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Maxillary Lateral Incisor Agenesis: Making the Correct DecisionLateral incisor agenesis has long been a clinical dilemma. Do we treat it with space opening and implant placement or orthodontic space closing? This presentation will help clinicians make the correct decision with special focus on the long term prognosis of the space opening option. How do we maintain the space until the implant is placed? How can we avoid bone loss in the area? Once the implant is placed, why is progressive infraocclusion observed? How can we avoid it? All this and more will be answered.
Tooth agenesis represents one of the most frequent developmental anomalies in the human dentition. Approximately 1 in 50 children presents with clinically missing maxillary lateral incisors. Following diagnosis, the optimal treatment in these cases remains subject to controversy, both in the literature and in clinical reality. This demonstrates the importance of multidisciplinary analysis of these patients with orthodontists collaborating with periodontists and prosthodontists. Two treatment options are possible: Orthodontic space closure and space opening. The later necessitates the placement of dental implants in the esthetic zone which in turn presents many disadvantages among which is progressive infraocclusion. This phenomenon has been well documented in history with patients even after the completion of growth. The goal of this presentation is highlight the importance pf residual vertical growth in the maxilla and how it may sway the treatment need for patients with maxillary lateral agenesis. Moreover, a new orthodontic microimplant aided solution for a long term transitional restoration will be presented.
Learning objectives :
- Highlight advantages and disadvantages of orthodontic space opening and space closing.
- Present all possible long term transitional restorations for space opening cases and their effects on the vertical growth of the maxilla.
- Present a new orthodontic microimplant aided solution for a long term transitional restoration.
Release date: 2025-11-20 | Expiration date: 2028-11-20
This continuing education activity has been planned and implemented in accordance with the standards of the ADA CERP program and is supported by funds received from FDI World Dental Federation, free of restrictions. Tribune Group GmbH is a recognized ADA CERP provider.
sponsor(s) FDI World Dental Federation.
Ask the Expert
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37 Comments
Bravo c’est très clair
thank you so much
Greeting from Boston
between implants and maryland bridge whivh one is better ?
If the bone was already atrophic in the area of the missing tooth, do you recommend any surgical procedures like bone grafts for young patients before putting the miniscrew as a temporary option to maintain the bone?
In case of missing lateral incisor,when can we choose implant to close thee gap and whe should we choose ortho to close the gap?
Thank you so much
Thank u so much
Can we say that if a miniscrew is placed bicortically, can we avoid bone graft in the future?
What material are the miniscrews made with?
Is there a possibility of failed osseointergration as happens with some implants
long term effects of missing primary laterals prior to missing permanent laterals?
Best age for anterior implant
Do you experience any mini-screw failure in these cases?
Is it advissable to add synthetic bone graft?
Thank you for your presentation!
Thank you, interesting presentation!
Thank you for your excellent presentation
thankyou
Thank you for the presentation. In patients who are not able to afford dental implants is this a more affordable temporary option that allows bone height and width preservation and patients to save up?
Regarrds from South Africa
Thank you very much, from Portugal
Thank u so much
what % strengthening in bone is found when the mini is placed? – (can this be used post extraction in the adult pt) thanks
how long or deep of miniscrews should be place
Do you consider cost along with the choice of replacement of the lateral incisor or space closure ?
👋🏼from kuwait
Thank you !!
can autotransplantation can be used
Thank you
thank you
great lecture thank you !!!
How about Gingival Infection Infection around the trans corticalo mini-screws due to food retention
How about the Discomfort for the Tongue
how much space should we open to place an implants ?
hello from Slovakia, Simona
Greetings from Kosova
Hı
Can Central incisor play the same role as lateral incisor
Thank you for joining today’s webinar with Dr. Martin Moubarak. If you have any questions for our expert about today’s presentation, please write them in this chat box and they will be addressed during the Q&A session.