The missing maxillary lateral incisor in adolescent patients presents an orthodontic challenge. Historically, there have been three treatment options to address this clinical problem: (1) canine substitution, (2) tooth auto-transplantation, and (3) dental restoration. Unfortunately, these methods are not without limitation. A novel treatment concept, originating in 2003 and utilizing orthodontic miniscrew implants, is presented along with the rationale, clinical technique and 8 years of follow-up.
BehrentsRG. Growth in the aging craniofacial skeleton. Monograph 17. Craniofacial Growth Series. Ann Arbor, MI: Center for human growth and development, University of Michigan. 1985.
2.
BehrentsRG. An atlas of growth in the aging craniofacial complex. Monograph 18. Craniofacial Growth Series. Ann Arbor, MI: Center for human growth and development, University of Michigan. 1985.
3.
BidraAS, AlmasK.Min implants for definitive prosthodontics treatment: A systematic review. J Prosthet Dent2013; 109: 156–164.
4.
BodicF, HamelL, LerouxelE, BasleMF, ChappardD.Bone loss and teeth. Joint Bone Spine2005; 72: 215–221.
5.
BuserDI, SchenkRK, SteinemannS, FiorelliniJP, FoxCH, StichH.Influence of surface characteristics on bone integration of titanium implants: A histomorphometric study in miniature pigs. J Biomed Mater Res1991; 25: 889–902.
6.
CiarlantiniR, MelsenB.Miniscrew-retained pontics in growing patients: A biological approach. J Clin Orthod2012; 46: 638–640.
7.
CopeJB, OwensSE. Historical development and evolution of temporary anchorage devices. In CopeJB, (ed). OrthoTADs: The Clinical Guide and Atlas. Dallas, TX: Under Dog Media, 2007. pp 3–20.
8.
CopeJB, HermanRJ. The ortho implant system. In Cope JB, (ed). OrthoTADs: The Clinical Guide and Atlas. Dallas, TX: Under Dog Media, 2007. pp 137–158.
9.
CroninRJJr, OesterleLJ. Implant use in growing patients: Treatment planning concerns. Dent Clin N Am1998; 42: 1–34.
10.
CroninRJJr, OesterleLJ, RanlyDM. Mandibular implants and the growing patient. Int J Oral Maxillofac Impl1994; 9: 55–62.
11.
CzochrowskaEM, StenvikA, AlbumB, ZachrissonBU. Autotransplantation of premolars to replace maxillary incisors; A comparison with natural incisors. Am J Orthod Dentofacial Orthop2000; 118: 592–600.
12.
DeguchiT, Takano-YamamotoT, KanomiR, HartsfieldJKJr, RobertsWE, GarettoLP. The use of small titanium screws for orthodontic anchorage. J Dent Res2003; 82: 377–381.
13.
DilekOC, TezulasE.Treatment of a narrow, single tooth edentulous area with mini-dental implants: A clinical report. Oral Surg Oral Med Oral Pthol Oral Radiol Endod2007; 103: e22–e25.
14.
FishmanLS. Maturational patterns and prediction during adolescence. Angle Orthod1987; 57: 178–193.
15.
FlanaganD.Fixed partial dentures and crowns supported by very small diameter dental implants in compromised sites. Implant Dent2008; 17: 182–191.
16.
FlanaganD, MascoloA.The mini dental implant in fixed and removable prosthetics: A review. J Oral Implantol2011; 37: 123–132.
17.
GiannettiL, DiagoMD, VecciF, ConsoloU.Mini-implants in growing patients: A case report. Pediatr Dent2010; 32; 239–244.
18.
GleiznysA, SkirbutisG, HarbA, BarzdziukaiteI, GrinyteI.New approach towards mini dental implants and small-diameter implants: An option for long-term prostheses. Stomatologia2012; 14: 39–45.
19.
GrahamJW. Temporary replacement of maxillary lateral incisors with miniscrews and bonded pontics. J Clin Orthod2007; 41: 321–325.
20.
HolmesJD. Considerations in dental implant placement in the young patient: A surgeon's perspective. Sem Orthod2013; 19: 24–36.
