Lingual Orthodontics in Comprehensive Dental Treatment
Masahiro H
Published on: 2026-04-01
Abstract
Patients eligible for comprehensive dental treatment have some form of dental problem. By diagnosing and improving how the problem occurred, it is possible to prevent similar problems from occurring in the future. The goal of orthodontic treatment in comprehensive dentistry is to simplify treatment and stabilize treatment outcomes for a long time. For long-term stability, it is important to achieve Mutualy Protected Occlusion and to give the molar disclusion during lateral and forward movements. So, what can orthodontic treatment do in comprehensive dental treatment? It can be broadly classified into four categories. It is to restore a tooth that has moved abnormally (recovery), to create periodontal tissue by moving the tooth (regeneration), to align the dentition that has an adverse effect (reconstruction), and to avoid tooth extraction by moving the tooth (save). In addition, lingual orthodontics is compatible with comprehensive dental treatment due to the need for a set-up model, the strength anchorage of the mandibular anterior teeth, and the ease of control of the lingual cusp. Orthodontic treatment can be beneficial in comprehensive dental care by ensuring the use of appropriate mechanics with an accurate diagnosis.
Keywords
Comprehensive Dental Treatment; Lingual OrthodonticsWhat Is Comprehensive Dental Care?
What is dental care?
Dental care involves diagnosis and treatment. In other words, treatment cannot proceed without a diagnosis. While an orthodontist’s job is to correct misaligned teeth, this does not mean they need only focus on the alignment itself. The diagnosis required to correctmisaligned teeth involves examining numerous factors. There are countless factors to consider—such as skeletal issues, tooth morphology, the condition of periodontal tissues, facial morphology (including profile and frontal views), static occlusion, and functional occlusion—and a comprehensive examination and diagnosis of all these elements is key to successful treatment.
In particular, because comprehensive dental treatment involves multiple treatment modalities, diagnosis becomes even more critical. In other words, the ability to take a broad, holistic view is essential.
Typically, most orthodontic patients are young adults. If they have a full set of natural teeth, no prosthetic restorations, no bone resorption, healthy periodontal tissues, and no major skeletal issues, they do not qualify for comprehensive dental treatment and can be treated successfully with orthodontics alone. However, patients who do qualify for comprehensive dental treatment often have various dental problems. For example, they may have missing teeth, dental restorations, bone resorption, or temporomandibular joint (TMJ) symptoms. These issues are intricately intertwined, making it difficult to diagnose their condition and causes; yet, this is precisely what becomes crucial.
Therefore, the most important aspect of comprehensive dental treatment is determining the underlying cause of the current problem. If there are many restorations, we must diagnose why they were necessary; if there are missing teeth, we must diagnose why they were lost; and if there is localized bone resorption, we must diagnose why resorption is occurring only in that specific area. If treatment is performed without identifying the cause, the same issues will inevitably recur in that area within a few years.
For example, what should I look for in a case like this, and how should I handle it?
[Case 1]
Age: 42y
Gender: Female
Chief Complaint: Wishes to have her front teeth redone.
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