Insight 19 — Assessing the Restorative Space in Orthodontic–Prosthetic Treatment

فارسی

Clinical explanation

This patient was referred by the orthodontist to assess whether the available space is suitable for the final reconstruction or whether a change in the orthodontic treatment plan is needed.

For a precise assessment, my approach is as follows:

First, a digital scan is performed, and based on it, a precise computer design of the final form, dimensions, and position of the teeth is made.
Then, based on this design, a provisional crown with the target appearance and dimensions is fabricated.

This provisional crown acts as a real three-dimensional model of the final result;
at this stage, the appearance, proportion, and amount of space are assessed clinically with the patient themselves.

If it turns out that the space is still more than required,
the approved provisional crown is delivered to the patient
so that the orthodontist can complete the orthodontic treatment with regard to this real reference.

---

In this way:

the decision is not merely mental or on a two-dimensional model;

the final result is seen, touched, and confirmed before the definitive treatment;

and orthodontics and prosthodontics move forward on a shared and predictable path.

The content of this page is intended for the educational use of dentists and dental students.