Abstract
Managing congenitally missing lateral incisors with single tooth implants
Highlights
The successful use of dental implants to replace missing teeth has been one of the most popular, exciting and evolving areas of clinical dentist
The maxillary lateral incisor is the second most frequently missing tooth after the mandibular second premolar even though Muller et al found that maxillary lateral incisors experience the most agenesis
Agenesis of the maxillary lateral incisor is linked with anomalies and syndromes such as agenesis of other permanent teeth, microdontia of maxillary lateral incisors, palatally displaced canines and distal angulations of mandibular second Premolars [6,7]
Summary
The successful use of dental implants to replace missing teeth has been one of the most popular, exciting and evolving areas of clinical dentist. Clinicians attempt to maintain the proper anterior overbite; over jet and ideal inter-arch relationships of the canine teeth while creating enough space for a fixed partial denture or more commonly, an implant with a single crown restoration, but few treatment options are available for patients with agenesis of one or both maxillary lateral incisors. The orthodontist plays a key role in determining and establishing space requirements for patients with congenitally missing maxillary lateral incisors .the implant based treatment option in such patients requires an interactive and interdisciplinary management approach [1,3,5] This interdisciplinary approach may involve preprosthetic orthodontic treatment following consultations with an oral surgeon or periodontics and restorative dentist to ensure orthodontic alignment will facilitate the surgical, implant and restorative treatment. The Emax full coverage veneer was luted with transparent Rely-X veneer cement, and the upper Hawley retainer adjusted to fit (Figure 5-7)
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