Incorrect restorations affecting the duration of orthodontic treatment

In malocclusion due to crowding of teeth, in patients whom the teeth had been previously restored with composite resin, it sometimes becomes difficult to differentiate between the tooth and the restoration.When such carious teeth are in the midline and the crowding is due to the overlapping of an incisor over the other, proper restoration becomes challenging.This could even have led to the fusion of the adjacent composite fillings with each other, if the proper technique had not been followed.In such cases orthodontic treatment to correct the crowding becomes difficult, and in effect it will strain the anchorage if the problem is not identified and rectified early.Correcting the faulty proximal contact can help such a situation during orthodontic treatment.Crowding will be spontaneously corrected due to the stretched gingival fibers as a result of the already applied orthodontic force.This clinical report emphasizes on the importance of clinical examination as well as proper restoration of carious overlapped teeth.