Orthodontic Management of Patients with Congenitally Missing Permanent Teeth
Dental agenesis is one of the most common developmental anomalies in humans. It occurs as part of a genetic syndrome or as an isolated sporadic or familial finding. Third molars, second mandibular premolars and maxillary lateral incisors are the most frequently targeted teeth of the permanent dentit...
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| Format: | Article |
| Language: | English |
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Balkan Stomatological Society
2020-07-01
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| Series: | Balkan Journal of Dental Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.2478/bjdm-2020-0011 |
| _version_ | 1817969864145371136 |
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| author | Chatzistavrou Evangelia Kolokitha Olga-Elpis Lazaridis Konstantinos |
| author_facet | Chatzistavrou Evangelia Kolokitha Olga-Elpis Lazaridis Konstantinos |
| author_sort | Chatzistavrou Evangelia |
| collection | DOAJ |
| description | Dental agenesis is one of the most common developmental anomalies in humans. It occurs as part of a genetic syndrome or as an isolated sporadic or familial finding. Third molars, second mandibular premolars and maxillary lateral incisors are the most frequently targeted teeth of the permanent dentition. Clinically, patients with congenitally missing permanent teeth seeking treatment present with unesthetic diastemas, midline deviation and tilting of adjacent teeth in the edentulous areas. The impact of tooth agenesis reflects on esthetics, function, psychological and social well-being of the individuals affected. Orthodontics can contribute to the treatment plan selected by rearranging the present teeth so as to open spaces for prosthetic restorations or close spaces by reshaping teeth if needed. Following orthodontic space opening/maintaining, the usual alternatives involve single implants, two-(cantilever) or full coverage-(cantilever) prostheses. Less frequently, the treatment modality of autotransplantation is proposed with a good esthetic result but feasible only in young patients where the roots of the premolars are still developing. In orthodontic space closure, treatment is accomplished sooner without waiting for the completion of growth of the patient. Depending on various factors such as the malocclusion, the dento-skeletal profile, the smile line, the space requirements, the teeth missing, the periodontal issues, the age of the patient and any financial issues, the clinician will determine the most appropriate treatment approach. The final esthetic and functional result should resemble an intact natural dentition. |
| first_indexed | 2024-04-13T20:26:36Z |
| format | Article |
| id | doaj.art-8600f5ccc1914dcbb215ba8565b7b604 |
| institution | Directory Open Access Journal |
| issn | 2335-0245 |
| language | English |
| last_indexed | 2024-04-13T20:26:36Z |
| publishDate | 2020-07-01 |
| publisher | Balkan Stomatological Society |
| record_format | Article |
| series | Balkan Journal of Dental Medicine |
| spelling | doaj.art-8600f5ccc1914dcbb215ba8565b7b6042022-12-22T02:31:19ZengBalkan Stomatological SocietyBalkan Journal of Dental Medicine2335-02452020-07-01242637010.2478/bjdm-2020-0011bjdm-2020-0011Orthodontic Management of Patients with Congenitally Missing Permanent TeethChatzistavrou Evangelia0Kolokitha Olga-Elpis1Lazaridis Konstantinos2Private Practice, Thessaloniki, GreeceDepartment of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, GreecePrivate Practice, Thessaloniki, GreeceDental agenesis is one of the most common developmental anomalies in humans. It occurs as part of a genetic syndrome or as an isolated sporadic or familial finding. Third molars, second mandibular premolars and maxillary lateral incisors are the most frequently targeted teeth of the permanent dentition. Clinically, patients with congenitally missing permanent teeth seeking treatment present with unesthetic diastemas, midline deviation and tilting of adjacent teeth in the edentulous areas. The impact of tooth agenesis reflects on esthetics, function, psychological and social well-being of the individuals affected. Orthodontics can contribute to the treatment plan selected by rearranging the present teeth so as to open spaces for prosthetic restorations or close spaces by reshaping teeth if needed. Following orthodontic space opening/maintaining, the usual alternatives involve single implants, two-(cantilever) or full coverage-(cantilever) prostheses. Less frequently, the treatment modality of autotransplantation is proposed with a good esthetic result but feasible only in young patients where the roots of the premolars are still developing. In orthodontic space closure, treatment is accomplished sooner without waiting for the completion of growth of the patient. Depending on various factors such as the malocclusion, the dento-skeletal profile, the smile line, the space requirements, the teeth missing, the periodontal issues, the age of the patient and any financial issues, the clinician will determine the most appropriate treatment approach. The final esthetic and functional result should resemble an intact natural dentition.https://doi.org/10.2478/bjdm-2020-0011congenitally missing permanent teethdental agenesishypodontiaaplasiaoligodontiaorthodontic space closureorthodontic space openingautotransplantation |
| spellingShingle | Chatzistavrou Evangelia Kolokitha Olga-Elpis Lazaridis Konstantinos Orthodontic Management of Patients with Congenitally Missing Permanent Teeth Balkan Journal of Dental Medicine congenitally missing permanent teeth dental agenesis hypodontia aplasia oligodontia orthodontic space closure orthodontic space opening autotransplantation |
| title | Orthodontic Management of Patients with Congenitally Missing Permanent Teeth |
| title_full | Orthodontic Management of Patients with Congenitally Missing Permanent Teeth |
| title_fullStr | Orthodontic Management of Patients with Congenitally Missing Permanent Teeth |
| title_full_unstemmed | Orthodontic Management of Patients with Congenitally Missing Permanent Teeth |
| title_short | Orthodontic Management of Patients with Congenitally Missing Permanent Teeth |
| title_sort | orthodontic management of patients with congenitally missing permanent teeth |
| topic | congenitally missing permanent teeth dental agenesis hypodontia aplasia oligodontia orthodontic space closure orthodontic space opening autotransplantation |
| url | https://doi.org/10.2478/bjdm-2020-0011 |
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