Conservative Approach for Treatment of Maxillary Lateral Incisor Agenesis With the Deciduous Tooth Retained: 18-Month Follow-Up

2018 ◽  
Vol 43 (2) ◽  
pp. 121-127
Author(s):  
CECM Lameira ◽  
SR Mestrener ◽  
NIP Pini ◽  
FM Salomão ◽  
AA Pesqueira ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Female Patient ◽  
Multidisciplinary Approach ◽  
Clinical Results ◽  
Deciduous Tooth ◽  
Lateral Incisor ◽  
Conservative Approach ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

SUMMARY This case describes a female patient with agenesis of the maxillary right lateral incisor, with her permanent canine in its position and the deciduous canine retained. Additionally, she presented with a maxillary left peg lateral incisor. To solve her functional and esthetic complaints, a multidisciplinary approach involving perio-restorative procedures was proposed. Periodontal surgeries were performed to align the gingival contour, and the restorative approach utilized ceramic veneers. At the 18-month clinical and radiographic follow-up, the treatment outcome was stable, with maintenance of the clinical results achieved and without any sign of deciduous tooth resorption.

Prevalence, distribution, and age at clinical detection of missing permanent incisors

2020 ◽  
Author(s):  
Fara Beltrami ◽  
Gregory S Antonarakis ◽  
Stavros Kiliaridis
Keyword(s):  
Epidemiological Survey ◽  
Lateral Incisor ◽  
Missing Teeth ◽  
Cross Sectional ◽  
School Aged Children ◽  
Chi Squared ◽  
Maxillary Lateral Incisor ◽  
Clinical Detection ◽  
Lateral Incisor Agenesis

Summary Objectives To determine the prevalence and distribution of clinically missing permanent incisors, and the age at which they are detected, in school-aged children. Methods A total of 2573 children aged 4–13 underwent oral health screening on at least one occasion between 2001 and 2017. In order to define a threshold age, after which permanent incisor agenesis could be suspected clinically with reasonable certainty, children who had been seen for at least three consecutive years, with any clinically missing permanent incisor were selected (n = 19). The maximum age of detection among these children was chosen as the threshold age. Based on this, a total of 766 children at or above the threshold age were screened for a cross-sectional epidemiological survey. Chi-squared tests were used to compare the prevalence of clinically missing permanent incisors among boys and girls, comparing unilateral versus bilateral, and right- versus left-sided missing teeth. Results Roughly 2% of the sample presented with at least one clinically missing maxillary lateral incisor. This was bilateral in half of cases. Clinically missing mandibular incisors were found in 0.5% of children. Finally, the threshold age for clinical suspicion of maxillary lateral incisor agenesis was set at 11.5 years. Agenesis was confirmed in all of the children attending a follow-up radiographic visit. Conclusions Approximately 1 in 50 children present with a clinically missing maxillary lateral incisor. The age at suspicion of maxillary lateral incisor agenesis can sometimes be several years after its expected eruption, perhaps due to significant variation in eruption times.

scholarly journals Maxillary lateral incisor agenesis and microdontia: Minimally invasive symmetric and asymmetric esthetic rehabilitation

2022 ◽  
Vol 63 ◽  
Author(s):  
Lígia Rocha ◽  
◽  
Joana Garcez ◽  
Maria Tiritan ◽  
Lucas Silva ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Young Patients ◽  
Clinical Results ◽  
Lateral Incisor ◽  
Non Invasive ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis ◽  
Smile Esthetics

Maxillary lateral incisor agenesis is a condition that significantly compromises smile esthetics, which is particularly worrying in young patients. This article shows how the combination of non-invasive treatments and current restorative options may improve clinical outcomes following orthodontic treatment for symmetric and asymmetric maxillary lateral incisor agenesis and microdontia. Teeth were treated with conservative resin restorations in three separate cases: two of congenitally missing maxillary lateral incisors (i.e., unilateral and bilateral) and one of microdontia. After presenting the clinical results, this article summarizes how bleaching, enameloplasty, and bonding with composite resin can enhance esthetics and functions following orthodontic space closure. The cases reveal that carefully planned, methodically executed orthodontic and restorative approaches can achieve predictable, esthetic outcomes that will improve the patient’s self-esteem with a minimally invasive solution.

scholarly journals Endodontic management and follow-up of two rooted maxillary lateral incisor with open apex – A case report

