Orientamenti terapeutici nell'agenesia degli incisivi laterali superiori

Objectives. The treatment planning of congenitally missing maxillary lateral incisors is often challenging because of the high aesthetic value of their seat. Aim of this work is to describe the main treatment choices reported in the literature together with their indications and protocols. Methods. Treatment planning must consider both patient-related factors (age, compliance, type and severity of malocclusion) and his expectations. Results. Conservative approach is possible with remodelling of deciduous maxillary lateral incisors by composite resin. However, it should be considered a short-term solution. It is possible to perform an orthodontic treatment plan either to move canines in the space of missing teeth or to open the same space in order to allow a prosthodontic restoration. There are currently available prosthodontic options such as traditional or resinbonded fixed partial dentures, removable partial dentures and osseointegrated implants. The latter option must be avoided in young patients, until facial growth is complete and permanent teeth are fully erupted. Autotransplantation of available teeth, generally extracted for orthodontic reasons, can also be a suitable choice in young patients. Conclusions. A multidisciplinary approach by orthodontist, prosthodontist and oral surgeon is required in the treatment of congenitally missing maxillary lateral incisors.