Replacement of a Congenitally Missing Maxillary Incisor by Implant Supported Prosthesis

Maxillary central incisors have the least incidence of congenital absence. When it does happen, the patient may present with over retained deciduous centrals or the contralateral central may have drifted into the available space presenting as generalised anterior spacing with loss of midline. In such cases a multi-disciplinary approach may be required with orthodontic treatment to re-organise the space available in order to rehabilitate the patient with a fixed prosthesis. This case report presents the treatment of a patient with congenitally missing maxillary left central incisor using dental implant with angulated abutment after orthodontic correction and stabilization of the remaining maxillary anteriors.