Perasso Roberto, Imelio Monica, Alcidi Renato
Private practice (Novi Ligure/AL, Italy).
Private practice (Tortona/AL, Italy).
Dental Press J Orthod. 2018 Nov-Dec;23(6):41.e1-41.e12. doi: 10.1590/2177-6709.23.6.41.e1-12.onl.
young adult woman with esthetic complaints regarding her smile and frontal teeth aspect. At first glance, the problem seemed to be only the shape of the lateral upper incisors and a small diastema between the central incisors. The diagnosis shared between the orthodontist and the prosthetist led us to consider some other important aspects, such as the deep bite, the teeth inclination and the lips support. All these findings led us to consider that the right way to improve the esthetics of the patient's smile was to plan an orthodontic treatment. This would serve not only for the distribution of the spaces, but mostly it would improve all other problems, before the restoration of the upper lateral teeth with two ceramic veneers.
the treatment plan achieved the right distribution of spaces for upper lateral incisors, significant correction of the incisors inclination with important reduction of overbite and better lip support, upper laterals restorations with ceramic feldspathic veneers, obtaining a good integration with natural teeth satisfying patient complaint.
in cases which involve interdisciplinary approach, the fundamental step comes from the beginning, when only an initial diagnosis shared among the team of specialists can define the patient problems from different points of view. In this way, we can better understand the competency fields and plan the right treatment and time sequence.
一名年轻成年女性对自己的笑容和前牙外观存在美学方面的不满。乍一看，问题似乎仅仅是上颌侧切牙的形状以及中切牙之间的小间隙。正畸医生和修复医生共同做出的诊断让我们考虑到一些其他重要方面，比如深覆合、牙齿倾斜度以及唇部支撑。所有这些发现让我们认为，改善患者笑容美学效果的正确方法是计划进行正畸治疗。这不仅有助于间隙的分布，而且更重要的是，在使用两颗陶瓷贴面修复上颌侧切牙之前，它将改善所有其他问题。
治疗计划实现了上颌侧切牙间隙的正确分布，显著矫正了切牙倾斜度，大幅减小了覆合，改善了唇部支撑，使用长石质陶瓷贴面修复上颌侧切牙，与天然牙实现了良好融合，满足了患者的诉求。
在涉及多学科方法的病例中，关键步骤从一开始就至关重要，即只有专家团队共同做出的初步诊断才能从不同角度明确患者的问题。通过这种方式，我们能够更好地了解各专业领域的能力范围，并规划正确的治疗方案和时间顺序。
