Multidisciplinary Approach for the Management of Orthodontic Treatment Failure

Main Article Content

Nissaf Daouahi
Donia Ouada
Dalenda Hadyaoui
Belhassen Harzallah
Mounir Cherif


This article describes a case of full mouth rehabilitation using ceramic veneers in combination with periodontal surgical approach for the management of orthodontic treament relapse.

A 38 -year-old female patient presented with a chief complain of poor esthetics after orthodontic treatment. She was bothered especially about her smile and was asking for its improvement. Unesthetic smile was caused by eroded maxillary incisors and old metal ceramic crowns with greyish shadow. Altered occlusal plan was also detected.

The treatment plan included endodontic re- treatment and crown lengthening followed by minimally invasive ceramic restorations including anterior and posterior Ceramic veneers.

Esthetic, veneers, orthodontic failure, management, full mouth rehabilitation.

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How to Cite
Daouahi, N., Ouada, D., Hadyaoui, D., Harzallah, B., & Cherif, M. (2020). Multidisciplinary Approach for the Management of Orthodontic Treatment Failure. Asian Journal of Dental Sciences, 3(3), 20-30. Retrieved from
Case Study


Albarrak AA, AlRumaih HS, Al-Humaidan A, Al-Thobity AM, Alshahrani FA. Multidisciplinary approach with predictable esthetics: A case report. Saudi Dent J. 2019;31(Suppl):S89-S95.

Meeran NA. Iatrogenic possibilities of orthodontic treatment and modalities of prevention. J Orthod Sci. 2013;2(3):73-86.

Reyneke JP, Ferretti C. Clinical assessment of the face. Seminars in Orthodontics. 2012;18(3):172-186.

Singh RG, Sinha P. Functional and aesthetic full mouth rehabilitation of a severely worn dentition to restore vertical dimension: A case report. J Indian Prosthodont Soc. 2014;14(Suppl1):210-4.

Gouveia THN, Theobaldo JD, Vieira-Junior WF, Lima DANL, Aguiar FHB. Esthetic smile rehabilitation of anterior teeth by treatment with biomimetic restorative materials: A case report. Clin Cosmet Investig Dent. 2017;9:27-31.

Vailati F, Carciofo S. Treatment planning of adhesive additive rehabilitations: The progressive wax-up of the three-step technique. Int J Esthet Dent. Autumn. 2016;11(3):356-77.

Ram HK, Shah RJ, Agrawal HS. Evaluation of three different tooth preparation techniques for metal ceramic crowns by comparing preparation depths: An in vitro study. J Indian Prosthodont Soc. 2015;15(2):162-7.

Magne P, Stanley K, Schlichting LH. Modeling of ultrathin occlusal veneers. Dent Mater. 2012;28(7):777-82.

Fletcher P. Biological rationale of aesthetic crown lengthening using innovative proportion gauges. Int J Periodontics Restorative Dent. 2011;31(5):523-32.

Gresnigt MM, Kalk W, Ozcan M. Randomized clinical trial of indirect resin composite and ceramic veneers: Up to 3- year follow-up. J Adhes Dent. 2013;15(2): 181-90.

Dunne SM, Millar BJ. A longitudinal study of the clinical performance of porcelain veneers. Br Dent J. 1996;175(9):317-21.

Fradeani M, Redemagni M, Corrado M. Porcelain laminate veneers: 6- to 12-year clinical evaluation-a retrospective study. Int J Periodontics Restorative Dent. 2005;25(1):9-17.

Angerame D, De Biasi M, Agostinetto M, Franzò A, Marchesi G. Influence of preparation designs on marginal adaptation and failure load of full- coverage occlusal veneers after thermomechanical aging simulation. J Esthet Restor Dent. 2019;31(3):280- 289.

Spear FM, Kokich VG, Matthews DP. Interdisciplinary management of anterior dental esthetics. J Am Dent Assoc. 2006;137(2):160-9.

Beall AE. Can a new smile make you look more intelligent and successful? Dent Clin North Am. 2007;51(2):289-97.

Machado AW. 10 commandments of smile esthetics. Dental Press J Orthod. 2014;19(4):136.57.

Claman L. An interdisciplinary approach for improved esthetic results in anterior maxilla. J. Prosth. Dent. 2003;89:1–5.

Wolffe GN. Lengthening clinical crowns: A solution for specific periodontal, restorative and aesthetic problems. Quintessence Int. 1994;25:81–88.

Edelhoff D. Tooth structure removal associated with preparation design for anterior teeth. Journal of Prosthetic Dentistry. 2002;87(5):503-509.

Gurel G. Enamel preservation on failure rates of porcelain laminate veneers. Int Journal of Periodont Rest. 2013;33(1):31-39.