title: [Failure in anterior rehabilitation of agenesic maxillary lateral incisors].
abstract: Agenesis of the maxillary lateral incisors poses particular problems for dentists, orthodontists and patients. Treatment of these ageneses is still highly controversial, both functionally and esthetically. The patient's smile and anterior guidance are affected and must be restored. The diagnosis is easy. Few mistakes are possible. However, managing patients with missing maxillary lateral incisors can be a challenge, commonly involving two possible treatment approaches: space opening to replace the missing lateral incisor with a prosthetic unit (denture, bridge or implant) or orthodontic space closure replacing the missing lateral incisor with the maxillary canine camouflaged to mimic the appearance of a lateral incisor. One of these two options will be adopted using multiple means...liable to trigger a multitude of possible errors. Ultimately, optimal results can only be achieved if there is excellent coordination between different practitioners in various specialties. Each clinician will have a specific role to play. Also, the patient and family are at the heart of the decision-making process, by virtue of their consent (treatment duration, financial resources) and their motivation. This multi-factorial, multi-disciplinary decision process means that treatment of the lateral incisor is an ongoing challenge for the clinician striving for the best possible result. Each case is different. No set rules exist. No single factor can be neglected if we are to avoid "failure".
authors.affiliation: Unité fonctionnelle d'ODF, hôpital de la Timone, service d'odontologie, 264 rue Saint Pierre, 13385 Marseille, France - Villa Gabrielle, 314 boulevard Marcel Pagnol, 13400 Aubagne, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Le Gall
authors.affiliation: 84 bis rue de Paris, 92100 Boulogne, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Philippart-Rochaix
authors.affiliation: Unité fonctionnelle d'ODF, hôpital de la Timone, service d'odontologie, 264 rue Saint Pierre, 13385 Marseille, France.
authors.forename: Camille
authors.initials: C
authors.lastname: Philip-Alliez
mesh_terms: D000848:Anodontia / Q000175:diagnosis / Q000534:rehabilitation*; D001641:Bicuspid / Q000033:anatomy & histology; D003299:Cooperative Behavior; D003481:Cuspid / Q000033:anatomy & histology; D003657:Decision Making; D015921:Dental Implants; D003812:Dentist-Patient Relations; D042241:Early Diagnosis; D004955:Esthetics, Dental; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D007400:Interprofessional Relations; D019516:Orthodontic Space Closure / Q000379:methods*; D010347:Patient Care Planning; D010348:Patient Care Team; D010519:Periodontium / Q000033:anatomy & histology; D012904:Smiling; D013027:Space Maintenance, Orthodontic / Q000379:methods; D019228:Tooth Crown / Q000033:anatomy & histology; D014087:Tooth Movement Techniques / Q000379:methods*; D017211:Treatment Failure
chemical_list: D015921:Dental Implants