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.

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.

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.

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 Comparison of Esthetic Outcomes of Maxillary Lateral Incisor Agenesis Treatment by Orthodontic Space Closure Versus Implant Placement (Evaluated by Pink Esthetic Score)

2018 ◽  
Vol 8 (1) ◽  
pp. 178
Author(s):  
Hedaiat Moradpoor ◽  
Farshad Rahimi ◽  
Amin Golshah ◽  
Narges Akbari ◽  
Sahar Raissi
Keyword(s):  
Patient Satisfaction ◽  
Treatment Outcomes ◽  
Orthodontic Treatment ◽  
Dental Treatment ◽  
Lateral Incisor ◽  
Treatment Protocols ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Significant Difference ◽  
Maxillary Lateral Incisor

Introduction: Due to the fundamental role of esthetics in the outcomes of dental treatments, especially in the anterior region (esthetic zone), the necessity of considering the matter of esthetics in clinical studies has become into focus in the current era. The aim of this study was the evaluation of esthetic outcomes of two treatment protocols in the treatment of congenital uni-lateral missing of maxillary lateral incisors as well as patient satisfaction from the treatment outcomes. Methods: in this study the sample size was 24 people (16 women and 8 men), These individuals sought dental treatment for replacement of the congenitally missing maxillary lateral incisor. Convenience sampling method was used and patients were divided into two groups regarding the kind of treatment they received. The two treatment protocols included: 1. Space closure by means of orthodontic treatment and then reshaping the canines; and 2. Space regaining by means of orthodontic treatment and replacing the lateral incisor with dental implants. Photographs of patients were acquired from the frontal view with retraction of the lips using digital cameras. Photographs were evaluated for Pink esthetic score. Results: No significant difference was detected between the two study groups in the evaluated factors in this study. Conclusion: The results of this study indicated that there is no significant difference in esthetic results in the two groups. Furthermore, both groups lead to similar results in patient satisfaction from treatment outcomes.

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 Molar space closure: To do or not to do?

2021 ◽  
Vol 0 ◽  
pp. 1-8
Author(s):  
Nutthakarn Ratanasereeprasert ◽  
Chu-Yin Weng ◽  
Stella Ya-Hui Yang ◽  
Yi-Jane Chen ◽  
Chung-Chen Jane Yao
Keyword(s):  
Treatment Planning ◽  
Treatment Plan ◽  
Treatment Options ◽  
Third Molar ◽  
Case Series ◽  
Space Management ◽  
Second Molar ◽  
The Third ◽  
Space Closure ◽  
Permanent Molars

Missing or compromised permanent molars can complicate orthodontic treatment planning and mechanics. Molar extraction should be considered in appropriate situations, but clinicians must decide between closing and regaining the edentulous space. Several factors should be taken into consideration to achieve appropriate molar space management, such as the need for space, asymmetry, periodontal status, sinus pneumatization, and the terminal molar position. Herein, three sample cases are reported to demonstrate the treatment options for molar space closure and maintenance with these factors taken into consideration during treatment planning. The understanding of mechanics played a crucial role in anchorage preparation and side effect prevention. If the third molar substitution was managed in advance and adequate space between the ramus and third molar was obtained via second molar protraction, the tooth spontaneously erupted in a favorable position without requiring further treatment. This case series can aid clinicians in molar space management. Regardless of whether the space is to be closed or regained, the treatment plan should conform to the patient’s expectations and improve occlusion with minimal side effects and treatment duration.

scholarly journals Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment

2016 ◽  
Vol 21 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Gerson Luiz Ulema Ribeiro ◽  
Helder B. Jacob
Keyword(s):  
Side Effects ◽  
Orthodontic Treatment ◽  
Treatment Options ◽  
The Other ◽  
Advantages And Disadvantages ◽  
Other Hand ◽  
Space Closure ◽  
Sliding Mechanics

ABSTRACT Introduction: Space closure is one of the most challenging processes in Orthodontics and requires a solid comprehension of biomechanics in order to avoid undesirable side effects. Understanding the biomechanical basis of space closure better enables clinicians to determine anchorage and treatment options. In spite of the variety of appliance designs, space closure can be performed by means of friction or frictionless mechanics, and each technique has its advantages and disadvantages. Friction mechanics or sliding mechanics is attractive because of its simplicity; the space site is closed by means of elastics or coil springs to provide force, and the brackets slide on the orthodontic archwire. On the other hand, frictionless mechanics uses loop bends to generate force to close the space site, allowing differential moments in the active and reactive units, leading to a less or more anchorage control, depending on the situation. Objective: This article will discuss various theoretical aspects and methods of space closure based on biomechanical concepts.

