An Atypical Outcome in a Case with Agenesis of both Mandibular Central Incisors

Abstract

The treatment of congenital agenesis of mandibular incisors is complex, and the absence of these teeth can cause functional, aesthetic, and psychological problems. This paper reports the treatment of an Angle Class I malocclusion associated with agenesis of both mandibular central incisors. Among various treatment alternatives, the chosen therapeutic approach was to consolidate space between the first and second premolars to make room for further implant and prosthesis placement. This orthodonticprosthetic approach provided balanced occlusion, dental aesthetic, periodontal health, improved self-esteem, and a satisfactory smile to the patient. The treatment outcomes have remained stable during follow-up of 3 years and 1 month.

Keywords

• mandibular incisors
• missing teeth
• prosthesis