The orthodontic-restorative interface: 2. Compensating for variations in tooth number and shape.
The aim of this second article in this series of two is to outline a variety of methods which may be used to compensate for variations in tooth shape and number using a combination of orthodontic and restorative approaches. It will also provide an overview of other areas of patient care which necessitate a multi-disciplinary orthodontic/restorative approach. The article will highlight the importance of combined planning from the outset and the close relationship between the different specialties, which must be maintained throughout treatment. The methods of compensating for variations in tooth number and shape will often require contributions from both orthodontist and restorative dentist. It is important that both disciplines are involved in the assessment and treatment planning process so that they know what will be expected of them during the patient's care. Treatment planning in isolation may lead to care being delivered which is below the optimum standard which can be achieved. The orthodontist and restorative dentist are likely to liaise with the patient's general dental practitioner so that he/she can provide the restorative treatment in some cases.


CONCLUSIONS
Great improvements in aesthetics and function may be obtained using an interdisciplinary approach for patients who have variations in tooth number and shape.
Lewis
Benjamin R K
BR
Wrexham Maelor Hospital, UK.
Gahan
Matthew J
MJ
Hodge
Trevor M
TM
Moore
Derek
D
D000848:Anodontia / Q000628:therapy; D001641:Bicuspid / Q000002:abnormalities / Q000033:anatomy & histology; D003131:Combined Modality Therapy; D003481:Cuspid / Q000033:anatomy & histology; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003793:Dental Restoration, Permanent / Q000191:economics; D003779:Denture Design; D003829:Denture, Partial; D016379:Denture, Partial, Fixed, Resin-Bonded; D006801:Humans; D007180:Incisor / Q000002:abnormalities; D007258:Informed Consent; D016910:Orthodontic Brackets; D018704:Orthodontic Retainers; D019516:Orthodontic Space Closure / Q000379:methods; D009971:Orthodontics, Corrective / Q000191:economics; D010347:Patient Care Planning; D010348:Patient Care Team; D014071:Tooth Abnormalities / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000379:methods
D015921:Dental Implants