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A Multidisciplinary Approach to Maxillary Lateral Incisor Agenesis (MLIA): A Case Report
L Lopes-Rocha1, D Rocha2, T Pinho3
1Lígia Lopes-Rocha, DDS, UNIPRO, Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, Gandra Campus, Paredes, Portugal.
Operative Dentistry
|August 24, 2022
Summary
Maxillary lateral incisor agenesis (MLIA) treatment can be complex. This case report presents a multidisciplinary approach combining orthodontics, frenectomy, and restorative solutions for improved smile esthetics in young patients.
Area of Science:
- Dentistry
- Orthodontics
- Implantology
Background:
- Maxillary lateral incisor agenesis (MLIA) significantly impacts smile esthetics, posing challenges for younger patients.
- Treatment controversies exist regarding space opening with rehabilitation versus space closure with canine camouflage.
Observation:
- A multidisciplinary approach is proposed for MLIA, integrating orthodontic treatment, frenectomy, and restorative procedures.
- The treatment plan involved orthodontic space closure, opening the premolar area for implant placement, and composite resin restoration.
Findings:
- Dental implants offer a predictable solution for missing lateral incisors, ideally deferred until dental maturity.
- This approach facilitates accurate implant placement within a well-developed site.
- Combining orthodontic space management with restorative solutions provides stable and esthetic outcomes.
Implications:
- This multidisciplinary strategy offers a stable and esthetic functional rehabilitation for young patients with MLIA.
- Addressing esthetic concerns is crucial for improving self-esteem in patients with dental anomalies.
- Deferred implant placement until skeletal maturity ensures optimal long-term results.
