Document Type : Review article

Authors

1 Professor and Head, Department of Orthodontics and Dentofacial, Hitkarini Dental College and Hospital, Jabalpur

2 Post graduate Student, Department of Orthodontics and Dentofacial Orthopedics, Hitkarini Dental College and Hospital, Jabalpur

3 Professor, Department of Orthodontics and Dentofacial, Hitkarini Dental College and Hospital, Jabalpur

10.22034/ijo.2021.543629.1012

Abstract

Background: Addressing the challenges posed by the Congenitally Missing Maxillary Lateral Incisors (CMMLI) is not limited to single treatment modality.
Objective: This systematic review is intended to evaluate the evidence for the best treatment option available for the CMMLI.
Methods: Electronic data base search was done across PubMed, Google scholar, Embase, Publons, Web of Sciences, etc. Selection of articles was limited to English language publications pertaining to CMMLI treatment modalities either by closing the space orthodontically and substituting canine or by prosthetic replacement. Two authors reviewed the articles for the eligibility criteria to overcome the selection bias. The risk for assessment of bias across and within the studies was done through Cochrane ROBINS-I assessment tool.
Results: Out of 130 studies which were searched for review questions, only 3 studies met the selection criteria. There was no difference in the periodontal status evaluation or in the patient’s perception of aesthetics between the two treatment modalities. Neither of the two treatment modalities cause any TMJ abnormalities.
Conclusion: Both closing the space orthodontically by substituting canine and prosthetic replacement by the use of implant for the missing maxillary lateral incisor seem to be viable treatment plans.  

