Major reason for taking orthodontic treatment is enhancement of esthetics. While most of the corrections of malocclusions can be handled with orthodontic treatment, certain conditions require multidisciplinary approach to provide a more favorable result. Various conditions that require integration of orthodontic therapy with restorative and periodontal procedures include attrited incisal edges, missing lateral incisors, microdontia, dental fluorosis, gingival recession, gingival hypertrophy, gummy smile, high frenal attachment, pigmented gingiva etc. The aim of this article is to review those conditions that require adjunctive procedures along with comprehensive orthodontic treatment to achieve the best possible esthetic result.
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