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.

scholarly journals Prevalence of Oral Microbial Flora during Orthodontic Space Closure: A Pilot Study

2020 ◽  
Author(s):  
Abirami Selvaraj ◽  
Sumathi Felicita ◽  
Smiline Girija
Keyword(s):  
Streptococcus Mutans ◽  
Bacterial Count ◽  
Lateral Incisor ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Significant Difference ◽  
Maxillary Lateral Incisor ◽  
Post Hoc ◽  
One Way Anova ◽  
Paired T Test

Introduction: Orthodontic treatment with fixed appliances especially during the retraction stage makes it challenging to maintain the oral hygiene. Attachments used, such as elastic chains, loops and springs, result in changes in the oral environment due to the accumulation of plaque and increase in the levels of bacterial count mainly Streptococcus mutans and Lactobacilli species. Aim: To determine the prevalence of oral microbial flora during orthodontic space closure. Materials and Methods: This was a cross-sectional pilot study conducted during the month of December 2019 which consisted of eight patients who were randomly selected among the age group of 18-25 years. Mean and SD of age in Males (4) and Females (4) were 22±2.16 years and 22.25±1.70 years, respectively and had reported to the Department of Orthodontics of a private dental college, Saveetha Dental College. In each patient, after 6-8 months of orthodontic treatment, plaque samples were collected only once around the orthodontic brackets at the cervical aspect of the maxillary lateral incisor, maxillary premolar, mandibular canine, mandibular premolar in 1st, 2nd, 3rd, and 4th quadrant respectively, by the method of cotton swabbing for the evaluation of micro flora. Independent paired t-test and One-way ANOVA with Post-hoc Tukey HSD test were done to estimate the prevalence of microorganisms at different sites. Results: Independent paired t-test showed highly significant differences in the levels of Streptococcus mutans when compared to Lactobacillus (p<0.001) with mean values of 4.8±2.5 and 23.1±9.2 for Streptococcus and Lactobacillus, respectively. One-way ANOVA with Post-hoc Turkey HSD analysis showed significant difference at the region of maxillary lateral incisor compared to other sites whereas Lactobacillishowed no significant differences between the various sites tested (p-value<0.001). Kappa statistics was performed which revealed an inter examiner reliability of 0.91. Conclusion: During orthodontic space closure, bacterial count of Streptococcus mutans showed a statistically significant difference between different sites (maxillary lateral incisor, mandibular canines, maxillary and mandibular premolars) with highest being the maxillary incisor region followed by that of mandibular canines. However, the incidence of Lactobacillusacidophilus did not show any difference between the various sites evaluated.

scholarly journals Maxillary lateral incisor agenesis and microdontia: Minimally invasive symmetric and asymmetric esthetic rehabilitation

2022 ◽  
Vol 63 ◽  
Author(s):  
Lígia Rocha ◽  
◽  
Joana Garcez ◽  
Maria Tiritan ◽  
Lucas Silva ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Young Patients ◽  
Clinical Results ◽  
Lateral Incisor ◽  
Non Invasive ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis ◽  
Smile Esthetics

Maxillary lateral incisor agenesis is a condition that significantly compromises smile esthetics, which is particularly worrying in young patients. This article shows how the combination of non-invasive treatments and current restorative options may improve clinical outcomes following orthodontic treatment for symmetric and asymmetric maxillary lateral incisor agenesis and microdontia. Teeth were treated with conservative resin restorations in three separate cases: two of congenitally missing maxillary lateral incisors (i.e., unilateral and bilateral) and one of microdontia. After presenting the clinical results, this article summarizes how bleaching, enameloplasty, and bonding with composite resin can enhance esthetics and functions following orthodontic space closure. The cases reveal that carefully planned, methodically executed orthodontic and restorative approaches can achieve predictable, esthetic outcomes that will improve the patient’s self-esteem with a minimally invasive solution.

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