Akademik Veri Yönetim Sistemi
IAD2023 KONYA | THE INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY, Konya, Türkiye, 1 - 03 Haziran 2023, ss.139
Introduction: There are many options for treatment planning in patients with unilateral or bilateral congenital lateral
incisor deficiency. While making this choice, aesthetics, the health of the surrounding dental tissues, the type of
malocclusion, the width of the cavity, the shape and volume of the canine teeth, the degree of cooperation and the
socioeconomic status of the patient should be considered. Adhesive restorations are one of the preferred treatment methods
because they can be applied in a single session, are aesthetic, inexpensive and repairable.
Case report: A 26-years-old female patient applied to our clinic. In the examination, it was determined that the patient had
unilateral lateral tooth deficiency, primary canine was present in the mouth and there was a diastema between the teeth.
Other treatment options were explained to the patient. The patient stated that she wanted to be treated with adhesive
restorations.
The form of the number 13 canine was made similar to the form of the lateral tooth. The form of the primary tooth number
53 was made similar to the canine tooth and aesthetics was achieved. The diastema between teeth 22 and 23 was closed by
enlarging the form of tooth 22.
37% phosphoric acid was applied to the teeth for 30 seconds, then the teeth were restored using 3M Single Bond 2 and 3M
Filtek Ultimate Universal A1 composite according to the manufacturer's instructions.
The patient was followed up 1 year later.
Conclusion: Conversion of the canine to the form of the maxillary lateral incisor creates many results in terms of aesthetics
and occlusion. The degree of aesthetic success in making the canine similar to the missing lateral tooth directly depends on
the original shape of the upper canine teeth and the ability of the person applying the treatment to make the canine look
like the lateral incisor. Acceptable aesthetics can be achieved with adhesive applications.