Interdisciplinary concepts in treating adult patients

Area of Science:

• Dentistry
• Orthodontics
• Prosthodontics

Background:

• Adult orthodontic treatment is increasingly important.
• Coordinated treatment plans offer new possibilities for patients with partial dentition.
• Pre-prosthetic planning enables fixed prosthetic treatment and preserves critical teeth.

Observation:

• Adult patients with partial dentition received coordinated orthodontic and prosthetic care.
• Techniques included uprighting and distal movement of premolars, extrusion of molars as abutments, and improving anterior tooth position post-trauma.
• Root extrusion and post-core reconstruction were used to avoid extraction of subalveolar fractured teeth.

Findings:

• Pre-prosthetic treatment significantly improves stability, aesthetics, and function in patients with partial dentition.
• Successful fixed prosthetic reconstructions were achieved using orthodontically prepared teeth as abutments.
• Complex dental cases, previously challenging, were managed more effectively with pre-prosthetic orthodontic intervention.

Implications:

• This approach offers viable fixed prosthetic solutions for adults with partial dentition.
• Preservation of critical teeth and improved functional and aesthetic outcomes are key benefits.
• Pre-prosthetic orthodontic treatment represents a valuable strategy for managing complex restorative cases.