When orthodontic and restorative care don’t align

Many patients who begin clear aligner treatment may also need restorative procedures — yet orthodontic and restorative care is not always planned together. This disconnect can lead to inefficiencies, additional appointments, and missed opportunities to achieve ideal esthetics and function. The challenge for clinicians is integrating both disciplines into one coordinated workflow that saves time, improves outcomes, and enhances the patient experience.

From alignment to restoration — all in one workflow

The Dentsply Sirona OrthoResto Workflow Solution connects clear aligner and restorative treatment into one streamlined, efficient process. From diagnosis to final restoration, each step is planned and clinically aligned, helping doctors save time, enhance communication, and deliver comprehensive care. By combining clear aligners with restorative excellence, the workflow empowers clinicians to create confident smiles that look good and function beautifully — all through one connected approach.

What are the benefits of an integrated orthodontic and restorative workflow?

Improve patient well-being1

Placement of restorations to enhance dental appearance has been shown to positively influence patients’ self-esteem and overall quality of life.

Support comprehensive treatment

A combined orthodontic and restorative approach benefits cases of malocclusion and dentition defects by improving periodontal health, function, and patient satisfaction.2

Address diverse clinical needs

One workflow supports bonded attachments, diastema closures, filling black triangles, lengthening laterals, and reshaping teeth — covering both ortho and restorative requirements.

Simplify planning and collaboration

Integrating both disciplines into a single workflow enables more efficient treatment coordination, reduces chair time, and helps ensure consistency from alignment to restoration.

Where the OrthoResto Workflow adds value

Teeth requiring clear aligner treatment

For patients presenting with malocclusion or spacing issues, SureSmile® clear aligner treatment helps establish proper tooth position — setting the foundation for both functional and esthetic restorative results.
Teeth after aligner treatment

Restorative needs should be identified and discussed with the patient before starting aligner therapy. Once alignment is complete, clinicians can make additional minor esthetic enhancements — such as reshaping, diastema closure, or subtle composite adjustments may be planned — to achieve the final smile and deliver the desired result.
Post-orthodontic restorations

Final restorative procedures, including reshaping, diastema closures or composite bonding, complete the smile transformation.

Expert perspectives on comprehensive care

“Ideal occlusion, achieved through strategic tooth alignment, is essential for enhancing both the esthetic and functional outcomes of resin based treatments in comprehensive dentistry.”

Mona Patel, DDS | USA

“When it comes to resins for post-ortho restorations, we need them to be durable but also look really good. That’s why I use Spectra ST composites3 — because the results I get with them are great, functionally and esthetically.”

Mona Patel, DDS | USA

Why integrated care matters — the numbers tell the story
Today’s patients expect more than straight teeth — they want complete, esthetic smiles. Yet many treatments still separate orthodontic and restorative care. Research shows that clinicians see the value in a unified approach that simplifies planning, supports collaboration, and enhances long-term results.
60%

of people say they hate how their smile looks in photos.4

9 in 10

dentists are interested in a workflow solution to help with treatment planning for patients who also require significant restorative work.5

Dentists start

an average of 4.5 clear aligner cases each month.6

1 in 3

patients receive whitening treatment to further enhance their smile.7

One workflow — supported by trusted solutions

Create the foundation for comprehensive treatment planning.

 

  • SureSmile® Simulator

Generate 3D visualizations of potential smiles to support patient education and case acceptance. 

 

  • Spectra ST composites3

Use for pre-ortho composite fillings for caries or minor corrections before alignment. 

Learn more

Digitally guided tooth movement for improved function and esthetics.

 

  • SureSmile® Clear Aligners

Customized aligner treatment designed to fit each patient’s unique needs.

Learn more

 

  • Spectra ST composites3

Composite attachments made with Spectra® ST universal composite restorative guide the movement of the teeth during the treatment process.

Learn more

Deliver durable, esthetic results with restorative materials for post-alignment refinements.

 

  • Prime&Bond Universal Adhesive:

Strong bond even under varying moisture levels, with virtually no sensitivity.

Learn more

 

  • Spectra ST composites3

Covers all cavity classes, supporting esthetic reshaping, diastema closures, and refinements.

