Management of mandibular second premolar agenesis
CECSMO 4, Paris 7 Denis Diderot University Pitié-Salpêtrière Hospital, AP-HP (Paris Hospitals Board), France
2 Orofacial Deformities Reference Center, Rothschild Hospital, Paris, France
3 Private periodontal and implantology practice, Courbevoie, France
4 Pediatric odontologist, Paris 7 Denis Diderot University, Odontology Center, Rothschild Hospital, AP-HP (Paris Hospitals Board), France
Address for correspondence: Marie Medio 14 rue Le Brun 75013 Paris; firstname.lastname@example.org
In Europe, dental agenesis affects 5.45% of the population. Apart from third molars, the mandibular second premolars are most often affected. For each clinical situation, the orthodontist must select the best treatment option to manage the edentulous space.
This space can be closed or left open.
If the space is to be closed, the goal is to achieve stable and functional occlusal relationships without negative impact on profile.
If the space is to be left open, the goal is to create a space suitable for future prosthetic restoration, render the dental axes parallel, and maintain optimal bone volume, especially if the deciduous molar is in infra-occlusion.
In this paper we present various treatment options for managing mandibular second premolar agenesis.
Key words: Dental agenesis / mandibular second premolars / infra-occlusion of deciduous molars / orthodontics / decision-making
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