Sobral Márcio Costa
Specialization Program in Orthodontics, Dental School, Universidade Federal da Bahia, Bahia, Brazil.
Dental Press J Orthod. 2020 Mar;25(2):86-102. doi: 10.1590/2177-6709.25.2.086-102.sar. Epub 2020 May 29.
A significant increase in the number of adults in search of orthodontic treatment has raised a new challenge for orthodontists: the need to interact with other specialties to achieve excellent results, particularly when dealing with smile aesthetics and facial balance. Several factors should be considered to respond to their demand: adequate tooth leveling and alignment, individual tooth proportions between adjacent teeth and their contralateral teeth, shape and natural appearance of each tooth and gingival architecture, which should all be in agreement with facial harmony. Maxillary or mandibular incisors congenitally missing or lost due to caries or trauma and tooth-size discrepancies (Bolton) are some of the important aesthetic challenges for an integrated orthodontic treatment.
This study describes cases that illustrate the clinical challenges of treating the anterior area, as well as the multidisciplinary strategies required for their resolution.
The increasingly frequent multidisciplinary orthodontic treatments of complex cases seem to effectively maximize aesthetic and functional results using a combination of procedures conducted by specialists in related areas, such as Surgery, Prosthetics, Implantology, Restorative Dentistry and Periodontics.
寻求正畸治疗的成年人数量显著增加，这给正畸医生带来了新的挑战：需要与其他专科合作以取得优异效果，尤其是在处理微笑美学和面部平衡问题时。为满足他们的需求，应考虑几个因素：牙齿充分排齐整平、相邻牙齿与对侧牙齿之间的个体牙比例、每颗牙齿的形状和自然外观以及牙龈结构，所有这些都应与面部和谐相一致。上颌或下颌切牙先天性缺失或因龋齿或外伤而缺失以及牙大小不调（博尔顿不调）是综合正畸治疗中一些重要的美学挑战。
本研究描述了一些病例，这些病例说明了治疗前部区域的临床挑战以及解决这些挑战所需的多学科策略。
复杂病例的多学科正畸治疗日益频繁，通过相关领域专家（如外科、修复学、种植学、牙体修复学和牙周病学）实施的一系列程序相结合，似乎能有效地使美学和功能效果最大化。
