Orthodontic Approaches and Strategies in the Treatment of Interdisciplinary Patients

Dr. David J. De Franco presents (1.25 CE). Orthodontic treatment is indicated to reposition natural teeth in the majority of partially edentulous patients requiring prosthetics and osseointegrated implants. These patients may also have periodontal problems and reduced periodontal support. Orthodontics may be important to correct the sagittal, vertical and transverse positions of the teeth, to improve masticatory function, to create the necessary space for restoring the M-D dimension of the crowns, improve the periodontal condition, and to obtain a satisfactory and natural looking esthetic outcome.

Osseointegrated implants, as well as non-integrated mini-implants or temporary anchorage devices (TADs), can be used as anchorage to carry out the planned orthodontic movements, especially in those patients with many missing teeth, and to support temporary crowns in edentulous areas. The treatment of such patients implicates an accurate diagnosis, careful treatment planning and an efficient line of communication between the orthodontist, periodontist and prosthodontist. This lecture will illustrate the variables that should be taken into consideration when a combined orthodontic-periodontic-implant-prosthetic treatment is necessary. Several clinical cases will help demonstrate the decision-making process.

Three learning objectives:

• Discuss the role of the orthodontist in osseointegrated and non-integrated mini-implant patients
• Discuss the orthodontist, periodontist and prosthodontist team
• Learn from the clinical cases shared to help in the decision and treatment planning process