Abstract
Maxillary central incisors have the least incidence of congenital absence. When it does happen, the patient may present with over retained deciduous centrals or the contralateral central may have drifted into the available space presenting as generalised anterior spacing with loss of midline. In such cases a multi-disciplinary approach may be required with orthodontic treatment to re-organise the space available in order to rehabilitate the patient with a fixed prosthesis. This case report presents the treatment of a patient with congenitally missing maxillary left central incisor using dental implant with angulated abutment after orthodontic correction and stabilization of the remaining maxillary anteriors.
References
Tuna SH, Keyf F, Pekkan G (2009) The single-tooth implant treatment of congenitally missing maxillary lateral incisors using angled abutments: a clinical report. Dent Res J (Isfahan) 6(2):93–98
Richardson G, Russell KA (2001) Congenitally missing maxillary lateral incisors and orthodontic treatment considerations for the single-tooth implant. J Can Dent Assoc 67(1):25–28
Kokich VG (2004) Maxillary lateral incisor implants: planning with the aid of orthodontics. J Oral Maxillofac Surg 62(9 Suppl 2):48–56
Rupp RP, Dillehay JK, Squire CF (1997) Orthodontics, prosthodontics, and periodontics: a multidisciplinary approach. Gen Dent 45(3):286–289
Hebel K, Gajjar R, Hofstede T (2000) Single-tooth replacement: bridge vs. implant-supported restoration. J Can Dent Assoc 66(8):435–438
Hussey DL, Pagni C, Linden GJ (1991) Performance of 400 adhesive bridges fitted in a restorative dentistry department. J Dent 19(4):221–225
Williams VD, Thayer KE, Denehy GE, Boyer DB (1989) Cast metal, resin-bonded prostheses: a 10-year retrospective study. J Prosthet Dent 61(4):436–441
Buser D, Belser U, Wismeijer D (eds) (2007) ITI treatment guide: implant therapy in the esthetic zone for single-tooth replacements, 1st edn. Quintessence, Berlin
Winkler S, Boberick KG, Braid S, Wood R, Cari MJ (2008) Implant replacement of congenitally missing lateral incisors: a case report. J Oral Implantol 34(2):115–118
Zarone F, Sorrentino R, Vaccaro F, Russo S (2006) Prosthetic treatment of maxillary lateral incisor agenesis with osseointegrated implants: a 24–39-month prospective clinical study. Clin Oral Implants Res 17(1):94–101
Reddy MS, O’Neal SJ, Haigh S, Aponte-Wesson R, Geurs NC (2008) Initial clinical efficacy of 3-mm implants immediately placed into function in conditions of limited spacing. Int J Oral Maxillofac Implants 23(2):281–288
Kourtis S, Psarri C, Andritsakis P, Doukoudakis A (2007) Provisional restorations for optimizing esthetics in anterior maxillary implants: a case report. J Esthet Restor Dent 19(1):6–17
Chee W, Jivraj S (2006) Designing abutments for cement retained implant supported restorations. Br Dent J 201(9):559–563
Saab XE, Griggs JA, Powers JM, Engelmeier RL (2007) Effect of abutment angulation on the strain on the bone around an implant in the anterior maxilla: a finite element study. J Prosthet Dent 97(2):85–92
Jemt T (1997) Regeneration of gingival papillae after single-implant treatment. Int J Periodontics Restorative Dent 17(4):326–333
Priest G (2003) Predictability of soft tissue form around single-tooth implant restorations. Int J Periodontics Restorative Dent 23(1):19–27
Belser UC, Schmid B, Higginbottom F, Buser D (2004) Outcome analysis of implant restorations located in the anterior maxilla: a review of the recent literature. Int J Oral Maxillofac Implants 19(Suppl):30–42
Kokich VO Jr, Kinzer GA (2005) Managing congenitally missing lateral incisors. Part I: canine substitution. J Esthet Restor Dent 17(1):5–10
Spear FM, Mathews DM, Kokich VG (1997) Interdisciplinary management of single-tooth implants. Semin Orthod 3(1):45–72
Eger DE, Gunsolley JC, Feldman S (2000) Comparison of angled and standard abutments and their effect on clinical outcomes: a preliminary report. Int J Oral Maxillofac Implants 15(6):819–823
Sethi A, Kaus T, Sochor P (2000) The use of angulated abutments in implant dentistry: five-year clinical results of an ongoing prospective study. Int J Oral Maxillofac Implants 15(6):801–810
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Krishnappa, L., Shetty, J., Reddy, V. et al. Replacement of a Congenitally Missing Maxillary Incisor by Implant Supported Prosthesis. J Indian Prosthodont Soc 14 (Suppl 1), 190–195 (2014). https://doi.org/10.1007/s13191-012-0241-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13191-012-0241-7