Advanced orthodontics
A clear strategy for complex situations.
Some situations require facial aesthetics, occlusion, joints, function, and stability to be connected before dental movement is considered. Specific anchorage or coordination with other professionals may then form part of the plan.
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Diagnosis
Build a complete clinical picture
Complex treatment starts by defining the problem accurately rather than selecting the most advanced appliance. Photographs, digital models, imaging when justified, and previous records are compared with the clinical examination.
Cristina considers the face, jaws, bite, joints, function, dental health, stability, and your priorities together. This helps separate essential objectives from optional improvements and makes the sequence, compromises, and alternatives easier to understand.
- Records selected to answer a clinical question
- Objectives prioritised before appliances are chosen
- Alternatives and limitations explained
Skeletal anchorage
Skeletal anchorage within a coordinated plan
Orthodontic mini-implants, including Benefit-type systems, can provide a temporary anchorage point for selected movements. They may help direct force more precisely or limit unwanted movement of other teeth when conventional anchorage would be insufficient.
They are not required for every complex case. Cristina explains why anchorage is being considered, where it fits in the sequence, what placement and removal involve, and how it interacts with the rest of the orthodontic or multidisciplinary plan.
- Used only for a defined movement or objective
- Position and timing planned from diagnostic records
- Care coordinated with the relevant clinician when needed
Multidisciplinary coordination
One sequence across several professionals
Some plans involve restorative dentists, periodontists, oral or maxillofacial surgeons, physiotherapists, sleep physicians, or other clinicians. Coordination connects their contributions so that one stage does not compromise the next.
Cristina explains the overall sequence, shares the relevant records, and reviews progress at key transitions. You should know who is responsible for each decision, which appointments depend on another stage, and what the intended final outcome is.
- A shared objective and agreed treatment order
- Relevant information exchanged between clinicians
- Progress reviewed before moving to the next stage
Frequently asked questions
What patients ask most often.
General answers, to be refined around your diagnosis.
01Does a complex case always require surgery?+
No. Different approaches may be discussed, with their possibilities and limits.
02Why seek a second opinion?+
It can clarify diagnosis, compare strategies, and support a better-informed decision.
The next step
Let’s start by understanding your situation.
A first consultation is time to take stock, answer your questions, and explain the options that may be relevant.