{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:36:04Z","timestamp":1791891364366,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T00:00:00Z","timestamp":1633478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this case report is to present a novel digital approach of guiding orthodontics and periodontal surgery by creating interim restorations that represent the final shape of the teeth before starting the treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical considerations<\/jats:title><jats:p>The patient presented with worn dentition, super\u2010erupted maxillary and mandibular anterior teeth, and altered passive eruption, all this creating a gummy smile. Following a digital wax\u2010up design, a digital orthodontic set\u2010up, and the digital bracket bonding, temporary restorations, and bracket indirect bonding trays were fabricated. Restorations' cementation, bracket bonding, and periodontal surgery were performed the same day. After 14\u2009months of orthodontic treatment, teeth were restored with final ceramic restorations. One year and 6\u00a0months was the total treatment duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prosthetically guided orthodontic concept allows the use of digital technology to simulate the final outcome of the patient treatment before starting dental therapy. This technique not only improves the communication between specialists, it also reduces treatment time and increases precision and predictability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>The prosthetically guided orthodontics (PGO) concept has the goal to start interdisciplinary therapy with a simulation of the final outcome. Giving the worn teeth their proper size through interim restorations prior to orthodontic therapy will guide the orthodontist from the beginning of the treatment and will improve communications between all the specialists. Through a digital approach, a digital wax\u2010up and an orthodontic digital set\u2010up the objectives of treatment can be established early on.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12825","type":"journal-article","created":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T17:46:04Z","timestamp":1633715164000},"page":"750-758","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The <scp>PGO<\/scp> concept: Prosthetically guided orthodontics concept"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5643-6282","authenticated-orcid":false,"given":"Alvaro","family":"Blasi","sequence":"first","affiliation":[{"name":"Private Practice  Barcelona Spain"},{"name":"Department of Restorative Sciences Dental College of Georgia at Augusta University  Augusta Georgia USA"},{"name":"Department of Restorative Dentistry, School of Dentistry International University of Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2561-1425","authenticated-orcid":false,"given":"Ignacio","family":"Blasi","sequence":"additional","affiliation":[{"name":"Private Practice  Barcelona Spain"},{"name":"Department of Orthodontics University of Maryland School of Dentistry  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7215-0292","authenticated-orcid":false,"given":"Victor","family":"Henarejos\u2010Domingo","sequence":"additional","affiliation":[{"name":"Private Practice  Barcelona Spain"},{"name":"Department of Orthodontics University of Maryland School of Dentistry  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Castellano","sequence":"additional","affiliation":[{"name":"Private Practice  Bologna Italy"},{"name":"Department of Aesthetic and Restorative Dentistry University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Ignacio","family":"Blasi","sequence":"additional","affiliation":[{"name":"Private Practice  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2253-3927","authenticated-orcid":false,"given":"Gonzalo","family":"Blasi","sequence":"additional","affiliation":[{"name":"Private Practice  Barcelona Spain"},{"name":"Division of Periodontics University of Maryland School of Dentistry  Baltimore Maryland USA"},{"name":"Department of Periodontics Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2014.10.012"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2013.08.018"},{"key":"e_1_2_6_4_1","first-page":"111","article-title":"Severe tooth Wear: European consensus statement on management guidelines","volume":"19","author":"Loomans B","year":"2017","journal-title":"J Adhes Dent"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.03.003"},{"key":"e_1_2_6_6_1","first-page":"135","article-title":"Esthetic rehabilitation of a severely worn dentition with minimally invasive prosthetic procedures (MIPP)","volume":"32","author":"Fradeani M","year":"2012","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_7_1","first-page":"88","article-title":"Key factors in treatment planning for complex cases. 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