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Maintain alignment and long-term patient satisfaction.

 

  • SureSmile Retainers

Long lasting. Designed to wear up to 1 year. *

Learn more

 

*When cared for as directed.

The finishing touch for post-orthodontic restorations

As part of the Dentsply Sirona OrthoResto Workflow, Spectra ST composites3 support natural-looking, durable results after clear aligner treatment. Its simplified shade system, reliable handling, and proven esthetics make it an ideal choice for reshaping, diastema closures, and other finishing details — helping doctors complete every smile with confidence.
Explore Spectra ST composites

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1. Davis LG, Ashworth PD, Sprigs LS. Psychological effects of aesthetic dental treatment. J Dent. 1998;26(7):547–554. doi: 10.1016/S0300-5712(97)00031-6

2. Cheng Y, Liu X, Mao Q, et al.. Clinical efficacy of combined orthodontic and restorative treatment for malocclusion with dentition defects. J Clin Stomatol. 2020;36:598–601

3. Depending on market location, Spectra ST composites are available as either TPH Spectra® ST, Ceram.x Spectra® ST, or Neo Spectra® ST

4. https://www.prnewswire.com/news-releases/first-impressions-are-everything-new-study-confirms-people-with-straight-teeth-are-perceived-as-more-successful-smarter-and-having-more-dates-148073735.html

5. Ortho Resto Workflow Concept Evaluation. Dentsply Sirona VOC Research Panel. April 2025. N=71. For more information, contact Consumables-Data-Requests@dentsplysirona.com.

6. July 2024 DIG Insights Smile Design Quantitative Study. N=401. United States, Germany and Brazil. For more information, contact Consumables-Data-Requests@dentsplysirona.com.

7. Exevia Omnibus Q1 2023 N=377 (US/Germany dentists) For more information, contact Consumables-Data-Requests@dentsplysirona.com.

1. Davis LG, Ashworth PD, Sprigs LS. Psychological effects of aesthetic dental treatment. J Dent. 1998;26(7):547–554. doi: 10.1016/S0300-5712(97)00031-6

2. Cheng Y, Liu X, Mao Q, et al.. Clinical efficacy of combined orthodontic and restorative treatment for malocclusion with dentition defects. J Clin Stomatol. 2020;36:598–601

3. Depending on market location, Spectra ST composites are available as either TPH Spectra® ST, Ceram.x Spectra® ST, or Neo Spectra® ST

4. https://www.prnewswire.com/news-releases/first-impressions-are-everything-new-study-confirms-people-with-straight-teeth-are-perceived-as-more-successful-smarter-and-having-more-dates-148073735.html

5. Ortho Resto Workflow Concept Evaluation. Dentsply Sirona VOC Research Panel. April 2025. N=71. For more information, contact Consumables-Data-Requests@dentsplysirona.com.

6. July 2024 DIG Insights Smile Design Quantitative Study. N=401. United States, Germany and Brazil. For more information, contact Consumables-Data-Requests@dentsplysirona.com.

7. Exevia Omnibus Q1 2023 N=377 (US/Germany dentists) For more information, contact Consumables-Data-Requests@dentsplysirona.com.

8. Barnes DM, Kihn PW, Romberg E, George D, DePaola L, Medina E. Clinical evaluation of a new 10% carbamide peroxide tooth-whitening agent. Compend Contin Educ Dent. 1998 Oct;19(10):968-72, 977-8. PMID: 10371880.

9. Kihn PW, Barnes DM, Romberg E, Peterson K. A clinical evaluation of 10 percent vs. 15 percent carbamide peroxide tooth-whitening agents. J Am Dent Assoc. 2000 Oct;131(10):1478-84. doi: 10.14219/jada.archive.2000.0061. PMID: 11042989. 

10. SWIFT, E.J., Jr., MAY, K.N., r., WILDER, A.D., Jr., HEYMANN, H.O. and BAYNE, S.C. (1999), Two-Year Clinical Evaluation of Tooth Whitening Using an At-Home Bleaching System. Journal of Esthetic and Restorative Dentistry, 11: 36-42. https://doi.org/10.1111/j.1708-8240.1999.tb00374.x