Maxillary Right Lateral Incisor Agenesis and Left Peg Lateral Incisor- A Long Term Follow-Up ZD01-ZD05
Dr. Orlando Motohiro Tanaka,
Rua Imaculada Conceição 1155, Curitiba, ParanÃƒÂ¡, Brazil.
Missing maxillary lateral incisor is commonly found in orthodontic daily practice. To close the space using intermaxillary elastics with sliding-jig is successful alternative. This case report described a case of a young adult female patient with missing maxillary right lateral incisor, with a permanent canine in its position and a retained deciduous canine. In addition, she presented with a peg shaped left lateral incisor. To solve the problem, the teeth in the maxillary right quadrant were moved medially towards the midline. A multidisciplinary approach involving periodontic-restorative procedure were proposed, but just orthodontic alignment and leveling were performed with minor canine reshaping and no reshaping in the peg-shaped left lateral incisor. At the 15.8 years follow-up consultation the right canine and left lateral incisor were reshaped, improving the outcome. In a long-term perspective, radiographic images show no sign of bone loss or root resorption and the results continue to be stable, with maintenance of the clinical results achieved.