Abstract
Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach.
Highlights
Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars
Developmental alterations which are most commonly associated with maxillary lateral incisors either unilaterally or bilaterally are microdontia, hypodontia, dens invaginatus and dens evaginatus.[2,3,4,5,6,7]
Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape
Summary
Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Intraoral examination revealed Class I molar relationship bilaterally, a peg shaped lateral incisor on the right side of the upper arch, gap between the teeth in the front and deepbite. The both maxillary and mandibular arch were U-shaped and had spacing in the maxillary arch. The treatment objectives were to correct spacing and deep bite, correction of proclined and forwardly placed maxillary incisors, correction of protrusive strained upper lip and to restore the peg shaped lateral incisor tooth to the normal shape and size. The posttreatment panoramic radiograph showed good root parallelism. (Figure 9)
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