An alternative approach for the management of missing lateral incisors through the intentional retention of primary canines

Abstract

Patients with congenitally missing or undeveloped lateral incisors are less likely to have normal teeth alignment. Traditional treatment methods in these patients have been used for creating space for prosthetic treatment or close space using orthodontic treatment. A novel approach comprising the intentional retention of the primary canine followed by the positioning of the central incisor, permanent canine, primary canine, and first premolar in alignment may be considered. Using proper diagnosis, timely interventions, and orthodontic and prosthetic consultations, the primary canines could be retained in the dentition, thus maintaining the occlusal relationship and achieving aesthetic teeth alignment. Intentional preservation of primary canines may be a useful alternative for treating adolescents with agenesis of the lateral incisors.