Esthetic Rehabilitation of Congenitally Missing Laterals and Decidious Canines with Direct Restorative Approach: A Case Report

Abstract

Congenitally missing lateral incisors and persistent deciduous canines severely compromise esthetic appearance due to their strategic positions in the smile. Several treatment procedures have been proposed to rehabilitate this esthetic deficiency. With the recent improvements in adhesive dentistry and dental resin composites, the material is successfully used to restore anterior teeth in which the esthetic is primarily important. This case report illustrates the dental esthetic rehabilitation of an adolescent patient with diastemata resulted from hypodontia of upper lateral incisors and persistent upper decidious canines via direct composite veneers. In 12-month clinical follow-up, all restorations were preserving their integrity and no notable discoloration was observed.

This article presents that direct composite veneers are the most conservative, low cost, achievable in one-session treatment option for the rehabilitation of dental esthetics disfigured by both diastemata depending on hypodontia of lateral incisors and persistent decidious canines.

Key Words: Composite dental resin; dental esthetics

Keywords

• composite dental resin, dental esthetics

Esthetic rehabilitation of congenitally missing laterals and deciduous canines with direct restorative approach: A case report

Öz

Kaynakça

1. 1. Larmour CJ, Mossey PA, Thind BS, Forgie AH, Stirrups DR. Hypodontia--a retrospective review of prevalence and etiology. Part I. Quintessence international. 2005;36(4):263-70.
2. 2. O'Dowling IB, McNamara TG. Congenital absence of permanent teeth among Irish school-children. Journal of the Irish Dental Association. 1990;36(4):136-8.
3. 3. Bergstrom K. An orthopantomographic study of hypodontia, supernumeraries and other anomalies in school children between the ages of 8-9 years. An epidemiological study. Swedish dental journal. 1977;1(4):145-57.
4. 4. Brook AH. Dental anomalies of number, form and size: their prevalence in British schoolchildren. Journal of the International Association of Dentistry for Children. 1974;5(2):37-53.
5. 5. Lynham A. Panoramic radiographic survey of hypodontia in Australian Defence Force recruits. Australian dental journal. 1990;35(1):19-22.
6. 6. Nik-Hussein NN. Hypodontia in the permanent dentition: a study of its prevalence in Malaysian children. Australian orthodontic journal. 1989;11(2):93-5.
7. 7. Sabri R, Aboujaoude N. [Agenesis of the maxillary lateral incisors: orthodontic and implant approach]. L' Orthodontie francaise. 2008;79(4):283-93.
8. 8. Kokich VO, Jr., Kinzer GA. Managing congenitally missing lateral incisors. Part I: Canine substitution. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry [et al]. 2005;17(1):5-10.

9. 9. Izgi AD, Ayna E. Direct restorative treatment of pegshaped maxillary lateral incisors with resin composite: a clinical report. The Journal of prosthetic dentistry. 2005;93(6):526-9.
10. 10. Mirabella AD, Kokich VG, Rosa M. Analysis of crown widths in subjects with congenitally missing maxillary lateral incisors. European journal of orthodontics. 2012;34(6):783-7.
11. 11. Schalk-van der Weide Y, Bosman F. Tooth size in relatives of individuals with oligodontia. Archives of oral biology. 1996;41(5):469-72.
12. 12. Kıvanç BH, Arısu HD. Diastema closure with direct composite resin veneers: case report. ADO KlinikBilimlerDergisi. 2009;3:285-8
13. 13. Bagis B, Aydogan E, Bagis YH. Direct restorative treatment of missing maxillary laterals with composite laminate veneer: a case report. The open dentistry journal. 2008;2:93-5.
14. 14. Ayna E, Kama JD, Güner R, Beydemir K. Multidisciplinary approach in oral rehabilitation of a patient with hypodontia: case report. TurkiyeKlinikleri The Journal of Dental Sci. 2012;18:198-202.
15. 15. Garber DA. Direct composite veneers versus etched porcelain laminate veneers. Dental clinics of North America. 1989;33(2):301-4.
16. 16. Soares CJ, Fonseca RB, Martins LR, Giannini M. Esthetic rehabilitation of anterior teeth affected by enamel hypoplasia: a case report. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry [et al]. 2002;14(6):340-8.
17. 17. Da Costa J, Ferracane J, Paravina RD, Mazur RF, Roeder L. The effect of different polishing systems on surface roughness and gloss of various resin composites. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry [et al]. 2007;19(4):214-24; discussion 25-6.
18. 18. Mitra SB, Wu D, Holmes BN. An application of nanotechnology in advanced dental materials. Journal of the American Dental Association. 2003;134(10):1382-90.
19. 19. Jefferies SR. Abrasive finishing and polishing in restorative dentistry: a state-of-the-art review. Dental clinics of North America. 2007;51(2):379-97, ix.
20. 20. Perdigao J, Gomes G, Duarte S, Jr., Lopes MM. Enamel bond strengths of pairs of adhesives from the same manufacturer. Operative dentistry. 2005;30(4):492-9.