scholarly journals Crown-Root Angulation of Central Incisors in Cases With Maxillary Lateral Incisors Agenesis

2017 ◽  
Vol 13 (15) ◽  
pp. 330
Author(s):  
Alexandru Ogodescu ◽  
Ramona Ştefănescu ◽  
Emilia Ogodescu ◽  
Andreea Igna ◽  
Magda Luca ◽  
...  
Keyword(s):  
Early Detection ◽  
Dental Implant ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Frontal Area ◽  
Lateral Incisor ◽  
Crown Root ◽  
Maxillary Lateral Incisor

Dental agenesis of the maxillary lateral incisor is a frequently seen anomaly in children and teenagers nowadays. It can alter the esthetics as well as the functions in the frontal area of the maxilla and therefore, early detection and therapy would be beneficial. The treatment often implies an interdisciplinary approach between orthodontics and implantology. One of the particularities of this kind of treatment is given by the distal angulation of central incisor’s root, which invades the space required by the dental implant. Any treatment plan should begin with a thorough radiographical analysis of the space and morphological particularities of the central incisors.

scholarly journals Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : A Case Report

2019 ◽  
Vol 9 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Sanjay Prasad Gupta
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Lateral Incisor ◽  
Incisor Tooth ◽  
Deep Bite ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Common Etiology ◽  
Maxillary Lateral Incisor

Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach.

scholarly journals Orthodontic Space Closure of a Missing Maxillary Lateral Incisor Followed by Canine Lateralization

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sanjay Prasad Gupta ◽  
Shristi Rauniyar
Keyword(s):  
Treatment Plan ◽  
Lateral Incisor ◽  
Invasive Treatment ◽  
Incisor Tooth ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Short Period ◽  
Old Adult ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

Maxillary lateral incisor agenesis is the most prevalent developmental dental anomaly. The management of missing lateral incisor was either closure using canine as substitution or creation of space orthodontically for prosthetic replacement. A careful diagnosis and treatment plan are deemed essential to address the patient’s needs as the spacing is present in the esthetic region. Such problem is very challenging for orthodontists, prosthodontists, and general practitioners. This case report describes the orthodontic management of a 22-year-old adult female patient with missing upper left lateral incisor tooth and upper anterior spacing by closing the space with canine lateralization and reshaping to simulate it with the lateral incisor. However, some modifications in the treatment mechanics are crucial to achieve the optimal esthetic and to improve the occlusion. Space closure with canine lateralization option seems less invasive, treatment can be completed relatively in a short period of time, and its adaptation with the facial changes throughout life without having artificial prosthesis provided other factors favoring for this option.

scholarly journals Prevalence of mesiodens in orthodontic patients with deciduous and mixed dentition and its association with other dental anomalies

2013 ◽  
Vol 18 (6) ◽  
pp. 93-99 ◽  
Author(s):  
Tulio Silva Lara ◽  
Melissa Lancia ◽  
Omar Gabriel da Silva Filho ◽  
Daniela Gamba Garib ◽  
Terumi Okada Ozawa
Keyword(s):  
General Population ◽  
Treatment Plan ◽  
Mixed Dentition ◽  
Lateral Incisor ◽  
Vertical Position ◽  
Dental Anomalies ◽  
Significance Level ◽  
Orthodontic Patients ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

OBJECTIVE: To determine the prevalence of mesiodens in deciduous and mixed dentitions and its association with other dental anomalies. MATERIAL AND METHODS: Panoramic radiographs of 1,995 orthodontic patients were analyzed retrospectively, obtaining a final sample of 30 patients with mesiodens. The following aspects were analyzed: gender ; number of mesiodens; proportion between erupted and non-erupted mesiodens; initial position of the supernumerary tooth; related complications; treatment plan accomplished; and associated dental anomalies. The frequency of dental anomalies in the sample was compared to reference values for the general population using the chi-square test (c²), with a significance level set at 5%. RESULTS: The prevalence of mesiodens was 1.5% more common among males (1.5:1). Most of the mesiodens were non-erupted (75%) and in a vertical position, facing the oral cavity. Extraction of the mesiodens was the most common treatment. The main complications associated with mesiodens were: delayed eruption of permanent incisors (34.28%) and midline diastema (28.57%). From all the dental anomalies analyzed, only the prevalence of maxillary lateral incisor agenesis was higher in comparison to the general population. CONCLUSION: There was a low prevalence of mesiodens (1.5%) in deciduous and mixed dentition and the condition was not associated with other dental anomalies, except for the maxillary lateral incisor agenesis.

