Lorenz Moser, M.D, D.D.S., obtained his dental qualifications at the University of Innsbruck, Austria and undertook his postgraduate orthodontic training at the same university. In 1986 he started private practice in Bolzano, Italy. He has also been a visiting professor at the University of Ferra, Italy since 2003. He is an active member of SIDO, the World Federation of Orthodontists and the Angle Society of Europe (ASE) and an international member of the American Association of Orthodontists. He is a diplomate of both the European (EBO) and Italian (IBO) Boards of Orthodontists.
From 2002-2003 he was President of the IBO and a member of the SIDO Council. Dr Moser was Secretary of the ASE from 2004-2006 and Chairman of the EBO examination committee from 2006 to 2008.
Missing teeth in the aesthetic zone
Orthodontic treatment planning for patients with missing teeth due to agenesis, malformation or trauma can be challenging – particularly if the anterior maxillary area is affected.
When these problems are associated with transpositions, tooth dilacerations and large traumatic osseous and soft tissue defects, treatment planning requires not only an extensive knowledge of orthodontic biomechanics, but full immersion in the latest developments in prosthodontics, periodontology and implantology to envisage the best possible solution for the individual patient. Especially in adolescents or young adults, space closure is generally preferred over prosthodontic replacement of the missing dental elements in the sensitive aesthetic zone, but this may require unusual and sometimes even courageous ‘out-of-the-box’ thinking.
An interesting cohort of six clinical patients will be presented; all of whom presented with extremely demanding situations due to missing teeth which were addressed with uncommon, but rewarding treatment strategies, and will perhaps surprise even the most experienced orthodontic experts.
Aim, Objectives & Learning Outcomes
- Aim: To illustrate unconventional but simple orthodontic approaches for resolving challenging situations due to missing teeth in the sensitive aesthetic zone.
- Objectives: This lecture will provide an overview of cutting-edge efficient treatment strategies for orthodontic space closure in patients with missing teeth in the anterior maxilla with a focus on reduction of potential orthodontic sequelae, consideration of periodontal aspects, and reducing the need for major implant-prosthodontic rehabilitation.
- Learning outcomes: This presentation will stimulate the audience to consider the long-term consequences of orthodontic treatment for challenging scenarios due to missing teeth in the aesthetic zone. Emphasizing the application of more common sense, instead of sophisticated, biomechanics during the treatment planning process should help delegates to address these complex problems with simple and efficient treatment modalities.