Interdisciplinary Management of One or Two Missing Maxillary Incisors: A Clinical Case Series

CASE REPORT
Miranda Sejdiu Abazi, Arben Abazi, Agim Prokshaj, Tetore Olloni, Egzon Veliu

 
For citation: Abazi MS, Abazi A, Prokshaj A, Olloni T, Veliu E. Interdisciplinary Management of One or Two Missing Maxillary Incisors: A Clinical Case Series. International Journal of Biomedicine. 2025;15(4):759-762. doi:10.21103/Article15(4)_CR2
 
Originally published December 5, 2025

Abstract: 

Congenital absence of one or both maxillary lateral incisors is a common dental anomaly that significantly impacts a patient's facial aesthetics, oral function, and occlusal development. Given the anterior location of these teeth, their absence necessitates careful, individualized treatment planning. The choice between orthodontic space closure and prosthetic replacement depends on a range of dental, skeletal, and aesthetic factors. Therefore, an interdisciplinary approach—typically involving orthodontists, prosthodontists, and occasionally oral surgeons—is essential to achieve optimal functional and aesthetic results.
This article presents clinical outcomes from a case series involving patients with one or two missing maxillary lateral incisors. Each case was managed through customized treatment plans based on the patient’s age, occlusal relationship, space conditions, and aesthetic considerations. Treatment modalities included either orthodontic space closure or space opening, followed by prosthetic rehabilitation using supported crowns or resin-bonded prostheses. Diagnostic records, treatment duration, aesthetic results, and patient satisfaction were evaluated.
The management of missing maxillary lateral incisors requires a personalized approach that considers the clinical, aesthetic, and psychosocial aspects of each case. No universal solution exists; thus, decisions between space closure and prosthetic replacement should be made collaboratively through interdisciplinary planning. The presented cases highlight that individualized orthodontic-prosthetic strategies can yield excellent functional and aesthetic outcomes.

Keywords: 
maxillary incisor • space management • orthodontic space • interdisciplinary treatment
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Received August 4, 2025.
Accepted November 30, 2025.
©2025 International Medical Research and Development Corporation.