Adult patients- Lingual orthodontics and multidisciplinary dentistry:

Finding a common point

Dr.Dashrath KafleBDS,MDS

Lecturer,KUSMS

Dhulikhel Hospital 2

Dhulikhel Hospital 3

Age:53 years Sex:Female c/c: Unesthetic gap since childhood Wants to close the gap desperately

RPD on posterior segmentPeriodontal condition Normal except mild deposits of calculus.

Lesson I learnt!!!!!

Treatment of mass and treatment of class

29 years old female Nursing Incharge of ward

Worried about the increasing gap between front teeth

Does not want braces!!!!!

Treatment time 3 MonthsNow on retention

Keep it simple stupid!!!!! KISS

Age:43 years Sex:Female c/c: Gap between front teeth and Small teeth

Periodontal condition : compromised.

Treatment Duration : 4 Months Including Perio Therapy and Restorative Phase

Team approach

Age: 37 years Sex: Female c/c: Unesthetic gap since childhood Wants to close the gap desperatelyPeriodontal condition Normal Rotated 11.Crown Height -width Dicrepancy

Treatment time: 7 months.

Adult patients

• Esthetics• Expectation • Economy

The number has increased and will be increasing

Dental aesthetics produce a positive impact on quality of life.

1970

1980

1990

1999

5%

11%

??%

25%

Proffit WR, Field, HW. Sarver, DM. Contemporary Orthodontics: Fourth Edition. Mosby. 2012.

Adult Orthodontic Patients

Multidisciplinary Team Approach

Patient

Adult Ortho

Perio

SurgeryCons.

Prostho

Irregularly spaced dentitionMissing laterals

Cross bite IRT 13

Its never too late to correct myself

35 years old Business man. Dissatisfied patient.

Do No Harm!!!!!!

A life spent making mistakes is not only more honorable, but more

useful than a life spent doing nothing

• Thank you