A discerning approach to simple aesthetic orthodontics

• Published in: British dental journal Vol. 218; no. 3; pp. 157 - 166
• Main Authors: Noar, J. H., Sharma, S., Roberts-Harry, D., Qureshi, T.
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 16.02.2015; Nature Publishing Group
• Subjects: 692/700/3032/3099/3100; 692/700/3032/3099/3120; 692/700/3032/3145/3128/3046; Adult; Dental Care - methods; Dental Care - standards; Dentistry; Esthetics, Dental; Humans; Malocclusion - therapy; Medicine; Open Bite - therapy; Orthodontic Appliances; Orthodontics - methods; Orthodontics - standards; practice; Time Factors
• ISSN: 0007-0610; 1476-5373
• DOI: 10.1038/sj.bdj.2015.55

Key Points Considers the treatment planning issues required in aesthetic orthodontics. Helps the practitioner make a critical assessment of the suitability of a patient for sectional orthodontics. Highlights the use of arch evaluation and digital printing for a predictable outcome. Looks at the development, uses, advantages and disadvantages of clear aligners. There is currently considerable interest from general dental practitioners (GDPs) in the use of simple orthodontics to treat adult malocclusions. There is controversy in this, particularly in relation to 'quick fixes', simple orthodontics and 'straight teeth in six months' as opposed to more conventional treatment where the whole malocclusion is treated. This article will present a case for the use of simple aesthetic adult orthodontics in a measured and planned way. It will discuss the processes, planning and the importance of consent. It will also highlight how digital technology is used to preview, consent and execute an aesthetic result. Many of the recent systems emerging, have been as a result of the demand and supply of cosmetic dentistry. This, to a degree, has not helped since the implication of a 'quick-fix' is associated with this field. There has also been discussion on what the limits of GDP orthodontics should be. There is variability in how GDPs approach orthodontics, their experience, skill and ability to treat to an acceptable standard. Short courses may be one way of delivering orthodontic training but some of these courses are not regulated and the amount of internal mentoring is variable. This article highlights some of the systems in use, and potential upsides and downsides of this approach.