Treatment dilemmas in maxillary lateral incisor hypodontia; opening or closing the space?

Session

Dental Sciences

Description

Introduction

The phenomenon of hypodontia of the maxillary lateral incisor is not a rare condition in our daily practice. A lot of factors need to be considered when developing a treatment plan for missing lateral incisor cases. Growth, occlusion, aesthetics and also financial considerations in proportion to the patient's benefits.

Aim

The intention of this study is to discuss alternative methods of treatments for hypodontia of maxillary lateral incisors, the cons and pros.

Method and material

Treatment methods include closing the residual space with fixed orthodontic appliance and in the other case the opening of the required space and replacing two missing laterals with dental implants followed by placement of single -unit crowns

Results

In first subject, dental implants have substituted missing laterals, but the aesthetic dilemma remains subject to be discussed due to multifactorial stages on which aesthetic and prosthetic finalization depends. On the other hand, in second subject, closing the excess spaces and mesializing the canines in the place of the missing lateral incisors brings comfort to the patient, but how much the frontal aesthetic aspect can be improved depends on other factors such as the construction of soft and hard tissues of the patient, the individual shape of the jaw as well as the amount of bone in the premaxilla.

Conclusion

Hypodontia of one or two maxillary lateral incisors represents a major aesthetic problem for the patient. Treatment planning should include a multidisciplinary approach and finally decide together with the patient the method that will have the most optimal result, considering growth, occlusion and most important the patient's expectations.

Keywords:

lateral incisor hypodontia, dental implant, fixed crown

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-550-50-5

Location

UBT Kampus, Lipjan

Start Date

29-10-2022 12:00 AM

End Date

30-10-2022 12:00 AM

DOI

10.33107/ubt-ic.2022.236

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Oct 29th, 12:00 AM Oct 30th, 12:00 AM

Treatment dilemmas in maxillary lateral incisor hypodontia; opening or closing the space?

UBT Kampus, Lipjan

Introduction

The phenomenon of hypodontia of the maxillary lateral incisor is not a rare condition in our daily practice. A lot of factors need to be considered when developing a treatment plan for missing lateral incisor cases. Growth, occlusion, aesthetics and also financial considerations in proportion to the patient's benefits.

Aim

The intention of this study is to discuss alternative methods of treatments for hypodontia of maxillary lateral incisors, the cons and pros.

Method and material

Treatment methods include closing the residual space with fixed orthodontic appliance and in the other case the opening of the required space and replacing two missing laterals with dental implants followed by placement of single -unit crowns

Results

In first subject, dental implants have substituted missing laterals, but the aesthetic dilemma remains subject to be discussed due to multifactorial stages on which aesthetic and prosthetic finalization depends. On the other hand, in second subject, closing the excess spaces and mesializing the canines in the place of the missing lateral incisors brings comfort to the patient, but how much the frontal aesthetic aspect can be improved depends on other factors such as the construction of soft and hard tissues of the patient, the individual shape of the jaw as well as the amount of bone in the premaxilla.

Conclusion

Hypodontia of one or two maxillary lateral incisors represents a major aesthetic problem for the patient. Treatment planning should include a multidisciplinary approach and finally decide together with the patient the method that will have the most optimal result, considering growth, occlusion and most important the patient's expectations.