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Interdisciplinary Management of Anterior Guidance Interdisciplinary Management of Anterior Guidance

Author(s):

Frank M. Spear, DDS, MSD

Date Added:

1/1/0001


Summary:

A common objective of anterior restorative dentistry is to establish incisal guidance between the maxillary and mandibular anterior teeth to disclude the posterior teeth during protrusive mandibular movement.1-4 However, this goal is difficult to achieve in a patient with significant wear or abrasion and excess anterior overjet. How does the restorative dentist provide for immediate incisal guidance when the patient has short, abraded anterior teeth and a 6-mm overjet? This is a common dilemma for the restorative dentist. However, with the possibility of moving the anterior teeth orthodontically, the restorative dentist can achieve better anterior guidance for the patient. Achieving anterior guidance with orthodontics could involve retraction of maxillary incisors, proclination of mandibular incisors, extrusion of either maxillary or mandibular incisors, jaw surgery, or a combination of these alternatives. This case report will describe how anterior guidance was achieved in an adult female using an interdisciplinary approach

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