Preservation or alteration of the natural dentition to an optimal state of health, function, comfort, and esthetics remains the primary goal of dentistry. However, referral of patients by general dentists to orthodontic specialists may be complex as it involves the interaction of the two dental professionals and the patient. Because there is a marked variation in referral rates between the dentists and many patients may be referred inappropriately, a clear understanding of what is known about current orthodontic treatment possibilities, limitations and inherent risks is necessary. The purpose of this article is to outline the existing orthodontic therapeutic possibilities for adjunctive dental work and to emphasize the importance of teamwork among the general dentist, the orthodontic specialist and possibly other dental specialists during treatment planning.

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