A Multidisciplinary Approach to Congenitally Missing Central Incisors: A Case Report

Carlos Jurado; Nicholas G Fischer; Chin-Chuan Fu; Akimasa Tsujimoto

doi:10.7759/cureus.21911

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A Multidisciplinary Approach to Congenitally Missing Central Incisors: A Case Report

Journal article

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Peer reviewed

A Multidisciplinary Approach to Congenitally Missing Central Incisors: A Case Report

Carlos Jurado, Nicholas G Fischer, Chin-Chuan Fu and Akimasa Tsujimoto

Curēus (Palo Alto, CA), Vol.14(2), e21911

02/2022

DOI: 10.7759/cureus.21911

PMCID: PMC8901136

PMID: 35273860

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Abstract

Hypodontia is one of the most common developmental problems of human dentition. The treatment of missing maxillary central incisors is always a challenging task, often requiring a multidisciplinary approach. This case report describes such a multidisciplinary approach for a female patient with congenitally missing maxillary central incisors and class II division 1 occlusion. Significant horizontal overlap was present with class II division 1 occlusion in a patient with a history of cleft palate. Implant therapy was thereby not an option. Orthodontic treatment was provided to decrease the horizontal overlap and reposition the teeth. Esthetic crown lengthening was performed and monolithic lithium disilicate crowns were placed. Critical analysis of the treatment plan through cooperation among specialists is required to obtain the ideal result. Orthodontic treatment may be necessary to close or gain more space, followed by implant placement (if acceptable), and restorative treatment. It is important to create the treatment plan through a multidisciplinary approach involving orthodontists, surgeons, and restorative specialists before initiating treatment.

orthodontic

occlusion

crown lengthening

incisor

lithium disilicate crown

dental anomalies

Details

Title: Subtitle: A Multidisciplinary Approach to Congenitally Missing Central Incisors: A Case Report
Creators: Carlos Jurado - Prosthodontics, Texas Tech University Health Sciences Center El Paso School of Dental Medicine, El Paso, USA
Nicholas G Fischer - University of Minnesota
Chin-Chuan Fu - University of Alabama at Birmingham
Akimasa Tsujimoto - University of Iowa
Resource Type: Journal article
Publication Details: Curēus (Palo Alto, CA), Vol.14(2), e21911
DOI: 10.7759/cureus.21911
PMID: 35273860
PMCID: PMC8901136
NLM abbreviation: Cureus
ISSN: 2168-8184
eISSN: 2168-8184
Language: English
Date published: 02/2022
Academic Unit: Prosthodontics; Operative Dentistry
Record Identifier: 9984226810502771

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