This area of orthodontics is often overlooked by patients and their general dentists. It is a special interest area of Dr. Bentele since he did a General Practice Residency and practiced as a general dentist for 11 years prior to his orthodontic residency. If extensive adult restorative treatment is contemplated then think of orthodontics as the foundation. Once implants or bridgework is placed then it is difficult to move teeth around to an ideal relationship. Periodontal disease and active decay must be resolved first so that the mouth is healthy. Then orthodontics may be employed to put the teeth in the right place before tooth replacement is accomplished. Implant placement requires adjacent roots that are parallel and sufficient room between the teeth to place the restoration. Longstanding spaces from missing teeth are often compromised by adjacent teeth tipping into the space or a tooth in the opposite arch intruding into the location where the implant tooth should go. Collaborative treatment planning between the general dentist and orthodontist are essential to visualize and produce an ideal smile and healthy mouth.