final outcome is clear. Beginning With The End In Mind dayanorthodontics.com Partnership With Restorative Dentist Case continued from previous slide

18. Beginning With The End In Mind dayanorthodontics.com Unattractive front crowns, flared upper cuspids, lower midline discrepancy, lower crowding, and lack of proper cuspid guidance are some of the features of this combined orthodontic and restorative challenge. Pre-restorative set-up confirms plan of action that includes, pre-orthodontic adjustment of crowns, followed with invisalign orthodontic treatment and followed with new restorative dentistry. Partnership With Restorative Dentist Case continued on next slide

19. Partnership With Restorative Dentist Case continued from previous slide Case continued on next slide Final Result Final Result Before Before Before Set-Up Set-Up Final Result dayanorthodontics.com Beginning With The End In Mind

20. From start to finish, the final outcome is clear. Beginning With The End In Mind dayanorthodontics.com Partnership With Restorative Dentist Case continued from previous slide

21. In Partnership With Restorative Dentist