Multi-disciplinary approach for space management of microdontia and upper central incisor retention: a case report

Abstract

The aim of this article is to present a treatment alternative for microdontia rehabilitation and dental retention. The concept of ideal intercuspation assumes a strict relationship between tooth size and the size of the maxillary and mandibular arches. An impacted maxillary central incisor in a child poses a disturbing esthetic dilemma because of its prominent location. This report presents a 13 year-old patient with microdontia of the upper lateral incisors and retention of the upper right central incisor. Treatment began with the surgical exposure of the retained incisor using light biomechanical traction forces and planning the prosthetic rehabilitation of the lateral incisors by setting up a functional occlusion. Therefore, orthodonticsperiodontics-prosthesis interdisciplinary relationship provides an optimal combination for the integral rehabilitation of these patients.Key words: Canine traction, periodontal surgery for lingual button placement, ceromer veneers, high-pull headgear, orthodontics, periodontics, prosthetic dentistry, interdiscipline in Odontology.