ABSTRACT
The peg-shaped maxillary lateral incisors cause functional and esthetic
imbalance in the patient’s mouth. Depending on the clinical situation,
several therapeutic solutions can be considered. Their management can be
long and complex (orthodontics, periodontal surgery, coronary
restoration etc). However, no article, to our knowledge, suggests a
protocol of management to simplify the rehabilitation of the lateral
maxillary riziform incisors.
Objective: To elaborate a universal clinical protocol in order
to facilitate the management of these lateral incisors for practitioners
(orthodontists, general practitioners).
Clinical considerations: a case of two upper lateral incisors
affected by microdontia restored by using an orthodontic treatment, a
veneer and a direct composite resin restoration.
Conclusions: An exobuccal, endobuccal and smile clinical
analysis is crucial to ensure optimal rehabilitation. In addition, wax
up and mock up play a key role in the communication between practitioner
and patient. They allow the validation of the therapeutic decision by
the patient, the general practitioner, and the orthodontist but they
also facilitate orthodontic movements.