An Orthodontic- Prosthetic Approach for a Missing Maxillary Lateral Incisor

Abstract

Restoring patients smile with congenitally missing maxillary lateral incisor often needs a challenging interdisciplinary treatment, which can be done either by canine substitution, single implants, or tooth-supported restorations. This case report describes the orthodontic treatment of an Angle Class I malocclusion, slightly convex lower third profile, absence of right maxillary lateral incisor, microdontia of the left lateral incisor, and prolonged retention of the right deciduous canine. The treatment was completed with good dental and functional occlusion with a third premolar implant-borne crown. After one-year of follow-up there was maintenance of good aesthetics, with gingival and periodontal health with stability.

Keywords

• canine-guided occlusion
• implant
• maxillary lateral incisor agenesis