Esthetic and functional rehabilitation of peg‐shaped maxillary lateral incisors: Practical recommendations

Abstract

Peg‐shaped maxillary lateral incisors cause many functional and esthetic major consequences in affected patients. Their esthetic and functional rehabilitations are often multidisciplinary, involving different clinical procedures like periodontal, orthodontic, or prosthodontic procedures. No exhaustive protocol has been established to improve their comprehensive management by general dentists or specialists. The aim of this article is to elaborate a simplified clinical protocol of complete management of peg‐shaped maxillary lateral incisors by a multidisciplinary team (general practitioners, orthodontists, and prosthodontists). A clinical case of two peg‐shaped maxillary lateral incisors completely rehabilitated with multidisciplinary approaches including orthodontic treatment and restoration by veneers and direct composite resin, according to the established protocol. Extraoral, intraoral, and smile clinical analysis are crucial to ensure optimal rehabilitation. Treatment results previsualization via wax‐up and/or mock‐up play a key role in the communication between practitioner and patient to help the latter make decision. These options also facilitate the achievement of a multidisciplinary approach by accurately estimating the number of dental movements and the type of restorations that are most suitable to the presenting clinical situation.

Treatment of wedge-shaped lateral incisors with direct composite veneer restorations: two case presentations

“…Their smaller size and shape, which can disrupt the smile and harmony with other teeth, represent a common dental form abnormality that can negatively impact patient psychology. 8,11 Direct composite applications provide a minimal intervention, single-session, and cost-effective treatment option for correcting shape irregularities and diastemas. The advantages of modern dental restorative materials, such as composite resins, include shortened working times, increased resistance to chewing forces through advanced adhesion technology, minimized color changes, and the ability to select colors at the patient's chairside.…”

Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth

“…The aesthetic region of the anterior teeth comprises the anterior teeth and surrounding tissues that are exposed when smiling. In general, it includes the regions of the incisors, canines, and premolars[ 9 – 11 ]. Defects in the anterior teeth not only affect normal oral function, but also affect the beauty of the patient’s face, which has a negative impact on the patient’s psychology[ 12 ].…”

Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth

“…The aesthetic region of the anterior teeth comprises the anterior teeth and surrounding tissues that are exposed when smiling. In general, it includes the regions of the incisors, canines, and premolars [9][10][11]. Defects in the anterior teeth not only affect normal oral function, but also affect the beauty of the patient's face, which has a negative impact on the patient's psychology [12].…”