Sheraz Burki, Saqib Rashid, Ulfat Bashir.
Orthodontic management option of Congenitally missing Mandibular Central Incisors (A case report).
Pak Oral Dental J Jan ;22(1):19-24.

A case report of orthodontic management of a malocclusion with bilateral congenitally missing mandibular central incisors; the patient presented with the chief complaint of a midline space in the mandibular arch and slight rotations of the maxillary central incisors. Creating a space in the mandibular arch for one incisor and providing the patient with a resin bonded three unit bridge was the treatment of choice in this patient.

CASE REPORT: The patient was 16 years 2 months old at the start of treatment. He was Pakistani male, in good health, with noncontributory medical history relative to the malocclusion. He had an orthognathic facial profile and exhibited good facial balance in all proportions, Lips were competent at rest. On intra-oral examination class-I molar and canine relationships were seen on either side. Maxillary central incisors were slightly rotated medially. Three-millimeter space existed in mandibular midline between the mandibular lateral incisors. Both mandibular central incisors were not seen on examination. There was no history of extraction of these teeth. No temporo-mandibular dysfunction was detected. No family history of missing teeth. Patient`s chief complaint was the space in the mandibular dental midline and rotated maxillary central incisors. On radiographic examination perma nent mandibular central incisors were found missing. All the four third molars were present. No periapical pathology was seen. There was crowding of 2 mm identified in maxillary arch. Maxillary dental arch was slightly `V` shaped. Over jet was 1 mm and overbite was 3.5 mm. Patient showed satisfaction on the antero-posterior position of the maxillary incisors when inquired.

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