Digital approaches to facially guided orthodontic and periodontal rehabilitation in the anterior esthetic zone: A case report

J Esthet Restor Dent. 2022 Jan;34(1):226-234. doi: 10.1111/jerd.12860. Epub 2022 Jan 5.

Abstract

Objective: The present case report describes digital approaches to plan an orthodontic and periodontal rehabilitation at the anterior esthetic zone.

Clinical considerations: A young patient attended to the dental practice with esthetic concerns. The facially driven digital planning showed the need of an interdisciplinary treatment to improve smile harmony. Orthodontic treatment was conducted with aligners, followed by periodontal and restorative approaches. Tooth alignment was performed with 31 aligners, whereas eight aligners were used for refinement. Harmony between pink and white esthetics was improved with crown lengthening, followed by bleaching.

Conclusion: By using a conservative approach, a successful esthetic result was achieved respecting functional and biological principles.

Clinical significance: Digital resources can be used to the interdisciplinary esthetic planning taking into consideration the harmony between smile and face. This approach allows a predictable outcome of the treatment.

Keywords: CAD-CAM; dental esthetic; orthodontics; periodontics.

Publication types

  • Case Reports

MeSH terms

  • Crowns
  • Esthetics, Dental*
  • Humans
  • Smiling
  • Tooth*