From Destruction to Perfection: Interdisciplinary Smile Reconstruction Beyond the Boundaries

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Abstract

Severe bite collapse, tooth malalignment, and multiple tooth loss constitute complex clinical challenges that require a comprehensive interdisciplinary approach. This case highlights the essential role of orthodontics in achieving precise tooth alignment and occlusal rehabilitation, thereby establishing an optimal foundation for prosthodontic intervention. The prosthodontic phase incorporates implant-supported restorations, advanced occlusal management, and material selection based on biomechanical principles. Integration of digital dentistry technologies—including 3D imaging, virtual implant planning, and CAD/CAM prosthetic design—enhances diagnostic accuracy, treatment planning, and clinical execution. This case study demonstrates the critical sequencing and collaboration between orthodontic tooth movement and prosthodontic reconstruction necessary for restoring function and esthetics in severe bite collapse and complex malocclusion. The insights presented provide evidence-based clinical protocols to support effective management of these challenging cases, advancing interdisciplinary treatment approaches within orthodontic practice.

Speakers

Kanlaya Insee

Asst. Prof. Kanlaya Insee

ผศ. ทพญ. กัลยา อินทรีย์

Education
2007 Doctor of Dental Surgery (1st Class Honor), Faculty of Dentistry, Mahidol University, Bangkok, Thailand
2012 Master of Sciences in Orthodontics, Faculty of Dentistry, Chiangmai University, Chiangmai, Thailand
2012 Residency Training Certificate in Orthodontics, Faculty of Dentistry, Chiangmai University, Chiangmai, Thailand
2014 Diplomate, Thai Board of Orthodontics, The Royal College of Dental Surgeons of Thailand
Professional Experience
2024 - present Secretary General, Thai Association of Orthodontists, Thailand
2022 - 2024 Central Committee, Thai Association of Orthodontists, Thailand
2018 - 2022 Scientific chairperson, Thai Association of Orthodontists, Thailand
2018 - present Program Director, Master of sciences in Dentistry Major in Orthodontics, Faculty of Dentistry, Thammasat University, Thailand Academic
2017 - 2019 Assistant of Dean, Faculty of Dentistry, Thammasat University, Thailand
2017 - present Assistant Professor, Faculty of Dentistry, Thammasat University, Thailand
2012 - 2015 Chairman, Department of Orthodontics, Faculty of Dentistry, Thammasat University, Thailand
2007 - present Clinical Staff, Faculty of Dentistry, Thammasat University Hospital, Thailand
2007 - present Instructor, Faculty of Dentistry, Thammasat University, Thailand
Terawat Tosiriwatanapong

Asst. Prof. Dr. Terawat Tosiriwatanapong

ผศ. ดร. ทพ. ธีรวัฒน์ โตสิริวัฒนพงศ์

Education
2007 Doctor of Dental Surgery (1st Class Honor), Faculty of Dentistry, Mahidol University, Bangkok, Thailand
2015 Certificate of Advanced Graduate Study in Prosthodontics, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA
2015 Doctor of Science in Dentistry in Prosthodontics, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts, USA
Professional Experience
2018 - present Assistant Professor, Faculty of Dentistry, Thammasat University, Thailand
2007 - present Clinical Staff, Faculty of Dentistry, Thammasat University Hospital, Thailand
2016 - 2018 Chairman, Department of Prosthodontics, Faculty of Dentistry, Thammasat University, Thailand
2007 - 2018 Instructor, Faculty of Dentistry, Thammasat University, Thailand