Orthodontic Canine Substitution for the Management of Missing Maxillary Lateral Incisors May Have Superior Periodontal and Esthetic Outcomes Compared to an Implant- or Tooth-Supported Prosthesis

Al-Jewair, Thikriat; Swiderski, Brittany

doi:10.1016/j.jebdp.2018.02.004

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…Numerous studies have demonstrated the advantages of canine substitution to replace the missing maxillary lateral incisor, including good esthetics [11, 12], long-term periodontal and temporomandibular joint health [13–15], and the avoidance of prosthetic materials in the oral cavity after treatment [16, 17], as well as reduced costs in treatment [16].…”

Section: Introductionmentioning

confidence: 99%

Canine edge width and height affect dental esthetics in maxillary canine substitution treatment

Wang

et al. 2019

Prog Orthod.

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Background To investigate the effect of canine edge width and height on dental esthetics in maxillary canine substitution treatment. Methods A total of 127 canine substitution treatment cases were screened and evaluated by a panel of orthodontic experts and laypersons in the pilot study. The top five subjects with the esthetically most pleasant canine substitution were included in the study, resulting in 140 computerized images displaying only the upper dentition, with different canine edge widths (0%, 12.5%, 25%, 37.5%, 50%, 62.5%, and 75% of the central clinical width) and heights (− 0.5 mm, 0 mm, 0.5 mm, and 1.0 mm vertically relative to the central incisor edge) finally used for the esthetic evaluation by 101 observers (41 orthodontists and 60 laypersons). The ordered logistic regression analysis, the univariate analysis of variance, the chi-square, and Fisher’s exact tests were used for statistical analyses. Results The most esthetic canine shape for canine substitution was found to be a shape with the edge width of 62.5% of the central incisor width and the edge height of 0.5 mm gingival to the central incisor edge ( P < 0.05). The canine edge width of 50–75% and height of 0.5–0 mm gingival to the central incisor edge were generally considered to be esthetic by all observers. Orthodontists and laypersons had the same ranking on the top two most esthetic canine shapes (edge width and height 62.5% and 0.5 mm gingival; 50% and 0 mm incisal) as well as the bottom two most unesthetic canine shape (0% and 0.5 mm gingival; 75% and 1 mm incisal). Male and female observers generally had similar esthetic grades and rankings on the canine shapes ( P > 0.05). Conclusions The most esthetic canine shape for canine substitution is a shape with the canine edge width of 62.5% of the central incisor width and the edge height of 0.5 mm gingival to the central incisor edge. The different collocations of the canine edge width and height affect dental esthetics of the canine during canine substitution treatment.

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Section: Introductionmentioning

confidence: 99%

Canine edge width and height affect dental esthetics in maxillary canine substitution treatment

Wang

et al. 2019

Prog Orthod.

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“…22 In the current report, a central incisor bracket was bonded on the canine tooth more gingivally, to adjust the torque and the tip and to bring the gingival margin down to match the contra-lateral incisor, and the premolar was bonded with a lateral incisor bracket for similar purposes. While the canine substitution for a missing lateral incisor is widely accepted, with encouraging long-term outcomes, the substitution for unilaterally missing central and lateral incisors has not been studied previously, 31 and thus further long-term studies may be needed to examine the long-term stability of the results.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Rehabilitation of an Adult with a Cleft Lip and Palate: An Illustration of a Dental Substitution Approach for the Management of Unilateral Agenesis of Central and Lateral Incisors

Bous

Kumar

Valiathan

2021

FACE

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Cleft lip and Palate (CLP) is the most common craniofacial condition. Management of patients with clefts often requires multi-disciplinary rehabilitation of the orofacial structures. This case report demonstrates the multi-disciplinary management of an adult with a cleft lip and palate, highlighting the benefits of 3-Dimensional (3D) diagnosis, treatment planning and clinical execution of the plan. The patient presented with a severe maxillary deficiency, mandibular asymmetry, and congenitally missing maxillary right central and lateral incisors. This case report demonstrates an alternative approach for the management of cases with ipsilateral missing central and lateral incisors. The maxillary right canine substituted the congenitally missing maxillary right central incisor, while the maxillary right first premolar substituted the congenitally missing right lateral incisor, eliminating the need for prosthetic replacements. Total treatment time was 19 months, and the burden of care for the patient was minimized. An acceptable occlusion was achieved, and the patient’s esthetics improved significantly at the end of treatment. More importantly, the patient reported a marked improvement in his quality of life.

