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2017 Annual Session Conference

AS17B40B - Congenitally Missing Upper Lateral Incisors: Is There One Best Treatment Option?

Apr 24, 2017 10:30am ‐ Apr 24, 2017 11:15am


When treating congenitally missing upper laterals (C.M.U.L.) there are many options that will improve both the patient’s appearance and function. But is there ONE best option for the majority of CMUL patients? This presentation will carefully review specific factors that might help decide whether the implant approach or the canine conversion approach is best suited for specific cases. While the orthodontist is often the leader of the treatment team for CMUL patients, it is very important that the preferences of the patient, the parent(s) and all of the members of the treatment team are fully considered and implemented in the development of the ultimate treatment plan. Once that “unified” plan is undertaken procedures can be coordinated, maximizing the efficiency of care. This presentation will illustrate systems that will make it easier to keep the interdisciplinary measures on track. It will also introduce detailed orthodontic steps that can facilitate and achieve the desired pre-restorative clinical result that allows an outcome which exquisitely camouflages CMULs. This lecture, heavily inspired by Bjorn Zachrisson, will provide insights and options that orthodontists might have overlooked in managing the care of CMUL patients.

Learning Objectives:

  • Appreciate the importance of getting all parties on board.
  • Incorporate a broader array of elements that make for an exquisite result.
  • Employ a broader perspective of the considerations involved in taking the best approach.


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