Carmen Gabriela Stelea, lorin Stelea, Alexandra Lorina Stelea,Cristina Popa, Ana-Maria Filioreanu
The congenital absence of teeth represents one of the most common anomalies of the craniofacial skeleton and it was observed back in the Palaeolithic age. The anthropological studies showed that with human evolution and diet changes, jaw bones change their size (decrease) in the anteroposterior direction. Upper lateral incisors agenesis causes aesthetic disorders that may be treated by: orthodontic space closure through mesialization of the canines and their reshaping, orthodontic space opening and implant-retained prosthesis and autotransplant of extracted premolars.The aim of this study is to present a clinical case of bilateral upper lateral incisors agenesis and its multidisciplinary treatment.The multidisciplinary treatment approach includes these stages: orthodontic, surgical and prosthetic treatment. After a clinical examination and in conjunction with complementary examinations and a discussion with the patient’s parents, the following treatment stages were set: orthodontic space opening, prosthetic surgical treatment (bone grafting and resorbable collagen membrane), insertion of dental implants with fixed prosthesis on implants and orthodontic treatment with recalibration of spaces for occlusal balancing. In conclusion, treatment decisions of this anomaly should consider the final physiognomic aspect, age, sagittal occlusal relationships and finally the patient’s profile.
Keywords: lateral incisor agenesis, implant restorations, multidisciplinary treatment.