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2019 Annual Session Conference

“Temporary” Replacement of Missing Maxillary Lateral Incisors with Orthodontic Miniscrew Implants in Growing Patients: Rationale, Clinical Technique and Results

May 4, 2019 1:45pm ‐ May 4, 2019 2:15pm


Congenitally missing maxillary lateral incisors are not an uncommon finding among the population. When these are discovered in growing adolescent patients desiring orthodontic treatment, two primary treatment options are available – canine substitution or dental implant restorations. Both are viable options. The problem with dental implants in growing adolescents is that they do not continue to erupt with the dentition and become submerged relative to the dentition, resulting in esthetic consequences.

Dr. Cope will introduce the concept of placing a miniscrew implant as a temporary replacement for a missing maxillary lateral incisor that he first treatment planned on a patient in 2003. Since then, he has further developed and refined the technique. The presentation will include the historical development, rationale, clinical protocol, and long-term results of temporary replacement of lateral incisors with miniscrew implants, as well as comparison with other treatment options.

Learning Objectives:

  • Identify the limitations of placing dental implants in growing adolescents.
  • Appreciate the difference between dental implants and miniscrew implants.
  • Comprehend the rationale of placing miniscrew implants temporarily to replace maxillary lateral incisors in growing children.


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