Interdisciplinary Treatment Of 2 Cases With Congenitallly Missing Lateral Incisors

INTRODUCTION:Tooth agenesis is one of the most common developmental dental anomalies.According to many studies the most frequent missing teeth were maxillary lateral incisors, and bilateral missing is more common than unilateral missing. Successful and satisfying dental treatment is always the goal for patients and dental practitioners, meaning that a patient's needs are solved in a functional and esthetic way. Treatment options for these patients are orthodontically space closure, prosthodontics after orthodontic treatment,implantology and multidisciplinary approaches. METHODS:CASE 1:The first patient was 22 years old male with bilateral congenitally missing upper lateral incisors. He is skeletally Class I and he has Angle Class I occlusion. The treatment goal was opening space for misssing teeth orthodontically and than to place two implants for restorations. The mesiodistal width of laterals was planned 7 mm. The braces was removed at the same time with cementation of the restorations. Total treatment time was 22 months. RESULTS:CASE 2:The second patient was 24 years old female with unilateral congenitally missing upper lateral incisoron the right side. She has Angle Class I occlusion with skeletally Class I. The treatment goal was opening space for right lateral incisor after extraction of decidious canine and to restorate with the support of implant. The mesiodistal width of lateral was planned 6,8 mm. Total treatment time was 24 months.The debonding procedure was the same with the first patient. CONCLUSION:Orthodontic space opening is a common treatment method for congenitally missing maxillary lateral incisors. In these situations implants are often used to replace the missing tooth to establish ideal function and esthetics without restoring the adjacent teeth especially in adult patients.