Title: The orthodontic-restorative interface in managing hypodontia patients: A case comparison
Abstract:
This presentation explores the management of hypodontia, focusing on two cases where different treatment strategies—orthodontic-restorative and restorative-only—were applied. Hypodontia is a congenital condition characterised by missing teeth, presenting challenges for both functional and aesthetic restoration.
Case 1 involved a 17-year-old with missing upper right lateral incisor, a microdont upper left lateral incisor, and enamel hypoplasia. A combined orthodontic-restorative approach created space for a resin-bonded bridge and symmetrical composite build-ups, resulting in successful functional and aesthetic outcomes.
Case 2 examined a 31-year-old who previously received implants to address extensive hypodontia. Poor implant positioning had led to peri-implantitis and aesthetic issues, requiring complex retreatment. Restorative-only planning without orthodontic involvement contributed to significant complications, including infection, compromised function, and financial strain. This patient was subsequently retreated using a multidisciplinary approach with orthodontic and restorative involvement.
Both cases highlight the importance of interdisciplinary collaboration in treating hypodontia. The orthodontic-restorative approach in Case 1 resulted in long-term stability and satisfaction, while the restorative-only method in Case 2 revealed the risks of inadequate planning and implant placement. Comprehensive care through a multidisciplinary approach optimises aesthetics, function, and patient well-being, emphasising the need for careful planning in complex dental cases.
