Camouflaging the permanent maxillary canine to substitute an absent lateral incisor - part 1: assessment and management.

Abstract

There remains debate as to whether, when there is a missing maxillary lateral incisor, space should be orthodontically opened to allow for prosthetic replacement or closed to camouflage the canines to substitute the absent lateral incisor by recontouring and simple restorative procedures. Each case presents its own features which will help decision making. Treatment planning these cases is multifactorial in nature and the decision ultimately depends on factors such as the malocclusion; inter-arch and intra-arch relationship; and canine properties (size, colour and shape). The ideal treatment is the most conservative one that satisfies the individual's aesthetic and functional requirements. Often, but not always, it is therefore space closure with camouflaging of the canines as lateral incisors. Multidisciplinary planning and delivery of care is essential and 'mandatory' in the delivery of optimal outcomes. The first part of this two-part series will discuss the principles of assessment, diagnosis and management. The second part will discuss the challenges encountered and possible solutions.