| 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) |
| 23406509 | Andrade/2013 | Patients with Congenitally missing lateral Incisors. | Systematic review of non-randomized trials | | Key results | The 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. | | 25646137 | Pini/2014 | Patients with Congenitally missing lateral Incisors. | Literature Review | | Key results | There 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) |
|
| 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
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
| None available | |