Journal of the Japan Lingual Orthodontic Association
Online ISSN : 1884-538X
Print ISSN : 1883-6216
ISSN-L : 1883-6216
Top down treatment
Toshihiro Kihara
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JOURNAL FREE ACCESS

2024 Volume 2024 Issue 34 Pages 18-22

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Abstract
To perform an individual technique accurately is important for successful dental treatment. However, accurate diagnosis and precise treatment planning are even more important. In the dental field of Japan, dentists often say, I diagnosed. However, this is an experienced diagnosis based on the treatment covered by health insurance, and true diagnoses have not been made, I think.When I retired from the university, there were not dental implants or CAD/CAM technology. However, such generation is not current. Patients are not satisfied unless their dental arch is alignment, they can bite well with dental implants, and they can have esthetic restorations. Despite such generation, the partial dentures and poorly colored prosthetics are also placed on the malocclusion currently. I am a prosthodontist. As long as the dental arch is aligned, prosthetic treatment is easy. However, many patients have malocclusion and do not desire orthodontic treatment. If the dental arch is not aligned, it is obvious that the occlusion will collapse, even with good prosthetic treatment. It is important that occlusion, perio, endo, implant, orthodontics, and prosthetics are evaluated and diagnosed interdisciplinarily rather than independently. I also ask dentists to understand that the goal of treatment is not to finish the treatment, but to maintain a sustainable condition for a long-term after treatment.In this clinical case report, we would like to discuss together what should be considered before and during treatment, and the way forward for dentistry in Japan in the future.
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© 2024 Japan Lingual Orthodontic Association
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