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References

Kokich VG, Spear FM Guidelines for managing the orthodontic-restorative patient. Semin Orthod. 1997; 3:3-20
Becker A, Smith P, Behar R The incidence of anomalous maxillary lateral incisors in relation to palatally displaced cuspids. Angle Orthod. 1981; 51:24-29
Carter NE, Gillgrass TJ, Hobson RS, Jepson N, Meechan JG, Nohl FS, Nunn JH The interdisciplinary management of hypodontia: orthodontics. Br Dent J. 2003; 194:361-366
Meechan JG, Carter NE, Gillgrass TJ, Hobson RS, Jepson N, Nohl FS, Nunn JH Interdisciplinary management of hypodontia: oral surgery. Br Dent J. 2003; 194:423-427
Jepson NJ, Nohl FS, Carter NE, Gillgrass TJ, Meechan JG, Hobson RS, Nunn JH The interdisciplinary management of hypodontia: restorative dentistry. Br Dent J. 2003; 194:299-304
Millar BJ, Taylor NG Lateral thinking: the management of missing upper lateral incisors. Br Dent J. 1995; 179:99-106
Rosa M, Zachrisson BU Integrating esthetic dentistry and space closure in patients with missing maxillary lateral incisors. J Clin Orthod. 2001; 35:221-234
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Robertsson S, Mohlin B The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment. Eur J Orthod. 2000; 22:697-710
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Diagnosis and treatment of missing upper lateral incisors part 2

From Volume 5, Issue 1, January 2012 | Pages 9-13

Authors

Farnaz Parvizi

MPhil, BDS, FDS RCS(Eng), MOrth RCS(Ed)

Senior Registrar (FTTA) in Orthodontics, Child Dental Health, Bristol Dental Hospital

Articles by Farnaz Parvizi

Michael Dawson

BDS, MFDS RCS(Ed)

Specialist Registrar in Orthodontics

Articles by Michael Dawson

Christian Day

BDS, MFDS, MSc, MOrth, FOrth, BDS, MFDS MSc, MOrth

Consultant Orthodontist, Bristol Dental Hospital, UK

Articles by Christian Day

Abstract

The aim of this second article is to outline the management and treatment options for patients with missing upper lateral incisors at various stages of dental development. The joint orthodontic-restorative multidisciplinary teams are best placed to manage these challenging cases.

Clinical Relevance: There are various treatment options for the management of patients with absence of one or both lateral incisors. The orthodontic practitioner needs to be aware of the pros and cons of different options.

Article

In the first article we discussed the importance of detailed and thorough pre-treatment assessment of patients with missing lateral incisors. In this article we plan to outline the treatment options available for patients with missing lateral incisors. It is best to consider the options separately in the developing and permanent dentition. The benefits and limitations of each treatment modality need to be thoroughly discussed with patients and parents.

It is recommended to maintain the deciduous lateral incisors for as long as possible in order to preserve the alveolar bone for possible future prosthetic replacement. Their dimensions could be maintained by composite resin additions.1 However, if both permanent lateral incisors are absent, and the deciduous lateral incisors have a poor prognosis, they may be extracted. This allows the mesial eruption of the permanent canines into the permanent lateral incisor spaces (Figure 1).2

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