The Orthodontic-Restorative Interface: 2. Compensating for Variations in Tooth Number and Shape

From Volume 37, Issue 3, April 2010 | Pages 138-152

Authors

Benjamin RK Lewis

BDS, MFDS, RCS(Eng), MClinDent, MOrth RCS(Eng), FDS(Orth) RCS(Eng)

Specialist Registrar, Derbyshire Royal Infirmary, Derbyshire, UK

Articles by Benjamin RK Lewis

Matthew J Gahan

BChD, MDSc, MFDS RCS(Edin) FDS(Rest Dent) RCS(Ed)

Consultant in Restorative Dentistry, York Teaching Hospital NHS Foundation Trust

Articles by Matthew J Gahan

Trevor M Hodge

BDS, MFDS RCS(Edin), MPhil, MOrth RCS(Edin), FDS(Orth) RCS(Edin), FDS RCS(Eng)

Consultant in Orthodontics, Pinderfields General Hospital, Wakefield and Leeds Dental Institute, Leeds, UK

Articles by Trevor M Hodge

Derek Moore

BDS, MPhil, FDS RCS(Edin), FDS(Rest Dent) RCS(Edin)

Consultant in Restorative Dentistry, Royal Blackburn Hospital, Blackburn

Articles by Derek Moore

Abstract

The aim of this second article in this series of two is to outline a variety of methods which may be used to compensate for variations in tooth shape and number using a combination of orthodontic and restorative approaches. It will also provide an overview of other areas of patient care which necessitate a multi-disciplinary orthodontic/restorative approach. The article will highlight the importance of combined planning from the outset and the close relationship between the different specialties, which must be maintained throughout treatment. The methods of compensating for variations in tooth number and shape will often require contributions from both orthodontist and restorative dentist. It is important that both disciplines are involved in the assessment and treatment planning process so that they know what will be expected of them during the patient's care. Treatment planning in isolation may lead to care being delivered which is below the optimum standard which can be achieved. The orthodontist and restorative dentist are likely to liaise with the patient's general dental practitioner so that he/she can provide the restorative treatment in some cases.

Article