2020 ◽  
Vol 5 (4) ◽  
pp. 200-202
Author(s):  
R AnithaKumari ◽  
◽  
Sneha Jeetendra ◽  
Siddharth Rai ◽  
Sudhanva Eregowda ◽  
...  
Keyword(s):  
Case Report ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor

Identification of Genetic Risk Factors for Maxillary Lateral Incisor Agenesis

2014 ◽  
Vol 93 (5) ◽  
pp. 452-458 ◽  
Author(s):  
M. Alves-Ferreira ◽  
T. Pinho ◽  
A. Sousa ◽  
J. Sequeiros ◽  
C. Lemos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Genetic Risk ◽  
Genetic Risk Factors ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

scholarly journals Orthodontic Space Closure of a Missing Maxillary Lateral Incisor Followed by Canine Lateralization

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sanjay Prasad Gupta ◽  
Shristi Rauniyar
Keyword(s):  
Treatment Plan ◽  
Lateral Incisor ◽  
Invasive Treatment ◽  
Incisor Tooth ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Short Period ◽  
Old Adult ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

Maxillary lateral incisor agenesis is the most prevalent developmental dental anomaly. The management of missing lateral incisor was either closure using canine as substitution or creation of space orthodontically for prosthetic replacement. A careful diagnosis and treatment plan are deemed essential to address the patient’s needs as the spacing is present in the esthetic region. Such problem is very challenging for orthodontists, prosthodontists, and general practitioners. This case report describes the orthodontic management of a 22-year-old adult female patient with missing upper left lateral incisor tooth and upper anterior spacing by closing the space with canine lateralization and reshaping to simulate it with the lateral incisor. However, some modifications in the treatment mechanics are crucial to achieve the optimal esthetic and to improve the occlusion. Space closure with canine lateralization option seems less invasive, treatment can be completed relatively in a short period of time, and its adaptation with the facial changes throughout life without having artificial prosthesis provided other factors favoring for this option.

Prevalence of maxillary lateral incisor agenesis and associated skeletal characteristics in an orthodontic patient population

2016 ◽  
Vol 74 (6) ◽  
pp. 456-459 ◽  
Author(s):  
Dalia S. Bassiouny ◽  
Ahmed R. Afify ◽  
Hosam A. Baeshen ◽  
Dowen Birkhed ◽  
Khalid H. Zawawi
Keyword(s):  
Patient Population ◽  
Lateral Incisor ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

Digital Analysis of Anterior Dental Esthetic Parameters in Patients with Bilateral Maxillary Lateral Incisor Agenesis

2013 ◽  
Vol 25 (3) ◽  
pp. 189-200 ◽  
Author(s):  
Núbia Pavesi Pini ◽  
Luciana Manzotti De-Marchi ◽  
Bruno Frazão Gribel ◽  
Renata Corrêa Pascotto
Keyword(s):  
Lateral Incisor ◽  
Digital Analysis ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

scholarly journals A multidisciplinary treatment approach of complete transposition of impacted maxillary left canine with maxillary first premolar in presence of bilateral congenital absence of maxillary lateral incisors

2016 ◽  
Vol 6 ◽  
pp. 39-44
Author(s):  
Pawankumar Dnyandeo Tekale ◽  
Ketan K. Vakil ◽  
Jeegar K. Vakil ◽  
Chetan O. Agarwal
Keyword(s):  
Multidisciplinary Approach ◽  
Tooth Movement ◽  
Multidisciplinary Treatment ◽  
Three Dimensional ◽  
Lateral Incisor ◽  
Current Case ◽  
Restorative Treatment ◽  
Complete Transposition ◽  
Iatrogenic Damage ◽  
Maxillary Lateral Incisor

The maxillary permanent canine is the tooth most frequently involved, which is often transposed with the first premolar followed by transposition between the maxillary permanent canine and maxillary lateral incisor. This study describes the correction of complete transposition of the maxillary left first premolar with impacted permanent maxillary left canine and congenital missing maxillary lateral incisor. The current case report describes a multidisciplinary approach for the alignment of impacted and transposed teeth with surgical exposure of impacted maxillary canine and restorative treatment of transposed maxillary left first premolar. The satisfactory results were achieved with maximum three-dimensional control of tooth movement and without any iatrogenic damage.

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