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Dental Tribune Middle East & Africa Edition No.2, 2016

Fig1.Uppers treatedlowersleft 30yearson Fig4.relapsedcomprehensive treatment Fig2.Uppers treatedlowersleft 25yearson Fig5.Before treatment 2004 Fig3.Relapsedcomprehensive treatment Fig6.After treatment weekslater2004 Dental Tribune Middle East & Africa Edition | 2/2016 30 general dentistry The New Frontier of Interceptive Aesthetic Orthodontics How the simple “3 –Step Smile” can offer far more than you might realize. Dr. Tif Qureshi, discusses how the treatment of mild and moderate crowding has far more than just cosmetic orthodontic objectives. ByDr.TifQureshi,UK Currently in the market of dentistry it seems as if they are 1000 short- term orthodontic systems out there. The term “cosmetic orthodontics” has been around for a little while but in this article we are going to take an alternative view of what we can achieve. The problem with the term “cosmetic” is that it often suggests things are being done just for visual reasons. Thisarticlewillarguethatin treating mild and moderate crowd- ing cases we are potentially carrying out an interceptive functional treat- ment. There have been criticisms from people suggesting that the cosmetic orthodontics and short term ortho- dontics causes anterior flaring and loss of control of the anterior occlu- sion. This may be true if there has been no arch evaluation/ planning or space creation strategy. If these things have been carried out then actually the opposite is true, and arguably every better control of the anterior occlusion than in any other formoforthodontics. This article will also look how simple three-step approach can massively improve the patient’s appearance, their function and intercept the continual crowding life causes more problems without the need to pick upadrillordamageanyteeth. This three-step approach we call the ‘threestepsmile’throughalignment bleaching and bonding. With the right components carried out at the right time it is possible to make the patient’s own teeth look more beau- tiful without the need for porcelain veneers or other irreversible proce- dures. The most important article in den- tistry that the profession seems to miss! Br J Orthod. 1990 Aug; 17(3):235- 41. Stability and relapse of dental arch alignment. LittleRM 1. Arch length reduces following or- thodontic treatment, but also does so in untreated normal occlusions. 2. Arch width measured across the mandibular canine teeth typically reduces post-treatment whether the case was expanded during treat- ment or not. 3. Mandibular anterior crowding during the post-treatment phase is a continuing phenomenon well into the 20-40 age bracket and likelybeyond.4.Thirdmolarabsence or presence, impacted or fully erupt- ed, seems to have little effect on the occurrence or degree of relapse. 5. Thedegreeofpost-retentionanterior crowding is both unpredictable and variable and no pretreatment vari- ables either from clinical findings, casts, or cephalometric radiographs before or after treatment seem to be usefulpredictors. This 40 year study is so important ÿPage32 Dr. Tif Qureshi is a speaker at 11th CAD/CAM & Digital Dentistry Int'l Conference! 06-07 May 2016 | Jumeirah Beach Hotel, Dubai, UAE

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