Multidisciplinary involvement:

Conjoint treatment in restorative practice involves working with skilled specialists in other disciplines for the more effective resolution of complex and difficult patient cases. See the illustrations below.

Multi-disciplinary treatment patient:

Before : A prominent lower jaw is present and upper teeth are hidden from view.

Orthodontic braces and then lower jaw surgery reduces the prominence and aligns the teeth, revealing defective fillings and failing crowns on lateral incisors and excessively worn teeth.

Treatment has included root canal fillings by an endodontist and gum surgery by a periodontist. Crowns are shown on the patient's right with the esthetic quality temporaries which have previewed the final result on her left front teeth.

After : Six all-ceramic crowns revitalize her smile.

Short history: Orthodontics 15 years prior to upright lower molar teeth. Recent root fracture and loss of UR first premolar. Both jaw joints clunk on opening and closing. Masseter muscles are stiff and temporal headaches are a problem. Bite is collapsed.

Initial Treatment position: The mandible is opened and advanced to anterior Class I with a tongue blade between her teeth. Tm joint disk recapture occurs and her face is more harmonious.

Rehabilitation: Implant supported crowns in LR first molar and UR first premolar. Posterior teeth are rebuilt and there are porcelain canine risers on both L canines. Upper 6 anteriors have dSign porcelain veneers.