O impacto dos defeitos de esmalte no planejamento ortodôntico

Vol. 16 – Number 62 – 2023 Case report Page 22-29 The impact of enamel defects on orthodontic planning Ary Santos-Pinto¹ Kasandra Yupanqui² Lourdes Santos-Pinto³ Abstract The decision to extract permanent teeth to solve orthodontic problems considers, in addition to the extraction itself, other factors, and among them are the clinical characteristics of the enamel of the teeth to be extracted. The objective of this article was to present how the presence of dental enamel defects (DED) influenced decision-making and modified the proposed orthodontic treatment plan for the patient. The severity of the defect, the number of affected teeth and the presence and complexity of the malocclusion are factors that influenced the definition of the treatment plan. The more severe the defects and the more complex the malocclusion, the greater the difficulty in planning the treatment and, in many cases, it is indicated to incorporate the contribution of several specialists in the decision-making process. It was possible to demonstrate that the treatment of malocclusion associated with DED with the extraction of the most severely affected teeth, presented adequate aesthetic and functional results. It is concluded that a successful treatment of malocclusion with adequate, healthy, and functional dentofacial aesthetic results, requires understanding the interrelationship between oral structural components, dental occlusion and facial aesthetics. Descriptors: Dental enamel defects, Orthodontic treatment, permanent teeth extraction. ¹ Free Lecturer Volunteer Professor – School of Dentistry of Araraquara – Unesp. ² Graduate student in Dental Sciences – Araraquara School of Dentistry – Unesp. ³ Volunteer Full Professor – School of Dentistry of Araraquara -Unesp. DOI: 10.24077/2023;1662-102212e1