Management of Missing
Lateral Incisors
Dr. Ankita Das
Senior Lecturer
Dept of Orthodontics and Dentofacial Orthopedics
 2nd
most common congenitally missing tooth
 In Caucasian population it prevails up to 20%.
 Among various ethnic groups, the agenesis of
maxillary lateral incisor is most frequent in
Iranian and Brazilian population, second most
frequent is Indian, Jordanian and Danish, and
third most affected are Norwegian and Kenyan
population.
Incidence
 Canine substitution
 Tooth-supported restorations
 Single tooth Implants
Treatment Options
 Criteria-
 Malocclusion
 Profile
 Canine shape and colour
 Lip level
 Treatment
Canine substitution
Malocclusion
Profile
Canine shape and colour
Lip Level
Determination of appropriate
spacing
Resin-bonded FPD
 Tooth position- Vertical overbite
Inclination of abutment teeth
 Mobility of abutment
 Thickness and transluency of abutment
 Occlusal parafunction
Criteria
Vertical Overbite
Inclination of abutment
Mobility of abutment
Thickness and Transluency of
abutment
Cantilevered Fixed Partial Denture
Conventional full-coverage
FPD
Single-tooth implant
Implant site development
Space Appropriation
Papillary changes during space
appropriation
 To maintain the edentulous space
 Removable retainer with a prosthetic tooth
 Resin- bonded fixed partial denture
Interin tooth replacement
 Many restorative options exist for the
replacement of congenitally missing lateral
incisors.
 Depending on the type of final restoration that
is chosen, interdisciplinary management of
these patients often plays a vital role in the
facilitation of treatment
Conclusion
 Kokich Jr VO, Kinzer GA. Managing congenitally missing
lateral incisors. Part I: Canine substitution. Journal of
esthetic and restorative dentistry. 2005 Jan;17(1):5-10.
 Kinzer GA, Kokich Jr VO. Managing congenitally missing
lateral incisors. Part II: tooth‐supported restorations.
Journal of Esthetic and Restorative Dentistry. 2005
Mar;17(2):76-84.
 Kinzer GA, Kokich Jr VO. Managing congenitally missing
lateral incisors. Part III: single‐tooth implants. Journal of
Esthetic and Restorative Dentistry. 2005 Jul;17(4):202-10.
 Qamar R, Imtiaz A, Kamran M. Maxillary lateral incisor
agenesis: A review of literature. Pakistan Orthodontic
Journal. 2012;4(2):69-72.
Referanes

Management of Missing Lateral Incisors.pptx