Treatment of bimaxillary dental protrusion in patient with maxillary lateral incisor agenesis and teeth loss

Fabrício Pinelli VALARELLI, Hediberton Alves AGUIAR, Mariane Martine PEDOTT, Melissa FACCINI, Rodrigo Hermont CANÇADO, Karina Maria Salvatore FREITAS

Objective: This paper aimed to report the clinical case of a patient presenting Class I malocclusion, bimaxillary dental protrusion, and agenesis of the lateral incisor treated by means of asymmetric and atypical extraction and mini-implants use. Case description: As the patient lost some teeth and underwent endodontic treatment in others, treatment comprised the atypical extraction of teeth #26, and extraction of teeth #34 and #44. Also due to the loss of tooth #37, tooth #27 was extruded, consequently requiring intrusion by mini-implants. Due to the agenesis of the right maxillary lateral incisor, the right maxillary canine underwent cosmetic change with resin composite at the ending of orthodontic treatment. Conclusion: By means of orthodontic mechanics associated with the use of mini-implants, the Class I malocclusion could be corrected, with improved facial profile, optimal static and dynamic occlusion, good facial and dental aesthetics, without the need for prosthetic rehabilitation or use of implants.

Keywords: Malocclusion, Angle Class I. Anodontia. Tooth loss.

How to cite: Valarelli FP, Aguiar HA, Pedott MM, Faccini M, Cançado RH, Freitas KMS. Treatment of bimaxillary dental protrusion in patient with maxillary lateral incisor agenesis and teeth loss. Clin Orthod. 2020 Aug-Sept;19(4):132-44.

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