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A new methodological and clinical approach for the treatment of upper lateral incisors agenesis: the posterior space opening
 

Type:  Articles

Pubblication date:  06/2012

Authors:  L. Favero, C. Pizzo, D. Farronato, A. Balercia, V. Favero

Language:  English

Institution:  Professor and Chair, Department of Neuroscience, Institute of Clinical Dentistry, University of Padua, Italy Department of Neuroscience, Institute of Clinical Dentistry, University of Padua, Italy. Private Practice in Milan, Italy. Department of Surgical, Reconstructive and Diagnostic Sciences, Fondazione IRCSS Cą Granda, University of Milan, Italy Department of Surgery and Dentistry, Oral and Maxillofacial Surgery Unit Resident, University of Verona, Italy

Publication:  European Journal of Paediatic Dentistry

Publisher:  Ariesdue Srl

Keywords:  Canine camouflage; Endosseous implants; Miniscrews; Space-closure; Tooth agenesis.

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Email:  [email protected]


Title:  A new methodological and clinical approach for the treatment of upper lateral incisors agenesis: the posterior space opening

Abstract:  Aim The purpose of this study is to present a new clinical approach for the treatment of upper lateral incisor agenesis. Materials and methods A new treatment option was conceived and applied: posterior space opening as a safeguard of occlusal integrity and dental and periodontal aesthetics of the front teeth. This is acheved by means of the anterior space closure, with the mesialisation of the canines and the bicuspids, combined with a posterior space opening to create adequate room for the placement of an implant in the second premolar area. The obtained space should be maintained with a space retainer or a provisional Maryland bridge until the patient is old enough to undergo implant rehabilitation and the canines must be reshaped into a lateral incisor. Conclusion The results of this treatment are a correct teeth alignment, without diastema, Class I occlusion, and occlusal integrity with all natural teeth in the anterior area. In this way there are many advantages for the patient; so it is an effective approach.

 
 
 
 
 
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