Multidisciplinary approach on lateral incisors agenesis: a case report

Talita Malini Carletti,Olivia Maria Costa De Figueredo,Mariana Barbosa Câmara-Souza,Renata Cunha Matheus Rodrigues Garcia

doi:10.33448/rsd-v9i11.9618

Abstract

Teeth absence in the anterior region of the maxilla can lead to psychosocial impairments, especially in young patients. Thus, the treatment of congenital agenesis of upper lateral incisors should consider prosthetic, restorative, and periodontal approaches to recover the patient's social and aesthetic functions. This article aims to present the case report of a 23-year-old male patient, who visited the Prosthodontic Clinic of the Piracicaba Dental School for the treatment of congenital agenesis of teeth 12 and 22. Implant-supported metal-free ceramic crowns, homemade dental bleaching, and restoration of maxillary canines with composite resin were planned. In addition, to improve gingival thickness around the peri-implant region of tooth 12, a periodontal surgery was performed using the vestibular tunnel access surgical technique (VISTA - Vestibular Incision Subperiosteal Tunnel Access). Thus, a multidisciplinary approach in the treatment of congenital agenesis of the upper lateral incisors has proved to be a reliable alternative to achieve patient's functional and aesthetic demands.

Highlights

Agenesis is defined by the absence or malformation of any part of the body (Driscoll, Freilich, Guckes, Knoernschild, & Mcgarry, 2017)
The purpose of this study was to report the prosthetic rehabilitation with the use of implant-supported ceramic crowns in a patient with bilateral agenesis of the upper lateral incisors. This is a clinical, descriptive, and qualitative case report, describing the multidisciplinary approaches used in the treatment of congenital agenesis of the upper lateral incisors
This case report is about a patient with congenital lateral incisors agenesis who had multidisciplinary treatment procedures, involving Orthodontics, Periodontics, Cosmetic Dentistry, and Prosthodontics areas of expertise, to restore the toothless spaces

Summary

Introduction

Agenesis is defined by the absence or malformation of any part of the body (Driscoll, Freilich, Guckes, Knoernschild, & Mcgarry, 2017). Considering dental agenesis, the number and morphology of teeth can vary (Pegoraro, Do Valle, Pegoraro, Corotti, & Vidotti, 2014). Non-syndromic dental absences can be caused by altered family genes (Coster et al, 2009). It is unknown whether agenesis occurs by an evolutionary process or due to the improvements in clinical diagnosis (Coster et al, 2009). It is possible to identify dental agenesis by means of panoramic radiographs, when crown mineralization is not observed (Gracco et al, 2017)

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