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Orthodontic Management of Early and Congenitally Missing Anterior Teeth-Case Reports


Affiliations
1 Assistant Professor, Department of Preventive Dentistry, Ibn Sina National College, Jeddah - 22421, Saudi Arabia
2 Assistant Professor, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, Saudi Arabia
3 Lecturer, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, Saudi Arabia
 

Early loss or congenitally missing anterior teeth pose unique challenges for orthodontists. Maxillary arch restricted development may lead to narrow upper arch, drifting of adjacent teeth and creates midline shift to the opposite side. There are many treatment options available to manage the missing anterior teeth which includes canine substitution by closing the space and reshaping the adjacent teeth, create a space for missing teeth and replace with a tooth supported restoration, or a single tooth dental implant. Auto-transplantation and removable partial dentures are other less common options. The paramount consideration of treatment plan should be conservation. This article discusses orthodontic management of different missing anterior teeth cases. Two case reports describe the substitution of adjacent tooth for missing anterior. Another case is about creating space for prosthetic restoration of missing anterior tooth. The factors which play important role while planning the treatment are discussed. Orthodontists frequently encounter patients with congenitally missing teeth. Generally, the treatment of choice should be the least invasive option that satisfies the expected esthetics and functional objectives.

Keywords

Congenitally Missing Teeth, Dental Substitution, Interdisciplinary Approach, Orthodontics.
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  • Hobkirk JA, Goodman JR, Jones SP. Presenting complaints and findings in a group of patients attending a hypodontia clinic. Br. Dent. J. 1994 Nov; 177(9):337-39. https://doi.org/10.1038/sj.bdj.4808606. PMid: 7980981.
  • Mattheeuws N, Dermaut L, Martens G. Has hypodontia increased in Caucasians during the 20th century? A meta-analysis. Eur. J. Orthod. 2004 Feb 1; 26(1):99-103. https://doi.org/10.1093/ejo/26.1.99. PMid: 14994889.
  • Mossey PA. The heritability of malocclusion: Part 2. The influence of genetics in malocclusion. Br. J. Ortho. 1999; 26(3):195-201. https://doi.org/10.1093/ortho/26.3.195. PMid: 10532158.
  • Symons AL, Stritzel F, Stamation J. Anomalies associated with hypodontia of the permanent lateral incisor and second premolar. J. Clin. Pediat. Dent. 1993; 17:109-11.
  • Romano R, Bichacho N, Touati B, editors. The Art of the Smile: Integrating Prosthodontics, Orthodontics, Periodontics, Dental Technology, and Plastic Surgery in Esthetic Dental Treatment. Quintessence Publishing Company; 2005.
  • Biggerstaff RH. The orthodontic management of congenitally absent maxillary lateral incisors and second premolars: A case report. Am. J. Orthod. Dentofacial. Orthop. 1992; 102(6):53745. https://doi.org/10.1016/0889-5406(92)70071-H.
  • Paduano S, Cioffi I, Rongo R, Cupo A, Bucci R, Valletta R. Orthodontic management of congenitally missing maxillary lateral incisors: A case report. Case Rep. Dent. 2014. https://doi.org/10.1155/2014/731074. PMid: 24711929, PMCid: PMC3970084.
  • Kokich VO, Jr., Kinzer GA. Managing congenitally missing lateral incisors. Part I: Canine substitution. J. Esthet. Restor. Dent, 2005; 17(1):5-10. https://doi.org/10.1111/j.1708-8240.2005.tb00076.x. PMid: 15934680.
  • Rosa M, Zachrisson BU. Integrating esthetic dentistry and space closure in patients with missing maxillary lateral incisors. J. Clin. Orthod. 2001; 35(4) 221-34.
  • Levin EI. Dental esthetics and the golden proportion. J. Prosthet. Dent. 1978; 40(3):244-52. https://doi.org/10.1016/0022-3913(78)90028-8.
  • Fields HW Jr. Orthodontic-restorative treatment of relative mandibular anterior excess tooth size problems. Am. J. Orthod. 1981; 79(2):176-83. https://doi.org/10.1016/0002-9416(81)90315-8.
  • Mayer TM, Hawley CE, et al. The single tooth implant: A viable alternative for single tooth replacement. J. Periodontol. 2002; 73(7):687-93. https://doi.org/10.1902/jop.2002.73.7.687. PMid: 12146526.
  • Naert I, Koutsikakis G, Duyck J, et al. Biologic outcome of single-implant restorations as tooth replacements: A long term follow up study. Clin. Implant. Dent. Relat. Res. 2000; 2(4):209-18. https://doi.org/10.1111/j.1708-8208.2000.tb00119.x. PMid: 11359280.
  • Tuverson DL. Orthodontic treatment using canines in place of missing maxillary lateral incisors. Am. J. Orthod. 1970; 58(2):109-27. https://doi.org/10.1016/0002-9416(70)90065-5.
  • McNeill RW, Joondeph DR. Congenitally absent maxillary lateral incisors: Treatment planning considerations. Angle. 6Orthod. 1973; 43:24-29.
  • Roth PM, Gerling JA, Alexander RG. Congenitally missing lateral incisor treatment. J. Clin. Orthod. 1985; 19:258-62.
  • Zachrisson B, Rosa M, Toreskog S. Congenitally missing maxillary lateral incisors: Canine substitution. Am. J. Orthod. Dentofacial Orthop. 2011; 139:434-45. https://doi.org/10.1016/j.ajodo.2011.02.003. PMid: 21457853.
  • Sabri R. Management of missing maxillary lateral incisors. J. Am. Dent. Assoc. 1999 Jan 1; 130(1):80-84. https://doi.org/10.14219/jada.archive.1999.0032. PMid: 9919035.
  • Grimm S, Frazão P, Antunes JL, Castellanos RA, Narvai PC. Dental injury among Brazilian schoolchildren in the state of São Paulo. Dent. Traumatol. 2004 Jun; 20(3):134-38. https://doi.org/10.1111/j.1600-4469.2004.00238.x. PMid:15144443.
  • Yankelson M. Altering canines to resemble lateral incisors: A new technique. J. Int. Assoc. Dent. Child. 1973; 4(2):39-40.
  • Martin M. Possibilités thérapeutiques les cas d’agénésie d’incisives latérales supérieures. Revue d’Orthopédie DentoFaciale. 1992 Mar 1; 26(1):87-97. https://doi.org/10.1051/odf/1992003.
  • Argyropoulos E, Payne G. Techniques for improving orthodontic results in the treatment of missing maxillary lateral incisors a case report with literature review. Am. J. Orthod. Dentofacial Orthop. 1988 Aug 1; 94(2):150-65. https://doi.org/10.1016/0889-5406(88)90363-0.
  • Spear F, Mathews D, Kokich VG: Interdisciplinary management of single-tooth implants. Semin Orthod. 1997; 3:45-72. https://doi.org/10.1016/S1073-8746(97)80039-4.
  • McNeill RW, Joondeph DR. Congenitally absent maxillary lateral incisors: Treatment planning considerations. Angle. Orthod. 1973; 43:24-29.
  • Tuverson DL. Orthodontic treatment using canines in place of missing maxillary lateral incisors. Am. J. Orthod. 1970; 58(2):109-27. https://doi.org/10.1016/0002-9416(70)90065-5.
  • Jamilian A, Perillo L, Rosa M. Missing upper incisors: A retrospective study of orthodontic space closure versus implant. Prog. Orthod. 2015 Dec 1; 16(1):2. https://doi.org/10.1186/ s40510-015-0072-2. PMid: 25769117, PMCid: PMC4385022.

