Abstract
Tooth agenesis is one of the common developmental dental anomalies in humans. Incidence of congenitally missing maxillary lateral incisors is approximately 1-2%. A multidisciplinary treatment plan needs to be executed for such cases. This article presents a case report of a young female with bilateral missing maxillary lateral incisors. The problems anticipated in this case were unequal space available for replacement of teeth, bony depression on the labial aspect of left maxillary lateral incisor, high labial frenal attachment causing a pull and lack of interproximal papillae with flat gingival architecture. Prosthodontically driven orthodontic treatment, followed by implant placement along with periodontal considerations was the chosen approach. Use of well contoured implant supported provisional restorations for creating the missing interproximal papillae and emergence profile is a simple, convenient and economical method making it a desirable treatment option to meet with the challenging esthetic demands in maxillary anterior region.
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