Modern idea of case-driven orthodontics refers to an approach in treatment that emphasizes tailoring the planning to the specific needs and characteristics of each individual patient. This approach recognizes that each person is unique, customizing the orthodontic treatment to address their particular dental, skeletal, and soft tissue features.
A comprehensive diagnosis is crucial in case-driven orthodontics, particularly in distalization or extractive cases. Distalization, as known, refers to the movement of teeth distally, a crucial aspect when addressing issues such as crowding, protrusion, or malocclusions; the same issues are fundamental in the selection of extractive cases and when teeth extractions are commonly recommended.
Questions such as: distalize or extract? Maximum anchorage or loss of anchorage? TADs or not? Those that may seem like simple questions often hide the pitfalls of orthodontics.
Therefore, case-driven orthodontics is a way of thinking, a dictum that experience allows us to replicate cases with similar efforts and results. The paradox that follows is simple: case-driven orthodontics is treatment flexibility within a rigid framework.