Purpose. In the last decades patients’ demand for dental and facial esthetics increased tremendously. Patients are seeking for orthodontic treatment not only for esthetic reasons, but also to improve their function and occlusion, especially in those cases with important occlusal imbalances or particular dental conditions. Our aim is to underline the need for a dental team in order to establish the correct treatment planning and treatment sequence.
Materials and Methods. Patients with different orthodontic malocclusions , dental migrations and occlusal disturbances, congenitally missing teeth or tooth size discrepancy were examined and treated by a dental team composed of orthodontist, periodontologist, dental surgeon or/and specialist in restorative dentistry for complete oral rehabilitation of the patients. All patients received orthodontic treatment with different types of orthodontic appliances in order to correct the malocclusion and to create favorable conditions inside the dental arches for the next procedures. Each case represented a challenge for the entire team and needed a phased treatment plan upon the final result.
Results. At the end of the treatment all the patients showed good dental and facial esthetics, functional and stable occlusion and, wherever was necessary, the integrity of dental arches was reestablished through dental or implant supported crowns and bridges. In some cases the orthodontist established and guided the interdisciplinary treatment plan, as it happened in surgical cases, but in other cases the restorative dentist requested certain orthodontic procedures in order to achieve the best result for the patient.
Conclusions. The orthodontic treatment represents a “must have” in many difficult cases that require complete oral rehabilitation, especially in adult patients. The orthodontic procedures may vary from limited dental movements, opening/closing spaces, leveling the occlusal plane to more complex treatments and it is followed sometimes by different restorative procedures provided by members of the dental team for successfully completion of the oral rehabilitation.
Key words: orthodontic treatment; oral rehabilitation; dental team
Loredana Golovcencu (Romania)
DDS, PhD
Biography
Dr Golovcencu is Associate Professor in the Department of orthodontics and dento-facial orthopedics at the University “Grigore T. Popa”of Iasi, Romania. She accomplished her training in Orthodontics in 1998 at the University of Medicine and Pharmacy “ Grigore T. Popa” of Iasi and in 2008 she finished her PhD studies with the thesis “ The role of third molar in the etiology and treatment of malocclusions”.
Dr Golovcencu had several short-term orthodontic trainings in the United Kingdom ( Eastman Dental Institute, London ), United States ( Tweed Foundation, Tucson, Arizona), Germany ( Goethe University, Frankfurt)
She is the author of two orthodontic books and co-author of several medical books chapters and she has over 50 scientific articles published in different journals. The main interest fields are the third molar, functional appliances, interdisciplinary treatment and surgical-orthodontic treatment.
She is an active member in national and international orthodontic societies, she attended numerous courses and she lectured in different national and international meetings.
All sessions by Loredana Golovcencu (Romania)
The orthodontic challenges for achieving complete oral rehabilitation of the patients
Prezentare Daniela Anistoroaei (Romania) , Loredana Golovcencu (Romania) Palas Congress Hall, Sala MOZART
