Two decades ago, orthodontics was mainly concerned about occlusion and the alignment of teeth in children and adolescents. By the start of 1980s, adults were appearing as patients in significant numbers to see about improving their appearances. The pace of change in the dental profession accelerated and the dental knowledge of the average orthodontist became outdated. The need for interdisciplinary exchange was ripe. Today's goal is more than a beautiful alignment of teeth. Esthetic dentistry has become a prominent part of the treatment protocol of most dentists. Many of these patients can be treated with routine restorative procedures (crowns, composites, laminates) to achieve the desired results. However, some patients have problems with tooth position or jaw position that create significant discrepancies which can compromise the esthetic result of restorative dentistry. This presentation describes the importance of team work with the emphasis on how to achieve desired esthetics and function.