21.
HujaSS, KatonaTR, BurrDB, GarettoLP, RobertsWE. Biomechanical and histomorphometric analyses of monocortical screws at placement and 6 weeks postinsertion. J Oral Implantol2006; 32: 110–116.
22.
HujaSS. Mechanism of bone adaptation to miniscrew implants. In Cope JB, (ed). OrthoTADs: The Clinical Guide and Atlas. Dallas, TX: Under Dog Media, 2007. pp 23–33.
23.
JanakievskiJ.Point/Counterpoint – Avulsed maxillary central incisors: The case for autotransplantation. Am J Orthod Dentofacial Orthop2012; 142: 9–17.
24.
JeongDM, ChoiB, ChooHR, KimJH, ChungKR, KimSH. Novel application of the 2-piece orthodontic C-implant for temporary crown restoration after orthodontic treatment. Am J Orthod Dentofacial Orthop2011; 140: 569–579.
25.
KaliaAJ. Miniscrew orthodontic implant as temporary crown restoration to replace unilateral missing lateral incisor post orthodontic treatment. J Oral Implantol2014, in press.
26.
KavadiaS, PapadiouchouS, PapadiochosI, ZafiriadisL.Agenesis of maxillary lateral incisors: A global overview of the clinical problem. Orthod (Chic)2011; 12: 296–317.
LiuPR, RampLC. Restoration of congenitally missing lateral incisors after orthodontic treatment. Semin Orthod2013; 19: 49–52.
33.
MazorZ, SteigmannM, LeshemR, PelegM.Mini-implants to reconstruct missing teeth in severe ridge deficiency and small interdental space: A 5-year case series. Implant Dent2004; 13: 336–341.
34.
NorrisRT, CaesarRR. Esthetic substitution and autotransplantation of teeth in the maxillary anterior region. Semin Orthod2013; 19: 3–12.
35.
PackotaGV, HooverJN, NeufeldBD. A study of the height of intact alveolar bone on panoramic radiographs of adult patients. J Prosth Dent1988; 60: 504–509.
36.
PercinotoC, VieiraAE, BarbieriCM, MelhadoFL, MoreiraKS. Use of dental implants in children: A literature review. Quintess Int2001; 32: 381–383.
37.
PriestG.Esthetic potential of single-implant provisional restorations: Selection criteria of available alternatives. J Esthet Restor Dent2006; 18: 326–339.
38.
RobertsWE, RobertsJA. Bone physiology and biomechanics of implant anchorage: Closing atrophic edentulous spaces. In McNamara JA Jr, (ed). Microimplants as temporary orthodontic anchorage. Craniofacial growth series. Ann Arbor, MI: Department of Orthodontics and Pediatric Dentistry and Center for Human Growth and Development, University of Michigan, 2007, pp 51–110.
39.
ShatkinTE, PetrottoCA. Mini dental implants: A retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent2012; 33: 2–9.
40.
SilveiraAM, FishmanLS, SubtelnyJD, KassebaumDK. Facial growth during adolescence in early, average and late maturers. Angle Orthod1992; 62: 185–190.
41.
SohrabiK, MushantatA, EsfandiariS, FeineJ.How successful are small-diameter implants? A literature review. Clin Oral Impl Res2012; 23: 515–525.
ThomasKA, KayJF, CookSD, JarchoM.The effect of surface macrotexture and hydroxylapatite coating on the mechanical strengths and histologic profiles of titanium implant materials. J Biomed Mater Res1987; 21: 1395–1414.
44.
ThilanderB, OdmanJ, LikholmU.Orthodontic aspects of the use of oral implants in adolescents: A 10-year follow-up study. Eur J Orthod2001; 23: 715–731.
45.
WilmesB.Mini-implant supported temporary pontics: Clinical procedure and 5 year follow up. J Clini Orthod2014, in press.
46.
ZachrissonBU, StenvikA, HaanaesHR. Management of missing maxillary anterior teeth with emphasis on autotransplantation. Am J Orthod Dentofacial Orthop2004; 126: 284–288.
