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Treatment of absent maxillary lateral incisors: orthodontic space closure and associated procedures

Abstract

Missing maxillary lateral incisors can be treated either with orthodontic space closure or preservation of the edentulous space for tooth replacement. Orthodontic space closure coupled with non-invasive post-orthodontic cosmetic dentistry is a compelling option compatible with optimal function, favourable aesthetics, and periodontal health in the long-term. We present the rationale for space closure and detail contemporary clinical strategies underpinning interdisciplinary treatment planning and excellence in finishing.

Key points

  • To provide valuable knowledge to manage patients with absent maxillary lateral incisors.

  • To highlight the advantages of the orthodontic space closure treatment option.

  • To provide an interdisciplinary protocol to achieve good clinical outcome following orthodontic space closure.

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Acknowledgments

A special thank to Dr Patrizia Lucchi who performed all the composite restorations.

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Contributions

Davide Mirabella: conceptualisation, literature review, original draft writing and editing; Marco Rosa: conceptualisation, literature review, clinical cases, and reviewing.

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Correspondence to Davide Mirabella.

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Mirabella, D., Rosa, M. Treatment of absent maxillary lateral incisors: orthodontic space closure and associated procedures. Br Dent J 237, 369–378 (2024). https://doi.org/10.1038/s41415-024-7793-x

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