Perakis Nikolaos, Cocconi Renato
Int J Esthet Dent. 2019;14(2):212-224.
The digital technology can be a GPS in designing a multidisciplinary treatment that involves orthodontics and restorative dentistry. A proper hierarchy of decisions and responsibilities need to be defined. Form is everything but position and size. For this reason the orthodontist first needs to set up the proper occlusion deciding the position and the available size that will be necessary for the restorative dentist to obtain the proper form with a minimally invasive preparation. This case report illustrates with a step-by-step approach all the clinical issues of the treatment, from diagnosis to orthodontic guided position of Tads, materials of choice and laminate veneers realization passing through all the interactions between the dental team members explaining who does what and when and proposing a clear hierarchy of decision. A review of digital and classical possibilities for the realization of laminate veneers is proposed with its pros and cons.
在设计涉及正畸和修复牙科的多学科治疗方案时，数字技术可以成为一种“全球定位系统”。需要定义适当的决策和责任层级。形态就是一切，而位置和大小并非关键。因此，正畸医生首先需要确立恰当的咬合关系，确定修复牙医为通过微创预备获得恰当形态所需的位置和可用空间。本病例报告采用循序渐进的方法阐述了治疗的所有临床问题，从诊断到正畸引导下Tads的定位、材料选择以及全瓷贴面的制作，涵盖了牙科团队成员之间的所有互动，解释了谁在何时做何事，并提出了明确的决策层级。文中还对制作全瓷贴面的数字技术和传统方法的可能性进行了综述，并分析了其优缺点。
