title: A "midline dilemma" in an adult mutilated dentition.
abstract: Orthodontic treatment for adult patients who have mutilated dentitions can be clinically challenging. A 58-year-old man with several occlusally abraded teeth, a congenitally missing maxillary lateral incisor, and prior implant placement sought orthodontic treatment and restoration. Prosthetic restoration would not be possible. The "dilemma" for this patient was whether to trephine and remove an existing implant and make space for a new lateral incisor implant, or to restore the maxillary canine as a lateral incisor.
authors.affiliation: Private practice, Springfield, Va. Electronic address: jeb6116@erols.com.
authors.forename: John E
authors.initials: JE
authors.lastname: Bilodeau
mesh_terms: D000848:Anodontia / Q000628:therapy*; D003442:Crowns; D003481:Cuspid / Q000473:pathology; D015921:Dental Implants; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D008297:Male; D008310:Malocclusion / Q000628:therapy; D008875:Middle Aged; D009971:Orthodontics, Corrective / Q000379:methods*; D010347:Patient Care Planning; D023861:Photography, Dental; D014072:Tooth Abrasion / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000379:methods
chemical_list: D015921:Dental Implants