Esthetic and functional rehabilitation of bilateral congenital absence of maxillary lateral incisors: Minimally invasive surgical and prosthetic approach

Abstract

Objective Congenital absence of maxillary lateral incisors is a frequent clinical challenge which must be solved by a multidisciplinary approach in order to obtain an esthetic and functional restorative treatment. Noninvasive treatments, that are in accordance with the patients' expectations, should be the first therapeutic alternative. If the deciduous tooth is present, minimally invasive dental extraction followed by immediate dental implant placement and provisional restoration is indicated. In this restorative treatment, an adequate emergency profile can be achieved by peri‐implant soft‐tissue‐conditioning techniques. Moreover, the association of restorative materials, such as composite resins and dental ceramics, provides more predictable esthetic results. Clinical Considerations The present case report presents a rehabilitation of bilateral congenital absence of maxillary lateral incisors through a multidisciplinary approach. Dental implants, long‐term provisional restoration, tooth bleaching, minimally veneered high‐translucent monolithic zirconia crowns, feldspathic veneers, and composite restorations were used by the dental team to achieve the expected functional and esthetic outcomes. Conclusions Different treatment modalities are available for the rehabilitation of congenital absence of teeth. However, it is important that a dental team consider performing minimally invasive treatments, as many of these treatments are done on young patients. Clinical Significance Patient‐centered treatments involving minimally invasive approaches in a multidisciplinary environment would be appropriate in order to achieve predictable results.

Morphological Diversity of Permanent Maxillary Lateral Incisors and Their Impact on Aesthetics and Function in Orthodontically Treated Patients

“…In subjects with hypodontia the treatment is complex and for successful and satisfied results requires an interdisciplinary approach including the collaboration between specialist, mainly with an orthodontist, a prosthodontist, an oral surgeon, and occasionally also with periodontist. As in previously described peg-shaped PMLI, the treatment plan depends on the age of the patient, the space, the condition of supporting tissues, occlusion and interocclusal space, and there are two treatment approaches possible: the first is closure of the space via orthodontic management [ 27 ] and the second is the replacement of the absent teeth via implants or prosthetics (bridge) [ 28 ]. In the present study, all subjects with hypodontia were treated interdisciplinarily.…”

Employment of U‐Shape Technique at Reentry Surgery for Papillae Coronal Migration on the Rehabilitation of Anterior Single Implant: 3‐Year Follow‐Up Case Report

“…Moreover, to reach the so desired “perfect illusion” 14 among dental implant and adjacent tooth, zirconia‐based implant infrastructure was used in association to feldspathic veneers at the anterior maxillary teeth, after dental bleaching. This multidisciplinary minimally invasive approach has been suggested as an advisable way to reach predictable results in the esthetic region 15 …”

Aesthetic and functional rehabilitation of collapsed occlusal vertical dimension using an advanced digital workflow

“…Recently, zirconia materials have evolved to provide the same flexural strength of traditional zirconia with various degrees of translucency and colour, allowing clinicians to closely mimic natural teeth and broadening its applications. 11,12 In particular, aesthetic zirconia may be used for patients with bruxism who require full mouth rehabilitation.…”