After orthodontics: from proposed shape to composite restoration
Coordinating restorative planning with tooth position, proportions and bite contacts.
On this page
Does planning begin only after braces come off?
Restorative needs are worth discussing before orthodontic treatment ends. For small lateral incisors, joint planning can guide space distribution. Sequencing is individual; there is no single waiting period suitable for everyone. [1]
What is a wax-up?
A diagnostic design of the proposed shape, on a model or digitally. A mock-up may allow that shape to be tried in the mouth when feasible. It helps discuss proportions, but does not exactly reproduce the final restoration’s shade, texture or behaviour. [1]
Freehand or injectable composite?
Composite can be shaped directly or transferred with an index made from the diagnostic design. A 2020 case report describes post-orthodontic reshaping by injecting composite into a transparent index. This is a clinical demonstration, not evidence of superiority in every situation. [2]
What matters beyond a photograph?
Contacts between neighbouring teeth, cleanability and how teeth meet during closure and movement. A pleasing photograph is not enough to select treatment. Missing bite contacts after braces require diagnosis rather than automatic additions.
Which questions help?
What will orthodontics change, and what will restoration change? How will the proposed shape be checked? Who coordinates completion and retention? Ask for a personalised plan with alternatives and limitations explained.
Clinical sources
- Omeish N et al. Esthetic and functional rehabilitation of peg-shaped maxillary lateral incisors: Practical recommendations. 2022.
- Hosaka K et al. Post-orthodontic recontouring of anterior teeth using composite injection technique with a digital workflow. 2020.
Further reading
- Ritter AV, Boushell LW, Walter R (eds.). Sturdevant’s Art and Science of Operative Dentistry. 7th ed. Elsevier, 2019.
- Aschheim KW (ed.). Esthetic Dentistry: A Clinical Approach to Techniques and Materials. 3rd ed. Mosby, 2015.
Editions from the proposed bibliography published after 2012. Books are listed for further reading; the explanations link to the accessible clinical studies and information above.
The information on this page is general and educational. It does not replace a medical consultation, and a treatment recommendation can only be made after examining each patient. Results differ from one case to another.
More about treatment
Post-orthodontic rehabilitation
Book a consultationStart with a consultation and a plan
Every treatment begins with a diagnosis: clinical examination, photographs, radiographs and, where relevant, an occlusal analysis. Only then do we discuss options.