Cocconi Renato
Int J Esthet Dent. 2020;15 Suppl 1:S32-S45.
Bilateral or unilateral congenitally missing maxillary lateral incisors is a common clinical situation that requires an interdisciplinary approach. It is often complicated by the presence of narrower teeth. Occlusal, periodontal, and esthetic considerations will influence the decision to close the space for a canine-lateral substitution or to open the space for a prosthodontic replacement of the missing lateral incisor. The team should define the proper dental position to provide a stable occlusion and dental esthetics obtained with a minimally invasive preparation. The restorative approach should provide a long-term functional and esthetic solution in the transitional period from adolescence to adulthood, reversible for future possible interventions.
双侧或单侧先天性上颌侧切牙缺失是一种常见的临床情况，需要采用多学科方法处理。它常因牙齿较窄而变得复杂。咬合、牙周和美观方面的考虑将影响做出决定，即关闭间隙以进行犬牙-侧切牙替代，还是打开间隙以进行缺失侧切牙的修复体替代。团队应确定合适的牙齿位置，以通过微创预备获得稳定的咬合和牙齿美观。修复方法应在从青春期到成年的过渡阶段提供长期的功能和美观解决方案，且对未来可能的干预措施具有可逆性。
