[The single missing tooth. Treatment possibilities from an orthodontic view point].
In patients with single missing teeth, a standard treatment plan does not exist. The treatment plan depends on the age and the facial profile, the malocclusion, the interdigitation, the available space, the amount of bone, the shape, color, and the level of the gingiva of the neighbouring teeth. Closing or opening the diastema should be considered. A diagnostic set-up of the final occlusion can provide more insight into the final result that can be expected from the treatment modalities. Orthodontic closure of the diastema is preferable, but not always feasible or desirable and compensatory extractions may be necessary. In children, auto-transplantation is an option. In adults with a sufficient amount of bone the placement of an implant may be the treatment of choice. Frequently, preimplantological bone augmentation is necessary because otherwise prosthodontic replacement is the only solution.
Kiekens
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RM
Vakgroep Orthodontie en Orale Biologie, Katholieke Universiteit Nijmegen, Postbus 9101, 6500 HB Nijmegen.
Kuijpers-Jagtman
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AM
D016025:Bone Transplantation; D003442:Crowns; D003829:Denture, Partial; D003970:Diastema / Q000628:therapy; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000628:therapy*; D008310:Malocclusion / Q000628:therapy; D009971:Orthodontics, Corrective / Q000379:methods*; D016388:Tooth Loss / Q000628:therapy*; D016896:Treatment Outcome
Het ontbrekende gebitselement. Behandelingsmogelijkheden vanuit orthodontisch oogpunt bezien.