Orthodontic treatment of patient with bimaxillary dentoalveolar protrusion and agenesis of maxillary left lateral incisor

Abstract

Treatment planning for dental agenesis of lateral incisor is open space for prosthetic replacement or orthodontic closure of space by canine mesialization. This case report explains orthodontic management of an adolescent boy had clinical features of Edward Angle’s class I malocclusion with moderate bimaxillary dentoalveolar protrusion and unilateral congenital absence of maxillary left lateral incisor. Treatment completed in 18 months which included Straight wire fixed appliances, extraction of right peg lateral, retained deciduous left lateral in maxilla and right and left first premolars in mandibular arch. The end results showed maxillary canines were successfully substituted in the place of lateral incisor space.