title: Fusion of a Maxillary Central and Lateral Incisor With a Congenitally Missing Lateral: A 10-Year Conservative, Esthetic Approach.
abstract: Dental fusion and agenesis present unique esthetic challenges for the dental team when discovered in a developing child. This article highlights treatment of a 9-year-old girl with fusion of a maxillary central and lateral incisor with a congenitally missing lateral over a 10-year period. The article defines the developmental anomalies, provides a review of treatment options for the clinical team, and highlights clinical management using a conservative, interdisciplinary approach to esthetic treatment.
authors.affiliation: Clinical Assistant Professor of Restorative Dentistry, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Prosthodontist, Private Practice, Philadelphia, Pennsylvania.
authors.forename: Leslie
authors.initials: L
authors.lastname: Stone Hirsh
authors.affiliation: Clinical Professor, Co-Clinical Director, Department of Orthodontics, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Adjunct Instructor, Department of Oral and Maxillofacial Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; Orthodontist, Private Practice, Philadelphia, Pennsylvania, and Ardmore, Pennsylvania.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Greco
authors.affiliation: Periodontist, Private Practice, Philadelphia, Pennsylvania.
authors.forename: Jay B
authors.initials: JB
authors.lastname: Laudenbach
authors.affiliation: Clinical Professor of Restorative Dentistry, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; Private Practice, Philadelphia, Pennsylvania.
authors.forename: Alan M
authors.initials: AM
authors.lastname: Atlas
mesh_terms: D000848:Anodontia / Q000601:surgery*; D002648:Child; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D007180:Incisor / Q000002:abnormalities* / Q000601:surgery*; D008437:Maxilla / Q000601:surgery*; D010347:Patient Care Planning; D014087:Tooth Movement Techniques / Q000379:methods*