Title Canine Substitution Can Be An Acceptable Treatment for Patients With Missing Lateral incisors
Clinical Question In patients with congenitally missing laterals is space closure superior to implant placement in regards to function and esthetics?
Clinical Bottom Line Currently, there is no scientific evidence to recommend best treatment option for patients with congenitally missing lateral incisors. RCT and long-term follow up is needed.
Best Evidence  
PubMed ID Author / Year Patient Group Study type
(level of evidence)
23406509Andrade/2013Patients with Congenitally missing lateral Incisors.Systematic review of non-randomized trials
Key resultsThe systematic review was unable to find any scientific evidence to recommend one treatment over another due to the high chance of bias and lack of RCTs.
25646137Pini/2014Patients with Congenitally missing lateral Incisors.Literature Review
Key resultsThere was no conclusion as to which method was superior in regards to function and esthetics. Long-term follow up studies are recommended. Proper treatment planning and diagnosis amongst specialties is recommended as the best method of treatment to give the best individual results.
Evidence Search ((congenitally missing lateral) AND space closure) AND implants
Comments on
The Evidence
Both articles were unable to find sound data without bias.
Applicability Decision may be influenced by patient’s age, classification of skeletal and dental malocclusion, periodontal condition, gingival architecture and canine shape and size. Another factor, which may play a role, is cost and long-term follow up.
Specialty (Orthodontics) (Periodontics) (Prosthodontics) (Restorative Dentistry)
Keywords Canine Substitution, Congenitally missing lateral incisors, Implants, Space Closure
ID# 2936
Date of submission 10/14/2015
E-mail kraftk@uthscsa.edu
Author Kelsey Kraft, DDS
Co-author(s) e-mail
Faculty mentor Ravikumar Anthony, BDS, MDS, MS
Faculty mentor e-mail anthony@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
None available
Comments and Evidence-Based Updates on the CAT
None available