Integrated orthodontic and restorative procedures: Orthodontic space management, digital technologies, and injectable technique

Following orthodontic treatment, minimally invasive restorative techniques are often required to achieve optimal esthetics and function. The injection molding technique (IMT) involves the application of a flowable composite into a transparent silicon index. Because of its fluid nature, the composite quickly fills the silicon tray and integrates smoothly with the tooth structure. This procedure in orthodontics, along with new orthodontic technologies, is crucial in addressing complex multidisciplinary patients. This article illustrates the use of conservative dentistry with IMT in a 14-year-old girl with agenesis of the maxillary lateral incisors (teeth 1.2 and 2.2). The prerestorative orthodontic treatment began with the digital design of a skeletally anchored palatal device to mesialize the maxillary posterior teeth. The interdisciplinary treatment was completed with the restoration of the anterior teeth using IMT. Aiming to provide noninvasive, patient-centered interdisciplinary treatment, IMT proves to be an excellent procedure for optimizing orthodontic treatment by restoring the final tooth in a predictable, cost-effective, and highly esthetic manner.