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. 2016 Feb 29:10:19-27.
doi: 10.2174/1874210601610010019. eCollection 2016.

Agenesis of Maxillary Lateral Incisors: Treatment Involves Much More Than Just Canine Guidance

Giordani Santos Silveira  1 , José Nelson Mucha  1
Affiliations

Agenesis of Maxillary Lateral Incisors: Treatment Involves Much More Than Just Canine Guidance

Giordani Santos Silveira et al. Open Dent J. .

Abstract

Objective: In this study, we aimed highlight some clinical features present in patients whose maxillary lateral incisors are missing, and proposed more logical, rational and predictable solutions to inform decision making in rehabilitation procedures.

Methods: Literature review and discussion.

Conclusion: Choosing the best possible treatment for congenital absence of maxillary lateral incisors depends on the multidisciplinary diagnosis of facial, occlusal, functional and periodontal features. It also depends on the individual long-term stability, and it does not only rely on canine-guided disocclusion.

Keywords: Dental implant; dental prosthesis; lateral incisor; orthodontic space closure; tooth agenesis.

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Figures

Fig. (1)
Fig. (1)
Ideal position of the upper and lower lips with respect to the Steiner (“S”) line (obtained from the midpoint of the lower contour of the nose to the most anterior point on the chin).
Fig. (2)
Fig. (2)
Case with dental biprotrusion before and after correction, showing excellent esthetic results of the facial profile contour.
Fig. (3)
Fig. (3)
The uprighting of protrusive incisors (A) provides optimum overbite with excellent incisal guidance (B).
Fig. (4)
Fig. (4)
Class II case (A), where closure space results in adequate overjet and overbite (B).
See this image and copyright information in PMC

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