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Lateral thinking: the management of missing upper lateral incisors
1Department of Conservative Dentistry, King's Dental Institute, London.
British Dental Journal
|August 5, 1995
Summary
Managing a missing maxillary lateral incisor involves careful planning. Options include orthodontic space closure or prosthetic replacement, with recent dental advancements influencing treatment decisions.
Area of Science:
- Dentistry
- Orthodontics
- Restorative Dentistry
Background:
- Congenital absence of the maxillary lateral incisor presents significant aesthetic challenges.
- Treatment requires careful consideration of various management options and their outcomes.
Purpose of the Study:
- To review and re-evaluate treatment approaches for missing maxillary lateral incisors.
- To discuss factors influencing treatment planning, including patient and dental considerations.
Main Methods:
- Literature review of treatment options for maxillary lateral incisor agenesis.
- Analysis of factors such as malocclusion and occlusal effects.
- Consideration of patient-specific needs and aesthetic goals.
Main Results:
- Multiple management strategies exist, including no treatment, space closure, or prosthetic replacement.
- Restorative dentistry advancements offer new possibilities for tooth replacement.
- Treatment choice depends on a comprehensive assessment of the clinical situation.
Conclusions:
- Effective management of missing maxillary lateral incisors necessitates individualized treatment planning.
- Orthodontic space closure with canine modification and various prosthetic options (denture, bridge, implant) are viable.
- A thorough evaluation of patient factors and occlusion is crucial for successful outcomes.