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A Multidisciplinary Approach to Congenitally Missing Central Incisors: A Case Report
Carlos Jurado1, Nicholas G Fischer2, Chin-Chuan Fu3
1Prosthodontics, Texas Tech University Health Sciences Center El Paso School of Dental Medicine, El Paso, USA.
Cureus
|March 11, 2022
Summary
This case report details managing congenitally missing maxillary central incisors using a multidisciplinary dental approach. Treatment involved orthodontics and restorative care, avoiding implants due to patient history.
Area of Science:
- Dentistry
- Orthodontics
- Prosthodontics
Background:
- Hypodontia, a common developmental anomaly, presents significant challenges in treating missing maxillary central incisors.
- Congenitally missing maxillary central incisors often require complex, multidisciplinary management.
- Class II division 1 malocclusion and a history of cleft palate complicate treatment planning.
Observation:
- A female patient presented with congenitally missing maxillary central incisors and a Class II division 1 malocclusion.
- Significant horizontal overlap and a history of cleft palate precluded implant therapy.
- The patient exhibited a complex dental anomaly requiring integrated treatment strategies.
Findings:
- A multidisciplinary approach involving orthodontic and restorative specialists was successfully implemented.
- Orthodontic treatment reduced horizontal overlap and repositioned teeth for optimal function and aesthetics.
- Esthetic crown lengthening and monolithic lithium disilicate crowns restored the dentition.
Implications:
- Cooperative, critical analysis of treatment plans among specialists is crucial for optimal outcomes in complex dental anomalies.
- Multidisciplinary planning involving orthodontists, surgeons, and restorative dentists is essential before initiating treatment for missing teeth.
- This approach highlights the successful management of hypodontia without implant intervention, emphasizing comprehensive dental care.
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