Khalil Ahmed, Alrehaili Rawan, Almatrodi Refal, Koshak Abdullah, Tawakkul Bashayr, Almuqati Taif, Alharbi Jihan, Alsaleh Ahmed, Alharbi Madhawi, Al Mahfouz Saleh
Dentistry, Private Sector, Medina, SAU.
Dentistry, Private Sector, Riyadh, SAU.
Cureus. 2024 Nov 26;16(11):e74471. doi: 10.7759/cureus.74471. eCollection 2024 Nov.
Congenital missing teeth are among the most prevalent dental malformations. Maxillary lateral incisors are particularly prone to agenesis, often missing bilaterally. This condition presented complex challenges for both patients and clinicians. The etiology of maxillary lateral incisor agenesis is multifactorial, involving genetic and environmental factors. The management is also inherently complex, necessitating an interdisciplinary approach. Treatment options include orthodontic space closure, resin-bonded bridges, implants, removable partial dentures, and autotransplantation. Among these, implant placement and orthodontic space closure are most commonly preferred by clinicians. The selection of an appropriate treatment modality depends on multiple factors, such as patient growth, available space, condition of adjacent teeth, and initial malocclusion. This review aimed to evaluate and compare various treatment options for maxillary lateral incisor agenesis, providing a comprehensive analysis of the latest evidence and highlighting the benefits and limitations of each approach to inform clinical decision-making.
先天性缺牙是最常见的牙齿畸形之一。上颌侧切牙尤其容易发生牙胚缺失，常常双侧缺失。这种情况给患者和临床医生都带来了复杂的挑战。上颌侧切牙牙胚缺失的病因是多因素的，涉及遗传和环境因素。其治疗本质上也很复杂，需要采用多学科方法。治疗选择包括正畸关闭间隙、树脂粘结桥、种植牙、可摘局部义齿和自体牙移植。其中，种植牙植入和正畸关闭间隙是临床医生最常用的方法。选择合适的治疗方式取决于多种因素，如患者生长发育情况、可用间隙、邻牙状况和初始错牙合情况。本综述旨在评估和比较上颌侧切牙牙胚缺失的各种治疗选择，对最新证据进行全面分析，并突出每种方法的优缺点，为临床决策提供参考。