Management of missing maxillary lateral incisor: A contemporary review

2021 ◽  
Vol 11 (1) ◽  
pp. 72-78
Author(s):  
Sanjay Prasad Gupta ◽  
Shristi Rauniyar
Keyword(s):  
Treatment Plan ◽  
Treatment Options ◽  
Lateral Incisor ◽  
Invasive Treatment ◽  
Advantages And Disadvantages ◽  
Space Closure ◽  
Short Period ◽  
Maxillary Lateral Incisor ◽  
Facial Changes ◽  
Artificial Prosthesis

Missing maxillary lateral incisor is the most prevalent developmental dental anomaly. The management of missing lateral incisor, either need to be closed and use canine as substitution or create space orthodontically for the prosthetic replacement of the missing lateral incisors. A careful diagnosis and treatment plan are deemed essential to address the patient’s needs as the spacing is present in the esthetic region of the jaw which is very challenging so it should be managed by multidisciplinary approach including specialists in orthodontics, prosthodontics, operative dentistry and periodontist. Space closure with canine lateralization option seems less invasive, treatment can be completed relatively in short period of time and it’s adaptation with the facial changes throughout life without having artificial prosthesis provided other factors favoring for this option. This review article describes the various treatment options and their ideal indications, contraindications, advantages and disadvantages as well as emphasize on some modifications in the treatment mechanics which is crucial to achieve the optimal esthetic and to improve the occlusion.

Fiber-Reinforced Framework in Conjunction with Porcelain Veneers for the Esthetic Replacement of a Congenitally Missing Maxillary Lateral Incisor: A Case Study

2012 ◽  
Vol 37 (6) ◽  
pp. 576-583 ◽  
Author(s):  
PP Benito ◽  
RD Trushkowsky ◽  
KS Magid ◽  
SB David
Keyword(s):  
Composite Resin ◽  
Treatment Plan ◽  
Lateral Incisor ◽  
Satisfactory Outcome ◽  
Maxillary Lateral Incisor ◽  
Proper Diagnosis ◽  
Composite Resin Restorations ◽  
Congenitally Missing ◽  
Learning Points

SUMMARY This article presents a case of a congenitally missing right maxillary lateral incisor and the contralateral incisor with discolored composite resin restorations. The technique of fiber reinforcement in conjunction with porcelain veneers was used to provide a satisfactory outcome for the patient. The key learning points of the article are the following: proper diagnosis, treatment plan and appropriate utilization of materials are mandatory for a successful result.

scholarly journals Geminated Maxillary Lateral Incisor with Two Root Canals

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Nayara Romano ◽  
Luis Eduardo Souza-Flamini ◽  
Isabela Lima Mendonça ◽  
Ricardo Gariba Silva ◽  
Antonio Miranda Cruz-Filho
Keyword(s):  
Lateral Incisor ◽  
Spontaneous Pain ◽  
Root Canals ◽  
Periodontal Tissues ◽  
Crown Root ◽  
Gutta Percha ◽  
Patient Reported ◽  
Vitality Test ◽  
Ah Plus ◽  
Maxillary Lateral Incisor

This paper reports a case of gemination in a maxillary lateral incisor with two root canals and crown-root dilaceration. A 16-year-old male patient was referred for endodontic treatment of the maxillary left lateral incisor and evaluation of esthetic and functional complaints in the anterior region. The patient reported trauma to the anterior primary teeth. There was no spontaneous pain, but the tooth responded positively to the vertical percussion test and negatively to the pulp vitality test. Clinical examination showed esthetic and functional alterations and normal periodontal tissues. CBCT imaging confirmed the suspicion of gemination and crown-root dilaceration and also revealed the presence of two root canals and periapical bone rarefaction. The root canals were instrumented with Reciproc R40 and 1% NaOCl irrigation and were filled by lateral condensation of gutta-percha and AH Plus sealer. The tooth was definitely restored with composite resin to recover esthetics. Continued follow-up over 6 months has shown absence of pain or clinical alterations as well as radiographic image suggestive of apical repair.

