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Symmetry between the maxillary lateral incisors and the right maxillary central incisor that was moved to the opposite side was achieved. Dental implants are an appropriate treatment option for replacing missing maxillary lateral incisor teeth in adolescents when their dental and skeletal development is complete. The maxillary lateral incisor is the second most common congenitally absent tooth. Given that only 25-35% of the population seek orthodontic treatment, missing lateral incisor cases occupy a surprisingly large amount of the orthodontist's time. 13 Porcelain veneers were selected as the most conservative predictable treatment rehabilitation option because of the reported estimated survival rate of 94.4% after 5 years, 93.5% at 10 years, and 82.9% at 20 years. The purpose of this article is to show the diferent modalities of treatment for upper lateral incisors agenesis. Non-extraction treatment of a Class II case with a missing mandibular central incisor using a CAD/CAM lingual orthodontic system. The left central incisor presented a very wide root canal treatment with compromised radicular dentin thickness, which was a consideration in the decision between a new tooth-supported fixed dental prosthesis vs. an implant-supported prosthesis. Extraction sockets. Multiple treatment options are available for replacing missing central incisors. Multidisciplinary Treatment Approach for Missing Central Incisor. Depending on the severity of the fracture and the age of the patient, treatment options may include fragment reattachment (when possible) or restoration using composite, a porcelain veneer, or a full crown. One may sometimes be removed during braces treatment, but if your child is missing this permanent tooth, chances are it’s due to hypodontia. (A) Before the treatment, the blue arrows indicate the missing lateral incisors. This options is often the treatment of choice for young children. Adult orthodontic patients insist on aesthetic treatment options that have the least possible impact on their work and life. 2004;23(8):90, 92, 94-5; quiz 95. The second premolars are located between the first premolars and the molars, which are the large teeth at the rear of the mouth. The central incisor and canine often erupt in less than optimal positions adjacent to the edentulous lateral incisor space, and therefore preprosthetic orthodontic treatment is frequently required. Abstract. Misch CE. Lateral incisor extraction prevents and need for a future implant, and minimizes time, money, and discomfort. The prevalence of peg-shaped maxillary permanent lateral incisors has been reported to be 1.8% to 2.3%, while the prevalence of missing permanent mandibular lateral incisors is less frequent (0.1%). Objective: Clinicians are faced with three common treatment options for the high frequency of missing or lost maxillary lateral incisors; canine substitution, a resin-bonded fixed dental prosthesis (RBFDP), or a dental implant. Although lateral incisor agenesis presents a significant clinical challenge, canine substitution, tooth supported restoration and single implant restoration are all reasonable treatment options depending on patient anatomy, age and preference. Sutured site and delivery of immediate provisional crowns. Treatment planning. By Dr. Khaled Abouseada, Saudi Arabia January 14, 2014. 1-3 In addition to being both conservative and cost-effective, fragment reattachment provides an ideal shade and surface texture match to the remaining tooth. Heredity is one of the possible factors associated with congenitally missing mandibular incisors. Treatment options for a congenitally missing lateral incisor: a case report. These options include canine substitution, resin bonded fixed partial dentures, cantilevered fixed partial dentures, conventional fixed partial dentures and single tooth implants. At an early stage in treatment planning, it is important to consider the patient’s occlusal scheme. This clinical report attempts to demonstrate different strategies for the management of unilaterally … In daily practice, orthodontists often meet cases of upper lateral incisors agenesis. Authors Stavros ... reporting on treatment of agenesis of maxillary lateral incisors, accomplished either by canine orthodontic repositioning or prosthodontic intervention. After careful removal of granulation tissue, the socket preservation technique was applied using Xenograft (Bio-Oss™ Collagen 100 mg x 2). Prevents and need for a congenitally missing lateral incisors involving the orthodontist, prosthodontist, and periodontist occur! 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