Finishing Analysis of Dental Outcome (FADO) as a New Guide in Orthodontic Treatment

Abstract

Objectives: Orthodontic treatment has both functional and esthetic goals. The finishing phase is one of the most important and seeks to solve occlusal, dental, functional, and esthetic problems, offering the possibility of obtaining the best possible outcome. This paper aims to describe the Finishing Analysis of Dental Outcome (FADO) guide as a tool to improve orthodontic treatment results.Methods: A literature review of finishing procedures and orthodontic treatment outcomes was made. Moreover, current parameters of the esthetics of the smile were considered. The information was systematized to produce a protocol applicable to practice. This guide includes the assessment of miniesthetic, micro-esthetic, and occlusal results using the Cast Radiographic Evaluation of the American Board of Orthodontics. Treatment options for each item were also suggested. Clinical cases were used to illustrate the application of the guide.Results: The FADO Guide is presented and explained to give the clinician a systematic and orderly guide to achieve the best possible results in orthodontic treatment. To fulfill the FADO Guide, cast models, a panoramic radiograph, smile photographs (frontal and lateral), and an intraoral frontal photo are needed. The FADO Guide includes four sections: mini-esthetic evaluation (the evaluation of the smile), microesthetic evaluation, occlusal analysis, and radiographic analysis. Conclusion:The FADO guide presents a systematic approach to the application of a finishing protocol in orthodontics. Furthermore, this guideline can improve clinical practice and be used as a checklist to optimize clinical outcomes.

A survey study on the evaluation of posed smiles by social group

“…D M Sarver et al [29] de ned the smile arc as the relationship between the curvature of the incisal edges of the maxillary incisors and cuspids and the curvature of the lower lip during a posed smile. A consonant smile arc parallel to the lower lip curvature is perceived as more aesthetically pleasing [2,30]. Parallel smile arcs are the most common [5,25,31].…”

Smile Aesthetics Assessment in Patients Undergoing the Finishing Phase of Orthodontic Treatment: An Observational Cross-Sectional Study

“…According to this, it is important to consider that occlusal aspects need to be evaluated and improved, if necessary, in the finishing phase. It also proposes that, if possible, a finishing protocol with strict follow-up should be implemented to achieve this objective [17,25,[46][47][48][49]. Aesthetic results are directly related to patient satisfaction at the end of their treatment, and that may be a factor that negatively affects it [50].…”

“…This information can assist clinicians in making the best therapeutic decisions for each case. In the patients studied, smile parameters were evaluated and aspects requiring improvement were corrected by the clinician within 6 months, as documented in the literature [ 25 ].…”