Diagnosis, Prognosis and Control of Adult Orthodontic Treatments Focused on Taking into Account the Shape of the Teeth

The Virtual Dental Casts and software have increased our diagnostic possibilities including the effect of tooth shape and size on the overall dentition. The Indexes of crown harmony such as LeHuche are integrated and give information that is essential for a “best therapeutic decision”.

-Intra and Inter arch harmony can be visualised when tooth anatomy is modified.
-Inter proximal space changes and modification of the papilla are directly seen.
-The CB-CT images will even show the periodontal modifications when crown shape and size are changed.

The integration of those diagnostic tools is mandatory for a valid comparison of different therapeutic options.
The effect of tooth crown modification (size and dento dental harmony) on the overall balance of dental occlusion and periodontal health can now be monitored and different treatment options considered. We have entered in a new world where any decision can be validated by the projected end-result and explained to the patient for informed consent. Dental monitoring technics provide new data previously inaccessible.

Learning Objectives:

• Prescribe, quantify and plan the proximal enamel reduction (stripping).
• Recognize the different dental forms, their involvement in the appearance of inter-proximal black triangles.
• Identify how to reshape the teeth respecting their natural proportions, their intricate aesthetics and their overall harmony.