What options do we have? An unfavorable relationship between the shape and dimensions of the dental arches and the number of teeth present, as well as their shape and size, is a common esthetic and functional problem in the clinic that can hardly be solved by orthodontic corrections alone. In many cases, an optimal result can only be achieved in combination with orthodontic, restorative and reconstructive measures. The focus today is on minimally invasive treatment measures. Numerous clinical cases are used to explain the concept based on predictability, reintervention potential and long-term success.

Highlights:

• The options - gap closure, gap opening, gap distribution, gap displacement, gap compensation: when to do what?
• Planning - the basic considerations: Orthodontics yes/no?
• Diagnostics - direct mock-up in the mouth: how is this done?
• Transformation & shape changes of anterior teeth - composite or ceramic - gap restoration - adhesive bridge or implant?
• Implants - the problem of lack of adaptation - how can lifelong changes to the
• changes to the alveolar ridge and the position of adjacent teeth be taken into account?
• Adhesive bridges - glass-ceramic or zirconium oxide?