scholarly journals The challenges of treating a fused tooth

2012 ◽  
Vol 23 (3) ◽  
pp. 256-262 ◽  
Author(s):  
Flares Baratto-Filho ◽  
Denise Piotto Leonardi ◽  
Bruno Monguilhott Crozeta ◽  
Samantha Pugsley Baratto ◽  
Edson Alves Campos ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Lateral Incisor ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Supernumerary Tooth ◽  
Adequate Treatment ◽  
Endodontic Surgery ◽  
Maxillary Lateral Incisor

This paper describes and discusses the multidisciplinary treatment involving a permanent maxillary lateral incisor fused to a supernumerary tooth, both presenting pulp necrosis and periapical lesion. A 15-year-old male patient sought treatment complaining of pain, swelling and mobility on the maxillary right lateral incisor. After clinical and radiographic examination, root canal preparation was performed according to the crown-down technique and a calcium hydroxide dressing was placed for 15 days. The patient returned and the definitive endodontic filling was done with thermomechanical compaction of gutta-percha and sealer. After 18 months, clinical and radiographic examinations were carried out and no pain or swelling was reported. Two years after endodontic treatment, the patient returned for periodontal and cosmetic treatments. Nine months later, a cone-beam computed tomography (CBCT) revealed that the previously detected periodontal defect and periapical lesion were persistent. Apical endodontic surgery was indicated. The supernumerary tooth was removed, the communicating distal surface was filled and the surgical site received bioactive glass and demineralized bovine organic bone. The pathological tissue was submitted to histopathological examination and the diagnosis was periapical cyst. One year after the apical endodontic surgery, CBCT showed bone formation at maxillary lateral incisor apical area. Two years after the surgery, the restoration was replaced due to aesthetic reasons and periapical radiograph showed success after 5 years of treatment. A correct diagnosis and establishment of an adequate treatment plan resulted in a successful management of the case.

Impact of oral-health-related quality of life and self-esteem on patients with missing maxillary lateral incisor after orthodontic space closure: a single-blinded, randomized, controlled trial

2020 ◽  
Author(s):  
Matheus Melo Pithon ◽  
Eduardo Otero Amaral Vargas ◽  
Raildo da Silva Coqueiro ◽  
Rogério Lacerda-Santos ◽  
Orlando Motohiro Tanaka ◽  
...  
Keyword(s):  
Oral Health ◽  
Controlled Trial ◽  
Phase 1 ◽  
Self Esteem ◽  
Lateral Incisor ◽  
Phase 2 ◽  
Space Closure ◽  
Related Quality ◽  
Health Related ◽  
Maxillary Lateral Incisor

Summary Background The maxillary lateral incisor is one of the teeth most likely to suffer agenesis, resulting in spacing between the central incisor and the canine. Objective To compare maxillary lateral incisor agenesis with space closure treatment versus non-treatment based on measurements of the self-perceived oral-health-related quality of life (OHRQoL) and self-esteem of the participants. Subjects and methods A total of 44 people, aged 17–49 years, with missing lateral incisors were randomly assigned to two groups (n = 22 in each)—a treated group in which the space was orthodontically closed (TG) and a control group that remained untreated (CG). Randomization was performed by a researcher who was not involved in the clinical part of the study. The outcomes were assessed using the Oral Health Impact Profile and Rosenberg’s Self-Esteem Scale, which were applied before (phase 1) and after (phase 2) the orthodontic treatment in the TG, and at baseline (phase 1) and 12 months after (phase 2) in the CG. All the data were blindly evaluated, supporting the single-blinded design of the study. Results All participants finished the randomized controlled trial, and the demographic characteristics were similar between the groups. In phase 1, the levels of self-esteem and OHRQoL at baseline were similar (P = 0.079, P = 0.693, respectively). In phase 2, the self-esteem scores of the CG decreased and the OHRQoL increased (P = 0.005, P < 0.001, respectively), while self-esteem increased in the TG and the OHRQoL decreased (P < 0.001). The CG had lower scores than the TG for self-esteem, but the opposite was observed for OHRQoL (P < 0.001). Limitations Information bias may have occurred. Since the questionnaires could not have been applied at the same time in both groups, the time difference between the two assessments may have led to random and systematic error. Conclusions The spacing resulting from missing maxillary lateral incisors had a negative impact on the OHRQoL and self-esteem of the participants, while orthodontically closing those spaces had a positive impact on those aspects. Clinical trial registration This study was not registered. Protocol The protocol was not published before trial commencement.

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