Utilizing a restorative approach to correct an adult skeletal class III malocclusion.

When determining if treatment for malocclusion is indicated, the clinician must understand how the malocclusion affects the patient aesthetically, functionally, and biologically, as well as any impact of treatment. It is important to consult the patient and advise when a less invasive orthodontic treatment plan may be optimal. Once the patient is fully informed of the treatment options and desires treatment without orthodontics, a restorative/ prosthodontic approach using veneers, crowns, or fixed prosthetics can provide exceptional strength, function, and aesthetics. As in all cases, thorough evaluation and planning are essential. The decision to proceed with restorative alignment of the teeth rather than orthodontic alignment is dependent on full disclosure to the patient and the clinician's understanding of preparation design, aesthetics, and occlusion. As demonstrated in this class III case, with proper examination, diagnosis, treatment planning, and communication, excellent aesthetic, phonetic, and functional results can be achieved and maintained. As with all full-mouth restorative cases, periodic occlusal evaluation will be necessary at normal hygiene intervals.