Abstract
The patient with concern for cosmetic dissatisfaction was referred by a general dentist to our clinic for orthodontic treatment. My task was to create space required for prosthetics. Based on various assessments and analyses， this was diagnosed as a borderline case falling between surgical orthodontic and normal orthodontic treatment. After discussing the details of the case with the prosthodontist， we decided to avoid surgical procedure and to adjust occlusal relationship by prosthetic treatment after orthodontic treatment. Dental implant treatment was needed after orthodontic treatment， and space for the maxillary central incisor implant was acquired as planned at the time of diagnosis. A detailed treatment plan is required for a treatment that involves orthodontic and prosthodontic interventions. Treatment plan was set based on limit of tooth movement by orthodontics and simulation by VTO. This is a case where interdisciplinary approach was taken to achieve occlusal stability and aesthetic improvement.
