Orthodontic vs. Restorative Treatment of the Congenitally Absent Lateral Incisor—Long Term Periodontal and Occlusal Evaluation

Canine substitution of a missing maxillary lateral incisor in an orthodontic re-treatment case: long term follow up

“…24 Both the implant and the prosthetic solutions commit the patient to lifelong maintenance of his/her artificial restoration in the most aesthetic, visible area of the mouth. [2][3][4] Our rationale for choosing the canine substitution treatment strategy in this particular case was made on the basis that the patient had all the characteristics required in order to obtain a long-term satisfying aesthetic outcome. Our review of the literature revealed that with canine substitution there is a more favourable periodontal status and increased patient satisfaction especially when the patient has harmonious exposure of gingival tissues during normal function.…”

“…Opening the space will place the maxillary canine in its original anatomical position thus providing canine guidance, while space closure will yield a group function occlusal pattern. 3 While the importance of occlusal outcomes should not be underestimated, there is no substantial evidence that achieving a particular occlusion is of chief concern when patients are missing maxillary lateral incisors. In fact, evidence supports the importance of the overall aesthetic outcomes-as long as there is reasonable function -over achieving an ideal Class I occlusion.…”

“…In fact, evidence supports the importance of the overall aesthetic outcomes-as long as there is reasonable function -over achieving an ideal Class I occlusion. 3 It is natural that restorative dentists, periodontists, and maxillofacial surgeons have a predilection for opening space. From their vantage point opening space gives them the opportunity to use their specific training and skill during the restorative process.…”

The Impact of Alveolar Bone Grafting on Cleft Lip and Palate: A literature review

“…As a result, the residual gap in the arch was rarely of an ideal size and often resulted in undesirable aesthetics and a deterioration of dental health often due to the xed nature of the xed prosthesis. 17 Alveolar grafting has transformed the management of the cleft site, allowing complex post-graft orthodontic movement. Keeping the cleft related lateral incisor has been estimated to be possible in up to 30% of patients.…”

Morfologia do osso periodontal na região de caninos superiores movimentados para a área de fissura alveolar enxertada: avaliação por meio da Tomografia Computadorizada Cone-Beam

“…(SABRI, 1999) O fechamento do espaço é favorecido pela irrupção mesializada do canino, relação sagital de Classe II e discrepância dente-osso negativa. Este tratamento tem apresentado bons resultados periodontais a longo prazo (NORDQUIST, MCNEILL, 1975;SILVA FILHO et al, 2000), quando o canino adjacente é mesializado para a região de incisivo lateral, tomando os devidos cuidados durante a reanatomização para torná-lo o mais parecido possível com um incisivo lateral. Enquanto um dente é ortodonticamente movimentado pelo alvéolo, ocorre uma remodelação óssea em volta da raiz, (ZACHRISSON, 2003) GARIB et al, 2006;GRACCO et al, 2009;NAUERT, BERG, 1999;RUNGCHARASSAENG et al, 2007;SARIKAYA et al, 2002;VASCONCELOS et al, 2012;YATABE, 2010) KING, 1990;DORFMAN, 1978;GARIB et al, 2006;GEIGER, WASSERMAN, 1980;HOLLENDER, RONNERMAN, THILANDER, 1980;PERSSON, LENNARTSSON, 1986;SHARPE et al, 1987;SJOLIEN, ZACHRISSON, 1973;THILANDER, 1992;YAGCI et al, 2012;ZACHRISSON, ALNAES, 1973, 1974 Quando uma pressão é aplicada ao dente, leva a uma alteração no fluxo sanguíneo do ligamento periodontal, que diminui onde o ligamento é comprimido e é mantido ou aumentado onde o ligamento está sob tensão.…”