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  1. Azizi Z, HusseinE, AksoyA, Watted N, Jarbawi M. The Orthodontic Management of Adult Patients with Congenitally Missing Teeth. Int. Journal of Clinical Dental Science 2014;5(1):1-4.
  2. Westgate E, Waring D, Malik O, Darcey J. Management of missing maxillary lateral incisors in general practice: space opening versus space closure. Br Dent J 2019;226(6):400-6. doi: 10.1038/s41415-019- 0082-4.
  3. Larmour CJ, Mossey PA, Thind BS, Forgie AH, Stirrups DR. Hypodontia: a retrospective review of prevalence and etiology. Part I. Quintessence Int 2005; 36:263–70. PMID: 15835422.
  4. Rølling S, Poulsen S. Agenesis of permanent teeth in 8138 Danish schoolchildren: prevalence and intraoral distribution according to gender. Int J Paediatr Dent 2009; 19:172–5. doi: 10.1111/j.1365-263X.2008.00958.x.
  5. Priest G. The treatment dilemma of missing maxillary lateral Incisors-Part I: Canine substitution and resin-bonded fixed dental prostheses. J Esthet Restor Dent 2019; 31(4):311-8. doi: 10.1111/jerd.12484.
  6. Kokich VO, Kinzer GA. Managing congenitally missing lateral incisors. Part I: canine substitution. J Esthet Restor Dent 2005; 17:5-10. doi: 10.1111/j.1708- 8240.2005.tb00076.x.
  7. Jamilian A, Perillo L, Rosa M. Missing upper incisors: a retrospective study of orthodontic space closure versus implant. Prog Orthod 2015; 16:2. doi: 10.1186/s40510-015-0072-2.
  8. Marchi LM, Pini NI, Hayacibara RM, Silva RS, Pascotto RC. Congenitally missing maxillary lateral incisors: functional and periodontal aspects in patients treated with implants or space closure and tooth recontouring. Open Dent J 2012; 6:248-54. doi: 10.2174/1874210601206010248.
  9. Akram S, Masood M, Asghar H, Asghar H, Haseeb A, Masood O. To Analyze the Outcome of Orthodontic Space Closure and Implant Substitution in Patients Presented with Missing Maxillary Incisors. Pakistan J. Medical Health Sci 2019;13(3):856-8.
  10. Sarkar N, Reddy S, Mattu N, Goel S. Canines substitution for congenitally missing maxillary lateral incisors– An interdisciplinary case report. Indian J Orthod Dentofacial Res 2017;3(2):114-8.
  11. Senty EL. The maxillary cuspid and missing lateral incisors: Esthetics and occlusion. Angle Orthod 1976; 46:365-71. doi: 10.1043/0003- 3219(1976)046<0365:TMCAML>2.0.CO;2.
  12. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and MetaAnalyses: The PRISMA Statement. BMJ 2009;339: b2535. doi: 10.1136/bmj.b2535.
  13. Sterne JAC, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M et al. ROBINS-I: a tool for assessing risk of bias in non-randomized studies of interventions. BMJ 2016; 355: doi: 0.1136/bmj.i4919.
  14. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Epidemiology 2007; 18:800-4. doi: 10.1097/EDE.0b013e3181577654.
  15. Mattheeuws N, Dermaut L, Martens G. Has hypodontia increased in Caucasians during the 20th century? A meta-analysis. Eur J Orthod 2006; 26(1):99- 103. doi: 10.1093/ejo/26.1.99.
  16. Nordquist GG, McNeill RW. Orthodontic vs. restorative treatment of the congenitally absent lateral incisor: long term periodontal and occlusal evaluation. J Periodontol 1975;46(13):139-43. doi: 10.1902/jop.1975.46.3.139.
  17. Priest G. An 11-year reevaluation of resin-bonded fixed partial dentures. Int J Periodontics Restorative Dent 1995;15(3):238- 47. PMID: 7558657.
  18. Gilmour ASM, Ali A. Clinical performance of resinretained fixed partial dentures bonded with a chemical active luting cement. J Prosthet Dent 1995; 73:569-73. doi: 10.1016/s0022-3913(05)80118-0
  19. Almeida RR, Morandini AC, Almeida-Pedrin RR, Almeida MR, Castro RC, Insabralde NM. A multidisciplinary treatment of congenitally missing maxillary lateral incisors: a 14-year follow-up case report. J Appl Oral Sci 2014 ;22(5):465-71. doi: 10.1590/1678-775720140061.
  20. Levin EI. Dental esthetics and the golden proportion. J Prosthet Dent 1978; 40(3):244-52. doi: 10.1016/0022 3913(78)90028-8.
  21. Fields HW Jr. Orthodontic-restorative treatment of relative mandibular anterior excess tooth size problems. Am J Orthod 1981;79(2):176-83. doi: 10.1016/0002-9416(81)90315-8.
  22. Schneider UE, Moser L, Pellitteri G, Siciliani G. Orthodontic space closure vs. implant-borne crowns in patients with congenitally missing maxillary lateral incisors. J Clin Orthod 2018; 52(5):284-96. PMID: 29952765.
  23. Brånemark P-I, Zard GA, Alberktsson T. Tissue integrated prosthesis: Osseointegration in clinical dentistry. Chicago: Quintessence; 1985.
  24. Balshi TJ. Osseointegration and orthodontics: modern treatment for congenitally missing teeth. Int J Periodontics Restorative Dent 1993;13(6):494-505. PMID: 8181910.
  25. Sabri R. Management of missing maxillary lateral incisors. J Am Dent Assoc 1999;130(1):80-4. doi: 10.14219/jada.archive.1999.0032.
  26. Kinzer, G. A. and V. O. Kokich Jr. Managing congenitally missing lateral incisors. Part III: singletooth implants. J Esthet Restor Dent 2005. 17:202–210. doi: 10.1111/j.1708-8240.2005.tb00116.x.
  27. Zachrisson BU, Rosa M, Toreskog S. Congenitally missing maxillary lateral incisors: canine substitution. Point. Am J Orthod Dentofacial Orthop 2011; 139(4). doi: 10.1016/j.ajodo.2011.02.003.
  28. Datta R. When to Substitute a Missing Upper Lateral with a Canine: A Simplified Approach. J Indian Orthod Soc 2021;55(3):305-309. doi: 10.1177/0301574220980540
  29. Cocconi R, Rapa S. Unilateral agenesis of the maxillary lateral incisor: space closure versus space preservation in growing patients. Semin Orthod 2020; 26:24–32. doi: 10.1053/j.sodo.2020.01.004.
  30. Gupta S, Rauniyar S. Management of missing maxillary lateral incisor: A contemporary review. Orthod J Nepal. 2021; 11: 72-78. doi: 10.3126/ojn.v11i1.39092.