A Biomechanical Orthodontic Approach for Restoration of Dental Wear
Nowadays there is a huge attention for esthetic enhancement of the anterior teeth. Very popular isthe digital smile design (DSD). There are many options for correcting and camouflaging anterior tooth wear, in order to meet the goals for esthetic set-ups such as DSD.
One option is the concept of passive an active altered eruption, which is mostly treated by periodontal surgery. Disadvantages of this are tissue loss and exposure of the CEJ.
Another popular option, which in my opinion is often used inappropriately, is the Dahl concept. The mechanism is axial intrusion of the anterior teeth and eruption of the posterior teeth, using the Dahl appliance. I believe it is used often with wrong indications, such as lingual inclination of the anterior
In my presentation I will show a rational orthodontic option for correction or camouflage of dento-alveolar extrusion due to wear of the anterior teeth.
I would like to share with you the segmented arch technique in combination with the digital occlusogram, which gives a very predictable outcome with low forces and minimal biological damage.
Another advantage is that there is a possibility to titrate the amount of upper and lower intrusion for an optimal esthetic result.
CV DR. TIMMER
Graduation at the University of Amsterdam (ACTA) 1983-1997 Private practice general dentistry with the aim on aesthetic dentistry, Alkmaar the Netherlands . Paro A/B/C/D, extensive course on periodontics at the Vrije Universiteit Amsterdam. Full time orthodontics at Orthocenter in cooperation with several International orthodontists in Amsterdam and Rotterdam Founder and owner orthodontic practice in Berkel en Rodenrijs the Netherlands Currently working at Kelderman Orthodontie, Bilthoven the Netherland Biomede Founder, tutor at the European Biomechanics Course. Founder of the OK register (quality board) of the OVAP