Obtaining Dental Aesthetics for Lower Incisor Agenesis

Tooth agenesis is a congenital disorder, which is extremely rare in lateral mandibular incisors. This article presents the case of a female patient with the absence of right lower lateral incisor and significant Bolton discrepancy. She was treated with the aid of a fixed orthodontic appliance and transpalatal bar to avoid the loss of anchorage of the posterior superior dental segment. To correct the Bolton discrepancy, stripping of 4.07 mm on the proximal faces of the anterior superior teeth was also performed. These procedures solved the occlusal disorders presented by the patient, conferring appropriate function, aesthetics and quality of life.