Congenitally absent maxillary lateral incisors. A case report illustrating the use of a Mesialslider and a customised lingual appliance
Abstract
Background
A young adolescent female, aged 17 years and one month, presented seeking orthodontic treatment to address the congenital absence of her maxillary lateral incisors.
Aims
The therapeutic aims were to provide an adequate aesthetic and functional occlusion, coupled with sound adjunctive periodontal tissue relationships and a favourable long-term prognosis.
Methods
The malocclusion was managed by customised lingual orthodontic appliances and the adjunctive use of direct skeletal anchorage derived from two palatal mini-implants.
Results
The treatment objectives of good aesthetics, a functional occlusion, normal function, a healthy periodontium and a balanced profile were readily achieved. The retention records demonstrate the stability of the correction. The treatment duration was approximately 41 months, which encompassed the use of full fixed customised lingual appliances over a period of 24 months.
© 2021 Stephan Pies, Benedict Wilmes, Sivabalan Vasudavan, published by Australian Society of Orthodontists Inc.
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