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.