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  • Orthodontic Management of Early and Congenitally Missing Anterior Teeth-Case Reports

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Authors

Kavitha Odathurai Marusamy
Assistant Professor, Department of Preventive Dentistry, Ibn Sina National College, Jeddah - 22421, Saudi Arabia
Saravanan Ramasamy
Assistant Professor, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, Saudi Arabia
Narendra Basutkar
Assistant Professor, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, Saudi Arabia
Ahmed Hussein Al Kaf
Lecturer, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, Saudi Arabia

Abstract


Early loss or congenitally missing anterior teeth pose unique challenges for orthodontists. Maxillary arch restricted development may lead to narrow upper arch, drifting of adjacent teeth and creates midline shift to the opposite side. There are many treatment options available to manage the missing anterior teeth which includes canine substitution by closing the space and reshaping the adjacent teeth, create a space for missing teeth and replace with a tooth supported restoration, or a single tooth dental implant. Auto-transplantation and removable partial dentures are other less common options. The paramount consideration of treatment plan should be conservation. This article discusses orthodontic management of different missing anterior teeth cases. Two case reports describe the substitution of adjacent tooth for missing anterior. Another case is about creating space for prosthetic restoration of missing anterior tooth. The factors which play important role while planning the treatment are discussed. Orthodontists frequently encounter patients with congenitally missing teeth. Generally, the treatment of choice should be the least invasive option that satisfies the expected esthetics and functional objectives.

Keywords


Congenitally Missing Teeth, Dental Substitution, Interdisciplinary Approach, Orthodontics.

References





DOI: https://doi.org/10.18311/ajprhc%2F2020%2F25108