title: Using functional analysis to determine if esthetically driven treatment requires comprehensive care for long-term success.
abstract: This article reviews the case of a male patient with esthetic concerns about a large diastema between teeth Nos. 8 and 9. Through functional analysis, the clinician determined that the patient had a mild temporomandibular disorder, as well as a constriction in his anterior envelope of function. These issues will affect the prognosis of treatment if only orthodontics is used to close the diastema. The clinician determined that implementing a systematic treatment planning approach was critical in achieving a successful outcome, which was accomplished with a combination of orthodontics, occlusal deprogramming, and complex prosthodontics restorations.
authors.affiliation: Private Practice, St. Petersburg, Russia.
authors.forename: Ilya
authors.initials: I
authors.lastname: Sklyarov
mesh_terms: D000328:Adult; D003731:Dental Caries / Q000628:therapy; D003793:Dental Restoration, Permanent; D003937:Diagnosis, Differential; D003970:Diastema / Q000628:therapy*; D004955:Esthetics, Dental; D006801:Humans; D008297:Male; D009971:Orthodontics, Corrective; D010518:Periodontitis / Q000175:diagnosis / Q000628:therapy; D014073:Tooth Bleaching; D014075:Tooth Discoloration / Q000628:therapy; D019231:Tooth Preparation, Prosthodontic / Q000379:methods*