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“…They also involve the loss of the deciduous dental element, which, if it can be kept in the arch, supports the maintenance of the bone for future surgical phases. Factors such as patient's age, occlusion pattern, type of dentoalveolar malocclusion, facial profile, lip line, condition of adjacent teeth, amount of crowding, and patient preferences, tooth morphology and presence of the deciduous retained, must be considered in planning treatment procedures 12–14 . In particular, the limit set by age is the determining factor for the execution of these treatment plans, especially when it is decided to maintain the space for the lateral and therefore the finalization of the case with prosthetic or surgical techniques 13 .…”

Section: Introductionmentioning

confidence: 99%

“…Factors such as patient's age, occlusion pattern, type of dentoalveolar malocclusion, facial profile, lip line, condition of adjacent teeth, amount of crowding, and patient preferences, tooth morphology and presence of the deciduous retained, must be considered in planning treatment procedures. [12][13][14] In particular, the limit set by age is the determining factor for the execution of these treatment plans, especially when it is decided to maintain the space for the lateral and therefore the finalization of the case with prosthetic or surgical techniques. 13 A possible alternative, to guarantee an esthetic improvement at a young age, in order to reach the skeletal maturation that allows the finalization of the case, could be the use of resin bonded fixed dental prosthesis (RBFDP).…”

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confidence: 99%

Agenesis of the maxillary permanent lateral incisors with the deciduous retained: Conservative and biomimetic approach using the BAIR technique

Giachetti,

Scaminaci Russo,

Cinelli

2024

J Esthet Restor Dent

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ObjectiveAgenesis of the maxillary permanent lateral incisors is a condition that requires treatment aimed at improving the esthetics, even at an early age. However, traditional therapeutic protocols are long, invasive and have limitations and contraindications imposed by the age of the patient.Clinical ConsiderationsRecent developments in restorative dentistry have provided a new approach to this clinical situation, in particular when the deciduous laterals are retained. We report two cases regarding the management of missing lateral incisors using Biologically Active Intrasulcular Restoration (BAIR) technique. The BAIR technique allows us to transform the shape of the deciduous lateral incisor into the permanent, acting both on the dental morphology and proportions, and on the appearance of the soft tissues and the gingival parables.ConclusionsThe BAIR technique is a valid approach to cases of agenesis of the maxillary permanent lateral incisors, when the deciduous are retained. It does not require any preparation of the dental tissues, is reversible and minimally invasive. It is applicable to patients of all ages, and results are obtained in a single appointment.Clinical SignificanceThe BAIR technique allows a biomimetic conservative approach for the rehabilitation of congenitally missing permanent lateral incisors, when the deciduous are retained. It is a non‐invasive protocol and effective in successfully restoring esthetics.

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Orthodontic Canine Substitution for the Management of Missing Maxillary Lateral Incisors May Have Superior Periodontal and Esthetic Outcomes Compared to an Implant- or Tooth-Supported Prosthesis

Cited by 4 publications

References 21 publications

Canine edge width and height affect dental esthetics in maxillary canine substitution treatment

Canine edge width and height affect dental esthetics in maxillary canine substitution treatment

Multidisciplinary Rehabilitation of an Adult with a Cleft Lip and Palate: An Illustration of a Dental Substitution Approach for the Management of Unilateral Agenesis of Central and Lateral Incisors

Agenesis of the maxillary permanent lateral incisors with the deciduous retained: Conservative and biomimetic approach using the BAIR technique

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