Edition V17N02 | Year 2020 | Editorial Caso Clínico | Pages 134 to 150
Dental agenesis, especially of maxillary lateral incisors, is the most common type of disturbances of teeth. Most of the time, it causes the disharmony of the smile and causes patient dissatisfaction. In addition, it requires multidisciplinary planning to define the best treatment option, aiming at a good aesthetic and functional result. The purpose of this clinical case is to report the multidisciplinary approach in a case of reanatomization of canines with ceramic veneers in a patient with upper lateral incisor agenesis and to evaluate the clinical performance 3 years after cementation. A 31-year-old male patient sought treatment reporting aesthetic dissatisfaction of the anterior teeth. Clinical examination revealed diastema and agenesis of teeth 12 and 22. Patient reported having undergone orthodontic treatment 10 years ago to close the spaces and reanatomize the canines on the sides, however there was no adequate and desired completion. Planning started with the waxing diagnosis, followed by mock-up. The proposed treatment plan was to carry out gingivoplasty and osteotomy, followed by home bleaching, and final aesthetic restoration treatment by means of 8-element lithium disilicate veneers dental procedures. The patient returned to the clinic once a year, in which veneers evaluation, prophylaxis and plaque control were performed. After 3 years of follow-up, it was concluded that the reanatomization of canines in upper lateral incisors absent by agenesis, with veneers is a good alternative for aesthetic rehabilitation treatment
Tsuzuki FM, Terada RSS, Endo MS, Kitayama VS. Ceramic laminate veneers for multidisciplinary treatment of bilateral maxillary incisors agenesis: Case report with 3-year follow-up. J Clin Dent Res. 2020 May-Aug;17(2):134-50.