Comprehensive Treatments for Congenitally Missing Teeth and Generalized Diastema

Background and Objective: Congenitally missing teeth is a prevalent dental anomaly with treatments such as space maintenance, restoring the space by resin-bonded-fixed-partial-dentures (RBFPDs), and dental implants. This study addresses the comprehensive treatments for congenitally missing tooth and diastema using interdisciplinary approachesPatients’ Report: Patient #1 was a 23-year-old male patient with unequal spaces in the first premolars areas of both arches after receiving the orthodontic treatment. The patient did not have any systemic or genetic disorder. Implant placement was ruled out due to inadequate space between the apices of canines and second premolars. Fabrication of RBFPDs was treatment of choice. For the RBFPDs, teeth #20, 22, 11 and13 were prepared and the RBFPDs were cemented using resin cement. Patient#2 was a20-year-old female who had congenitally missing maxillary canines with anteriordiastema in maxilla and crowding in anterior segment of mandible. Implants were nottreatment of choice due to inadequate space between the laterals and first premolars inboth sides however, the patient refused RFBPD treatment. Therefore, one-pieceSDIs,2∗12mm were considered to replace the maxillary canines after increasing themesiodistal available spaces to 4 mm. Immediately following implant placement,provisional restorations with no centric or eccentric occlusal contact points werefabricated with temporary acrylic resin. and final restorations were fabricated later.Conclusion: The result was satisfactory for both patients after being followed up every 6 months for 2 years. In the current case reports with congenitally missing teeth and diastema, optimal aesthetics and function were provided either by using small-diameter-implant-retained crowns or RBFPDs

کلیدواژه ها:

Comprehensive Treatment ، Congenitally Missing Teeth ، Generalized Diastema