Interdisciplinary management of congenitally missing maxillary lateral incisors

Objective: Missing maxillary lateral incisors is a common developmental anomaly and often creates a major esthetic problem due to their position in the dental arch. Treatment in such cases depends on either creation of space followed by prosthetic replacement or closing the space and replacing the missing lateral incisors by canines. In this report we highlight some of the key factors which should be considered for replacement of missing lateral incisors using single tooth implant. Methods: This clinical report describes the treatment of a patient with bilateral missing maxillary lateral incisors. An interdisciplinary approach involving Orthodontist, implant surgeon and prosthodontist was used in the treatment. Results: At the end treatment, the patient presented with class I molar and canine, normal overbite and overjet, and good facial esthetics with canine protected occlusion. Conclusion: When indicated, space opening and replacement of missing lateral incisors with implant supported tooth substitution may provide excellent esthetics and functional results.