Liliana Ioana Vâță, Cătălin Caliniuc, Ionuț Luchian, Monica Tatarciuc, Irina Nica
ABSTRACT
The management of adult patients requiring multidisciplinary dental care presents unique challenges, particularly when addressing the interrelationship between orthodontics, periodontics, and restorative dentistry. In many cases, the successful resolution of complex dental issues necessitates a coordinated approach that integrates these specialties. Orthodontic therapy plays a critical role in aligning teeth and correcting malocclusions, while periodontal treatment focuses on the prevention and management of periodontal diseases. Restorative dentistry, which includes procedures to restore tooth structure and function, is essential for achieving long-term dental health and aesthetic outcomes. The main motivation for referring adults to the orthodontist is the desire to improve dental and smile aesthetics, missing teeth due caries, periodontal disease or trauma and subsequently functional impairment. Pre-restorative orthodontics is necessary for the most favourable distribution of teeth, with good root parallelism to optimise future restorative treatment, correction of occlusal plane for incisal guidance, improvement or correction of mucogingival and osseous defects, and for obtaining a more favourable crown-to-root ratio for long-term maintainability of periodontally compromised teeth. Clinical examples will be used to illustrate the different indications for adult orthodontic-restorative treatment and the necessity for close collaboration of a well-orchestrated interdisciplinary team.
DOI : 10.62610/RJOR.2025.1.17.75
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