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Restorative dentistry clinical decision-making for hypodontia: managing missing premolar teeth
Courtney Orloff1, Shivani Rana2, G Steven Bassi2
1Royal National ENT and Eastman Dental Hospital, London, WC1E 6DG, UK. courtney.orloff@nhs.net.
British Dental Journal
|October 12, 2023
Summary
Hypodontia, the congenital absence of teeth, commonly affects second premolars. Management varies from no treatment to complex dental interventions based on individual patient needs.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Genetics
Background:
- Hypodontia is a prevalent dental anomaly.
- The second premolar is the most frequently missing tooth, excluding third molars.
- Clinical presentation and consequences of hypodontia vary significantly among individuals.
Purpose of the Study:
- To outline the clinical decision-making process for managing hypodontia.
- To explore various treatment options for missing second premolars.
- To provide guidance for specialist dental management of complex cases.
Main Methods:
- Literature review of hypodontia management strategies.
- Analysis of clinical case presentations.
- Discussion of diagnostic and treatment planning approaches.
Main Results:
- Identified variability in the need for treatment based on functional and aesthetic impact.
- Categorized management options including orthodontic, prosthetic, and implant solutions.
- Emphasized the importance of a multidisciplinary approach for complex hypodontia.
Conclusions:
- Effective management of hypodontia requires individualized treatment planning.
- A systematic approach ensures optimal outcomes for patients with missing second premolars.
- Specialist involvement is crucial for addressing complex dental presentations associated with hypodontia.
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