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Abordagem terapĂȘutica da agenesia do incisivo lateral maxilar
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Abstract(s)
A agenesia de incisivo lateral maxilar, uni- ou bilateral, Ă© uma das muitas desarmonias oclusais cujo tratamento Ă© um desafio para os ortodontistas. VĂĄrias modalidades de tratamento tĂȘm sido utilizadas ao longo dos anos, visando principalmente em substituir os dentes ausentes. Todavia, as principais alternativas de tratamento sĂŁo o fechamento ortodĂŽntico do espaço ou abertura de espaço para as substituiçÔes protĂ©ticas. A anĂĄlise de fatores como a idade do paciente, o tipo de mĂĄ-oclusĂŁo sagital, a presença ou ausĂȘncia de apinhamento nas arcadas superior e inferior, o perfil facial do indivĂduo, bem como a quantidade de espaço e volume Ăłsseo disponĂveis podem auxiliar o profissional e o paciente na escolha do tratamento mais adequado para o caso. O presente estudo tem por objetivo descrever alguns aspectos relacionados Ă agenesia de incisivos laterais superiores, como etiologia, diagnĂłstico e formas de tratamento mais apropriadas, uma vez que tal anomalia Ă© frequentemente encontrada em consultĂłrios odontolĂłgicos.
The single or bilateral congenitally missing permanent lateral incisors is one of the most occlusal anomalies whose orthodontic management is a challenge for the orthodontists. Several treatment modalities have been used over the years addressing mainly to replace the missing teeth. However, the major alternative treatment options are orthodontic space closure or space opening for prosthetic replacements. Analysis of the factors such as patientâs age, type of sagittal malocclusion, presence or absence of crowding in both dental arches, type of facial profile, as well as the amount of space and bone volume available may aid the professional and the patient to choose the most appropriate treatment. The purpose of the present study is to describe some aspects relative to maxillary lateral incisors agenesis, such as etiology, diagnosis and types of treatment, since that occlusal disharmony Ă© usually found in dental offices.
The single or bilateral congenitally missing permanent lateral incisors is one of the most occlusal anomalies whose orthodontic management is a challenge for the orthodontists. Several treatment modalities have been used over the years addressing mainly to replace the missing teeth. However, the major alternative treatment options are orthodontic space closure or space opening for prosthetic replacements. Analysis of the factors such as patientâs age, type of sagittal malocclusion, presence or absence of crowding in both dental arches, type of facial profile, as well as the amount of space and bone volume available may aid the professional and the patient to choose the most appropriate treatment. The purpose of the present study is to describe some aspects relative to maxillary lateral incisors agenesis, such as etiology, diagnosis and types of treatment, since that occlusal disharmony Ă© usually found in dental offices.
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Keywords
Agenesia do incisivo lateral maxilar Fechamento ortodÎntico de espaço Substituição protética Abertura ortodÎntica de espaços Maxillary lateral incisor agenesis Orthodontic space closure Prosthetic replacement Orthodontic opening space