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A multi-disciplinary approach to congenitally missing anterior teeth
David Galler1, Caroline Quiong, Jeffrey Galler
1drgaller@hotmail.com
The New York State Dental Journal
|March 14, 2009
Summary
Congenitally missing teeth present unique restorative challenges. This case highlights how orthodontics is crucial for preparing complex dental anomalies for prosthetic restoration.
Area of Science:
- Dentistry
- Orthodontics
- Prosthodontics
Background:
- Congenitally missing teeth are a common dental anomaly.
- This case involves multiple missing permanent teeth and an underdeveloped tooth.
- Existing occlusion and alignment issues complicate treatment planning.
Observation:
- The patient presented with congenitally missing upper right permanent cuspid and lower anterior right and left permanent central incisors.
- An underdeveloped upper right permanent lateral incisor was also noted.
- Complex malocclusion and tooth alignment issues were present.
Findings:
- Simple extraction of primary teeth and prosthetic replacement were not feasible due to complex occlusion.
- Orthodontic intervention was essential to establish ideal interocclusal and interarch space.
- This orthodontic preparation facilitated subsequent prosthetic restoration.
Implications:
- Orthodontic treatment is critical for managing complex cases of congenital tooth absence.
- A multidisciplinary approach combining orthodontics and prosthodontics ensures optimal outcomes.
- This strategy addresses functional and aesthetic concerns in patients with extensive dental anomalies.
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