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The PGO concept: Prosthetically guided orthodontics concept.
Alvaro Blasi1,2,3, Ignacio Blasi1,4, Victor Henarejos-Domingo1,4
1Private Practice, Barcelona, Spain.
Summary
This case report introduces a digital method for guiding orthodontic and periodontal surgery using interim restorations that mimic the final tooth shape. This approach enhances precision and reduces treatment time in complex dental cases.
Area of Science:
- Digital dentistry
- Orthodontics
- Periodontal surgery
Background:
- The case involves a patient with worn dentition, super-erupted anterior teeth, and altered passive eruption causing a gummy smile.
- Interdisciplinary treatment planning is crucial for managing complex dental aesthetics and function.
Observation:
- A patient with worn dentition and gummy smile underwent a digital workflow.
- This involved digital wax-up, orthodontic setup, and same-day provisional restorations, bracket bonding, and periodontal surgery.
Findings:
- The prosthetically guided orthodontics (PGO) concept utilizes digital technology for treatment simulation.
- Interim restorations, designed via digital wax-up, guide orthodontic treatment and improve interdisciplinary communication.
Implications:
- This digital approach enhances precision and predictability in orthodontic and periodontal surgery.
- It streamlines complex dental treatments, reducing overall treatment duration.
- Improved communication among specialists is a key benefit of this PGO concept.

