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An Approach for Treating Bilateral Congenitally Missing Lateral Incisors (1 Year of Access)

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A multidisciplinary Approach for Treating Bilateral Congenitally Missing Lateral Incisors


Speakers: Dr. Peter Young & Mr. Claudio Bucceri

Topic: Treating Bilateral Congenitally Missing Lateral Incisors

Clinical Case Overview:

The patient was a 42-year-old woman who worked in the healthcare business. She had CMT at the No. 7 and 10 sites. She disliked the appearance of her central incisors and pointed canines and bicuspids, and was dissatisfied with the acrylic RPD she had worn for 26 years (Figure 1 and Figure 2). Her goal was to have a uniform and brighter smile.
In dentistry today, the communication process between the Dentist, patient and technician is one of the most critical aspects for success. With the influx of material options our knowledge and use of proper photography will help to set the blueprint for success. This program will guide you through the importance of photography and shade communication utilizing or improving your photographic skills, create a better understanding of color management, diagnostic space and the risk factors that we face in today’s demanding esthetic word.


To effectively treat congenitally missing teeth (CMT), a multidisciplinary approach involving both clinical and laboratory components is often not only beneficial but necessary. Such an approach frequently may involve the use of orthodontics, removable partial dentures (RPDs), fixed partial dentures, indirect adhesive restorations, or implant-supported restorations (ISRs), or a combination of these. In the case presented, an adult female patient had CMT at site Nos. 7 and 10 and was ready to have her existing RPD that she had worn for many years replaced and her smile enhanced. The treatment called for ISRs placed in the sites of the lateral incisors with lithium-disilicate crowns cemented to custom zirconia abutments. Lithium-disilicate veneers would be placed on adjacent teeth. However, in order to carry out the plan, limited fixed orthodontics would first be needed to create sufficient space for the ISR.

Teaching Method: 39 minute lecture