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Essay II: Space closure vs space preservation as it relates to craniofacial classification
The International Journal of Esthetic Dentistry
|May 30, 2020
Summary
Congenitally missing lateral incisors require interdisciplinary dental care. Treatment decisions balance esthetics and function, aiming for stable occlusion and minimally invasive, reversible solutions.
Area of Science:
- Dentistry
- Orthodontics
- Prosthodontics
Background:
- Congenitally missing maxillary lateral incisors are common and often present with narrower adjacent teeth.
- This condition necessitates an interdisciplinary approach involving various dental specialties.
- Treatment planning is complex due to occlusal, periodontal, and esthetic factors.
Purpose of the Study:
- To outline an interdisciplinary strategy for managing congenitally missing maxillary lateral incisors.
- To discuss the decision-making process between space closure and space opening for prosthetic replacement.
- To emphasize achieving stable occlusion and optimal esthetics with minimally invasive techniques.
Main Methods:
- Review of clinical considerations for managing missing lateral incisors.
- Analysis of treatment options: canine-lateral substitution versus prosthodontic replacement.
- Focus on achieving functional occlusion and esthetic outcomes.
Main Results:
- Treatment choice depends on occlusal, periodontal, and esthetic factors.
- Minimally invasive preparation is key for stable occlusion and esthetics.
- Restorative approaches should offer long-term, reversible solutions.
Conclusions:
- An interdisciplinary approach is crucial for managing congenitally missing lateral incisors.
- Treatment should prioritize stable occlusion, esthetics, and minimally invasive, reversible options.
- Long-term functional and esthetic success requires careful planning from adolescence to adulthood.
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