CDE0111

18 I I case report _ aesthetics & function _Careful integration of the different dental specialties is the basis of modern dentistry, es- pecially when the treatment goal is an aesthetic and functional oral rehabilitation of the patient.1,2 Today, aesthetic oral rehabilitation integrates three basic concepts—bio-compatibility, mechanics and, of course, beauty—in order to preserve the anatomical structures of the stomatognathic system and to ful- fil functional purposes. At the same time, utmost attention is paid to achieving aesthetic goals in ac- cordance with the current trends in aesthetic den- tistry and thus fulfilling the patients’ expectations.3 With comprehensive oral rehabilitation as our main goal, utilisation of the different areas in dentistry becomes extremely important in order to establish a precise diagnosis, treatment plan and finally treatment. Orthodontics, for example, has clearly defined objectives, such as the establish- ment of a functional occlusion, the preservation of periodontal health and the achievement of a stable result within the boundaries given by physiology and dentofacial harmony.4,5 When the case is pre- sented to the patient prior to any intervention, in- dividual limitations of that particular case must be consideredinordertoavoidunrealexpectations.The patient needs to have a clear idea of the treatment plan, realistic expectations with regard to the final result,andpreviousandposteriordentalneeds.There- fore, meticulous examination and good communi- cation with the patient are of utmost importance.4,5 There are a number of different cases in which the combination of orthodontics and restorative dentistry is advisable, such as Bolton’s and verti- cal discrepancies, peg-shaped teeth, discrepancies in height and width, diastemas, agenesia, mal- formations, extrusions, intrusions, attrition, etc.6–8 Not solving the problems mentioned above might result in failure of the orthodontic therapy due to relapse,periodontalcomplications,occlusalinstabil- ity or overall dissatisfaction.9,10 However, the careful planning and combination of aesthetics and ortho- dontic functionality in combination with the new restorative materials available today enable us to obtain harmonic results.2,11 cosmeticdentistry 1_2011 Fig. 1 Fig. 2 Fig. 3 Integration of aesthetics and function with composite resins Authors_ Dr Rony Hidalgo Lostaunau & Rafael Barrantes Alarcon, Peru Fig. 4 Fig. 5 Fig. 6