Management of bilaterally missing mandibular central incisors: A case report

Mathew Thomas Maliael; Remmiya Mary Varghese; S. P. Saravana Dinesh

doi:10.53730/ijhs.v6nS5.11556

Authors

Mathew Thomas Maliael Post Graduate Student, Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
Remmiya Mary Varghese
remmiya@gmail.com
Reader, Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
S. P. Saravana Dinesh Professor, Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

Keywords:

mandibular incisors, microdontia, dentoalveolar

Abstract

The present case report describes the interdisciplinary management of a patient with increased overbite and overjet, Angle’s Class Ⅰ malocclusion, bilateral agenesis of the mandibular central incisors and microdontia of the upper lateral incisors. The 18-year-old female patient had a convex profile, maxillary dentoalveolar protrusion and mild spacing in the mandibular anterior region. Therefore, treatment consisted of fixed appliance therapy, followed by replacement of the one lower incisor with an endosseous implant supported prosthesis and aesthetic build-up of the upper lateral incisors. The method of treatment has significantly improved the patient’s facial and dental aesthetics and provided a good functional occlusion, despite the absence of a mandibular incisor.

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