Orthotown July/August 2024 - 31
By failing to plan, are we planning to fail?
Iatrogenic
Challenges
BY DR. ADITH VENUGOPAL AND DR. CAN-FLORIAN KELES
O
rthodontic treatment aims to correct
dental and skeletal issues while
enhancing facial aesthetics. Through
clinical examination, radiological
analysis and expertise, practitioners diagnose
and plan treatment. Satisfaction is
achieved when treatment objectives are successfully
executed, though it can entail challenges
despite appearing straightforward.
Treatment procedures involve a large
number of relevant variables determined by
patient characteristics, such as the dynamics
of facial development and growth;
the biomechanical interactions between
appliances, dentition and bone physiology;
the dynamics of the dentist/patient/family
interaction; the large variety of treatment
approaches; and the continuity of follow-up
during the retention phase.1,2
Difficulties in treatment may arise from
various factors such as improper selection
of dental procedures, incorrect treatment
indications, adoption of risky strategies,
inadequate execution of treatment,
misjudgment of treatment duration, failure
to adjust the treatment plan as needed,
incomplete resolution of malocclusion,
insufficient follow-up during retention
and poor communication with the patient.
These failures can significantly affect
the effectiveness, quality and stability
of correction, highlighting the intricate
nature of orthodontics and the potential for
adverse outcomes resulting from neglecting
key variables.3-6
In this case report, I will first outline a
transfer case involving a young man treated
during the initial stages of my orthodontic
career, where I proceeded without sufficient
awareness or consideration of the existing
periodontal conditions. This approach
ultimately resulted in a satisfactory
aesthetic outcome, but with heightened risk
of future periodontal complications.
Then, I'll discuss a subsequent case
treated after accumulating substantial
experience, wherein I analyzed every
aspect to ensure a comprehensive
understanding of the diagnosis.
With sound knowledge of the patient's
periodontal status, a carefully planned
treatment strategy was devised that aimed
to achieve both pleasing aesthetics and
functional outcomes.
JULY/AUGUST 2024 | 31 | ORTHOTOWN.COM
http://www.ORTHOTOWN.COM
Orthotown July/August 2024
Table of Contents for the Digital Edition of Orthotown July/August 2024
Orthotown July/August 2024 - Cover1
Orthotown July/August 2024 - Cover2
Orthotown July/August 2024 - 1
Orthotown July/August 2024 - 2
Orthotown July/August 2024 - 3
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