Single article

DOI: 10.47026/2413-4864-2022-4-47-57

Nikitina L.I., Gromova A.S.

Interdisciplinary Dental Treatment for Congenital Absence of Maxillary Lateral Incisors

Keywords: congenital absence of teeth, implant dentistry, orthodontic treatment, new technologies, NobelProcera metal-free crowns, slim healing abutment, slim temporary abutment, NobelProcera ASC abutment, aesthetic dentistry

The interdisciplinary approach to dental treatment is associated with an increasing number of severe dental anomalies. One of the most common dental anomalies according to modern research is congenital absence of teeth. This pathology requires individual approach and complex treatment using digital dentistry. Dental practice experience of the authors shows that interdisciplinary approach in treatment of patients with congenital absence of maxillary lateral incisors should include the work of oral surgeon, orthodontist, prosthodontist, periodontist and dental technician. the aim of the research was to increase effectiveness and aesthetic results of the treatment of patients with congenital congenital absence of maxillary lateral incisors using dental implants, orthodontic treatment and digital prosthetics. Materials and methods. 84 patients with congenital absence of maxillary lateral incisors were treated with orthodontic and dental implants in the area of the missing teeth from 1998 to 2022. a total of 32 patients (10 men and 22 women,16 to 35 years old) underwent the complete treatment with previous orthodontic treatment, braces on the top or bottom teeth and dental implants in 1.2 and 2.2. Sixty-four implants of different systems – Astra Tech, Nobel Biocare, Straumann, Mis, Conmet, STI-OL, STAS, RADIX and others were placed. Patients were evaluated at all stages of treatment. Patients were followed up for more than 20 years. Results. the number of successful cases of rehabilitation of patients with congenital absence of teeth was 93.75%. Total failure rate was in the first follow-up year (1999) and was eliminated. Conclusions. Use of the interdisciplinary approach, special dental implant planning software, template-assisted guided surgery, metal-free prosthetic restorations according to CAD/CAM technology in treatment of patients with congenital absence of maxillary lateral incisors allows to achieve effective functional and esthetic of the dentoalveolar structure.


  1. Vismajer D., Kazentini P., Galuchchi G., K’yapasko M. ITI Treatment Guide, Vol 4: Loading Protocols in Implant Dentistry: Edentulous Patients. London, 2010 (Russ. ed.: Protokoly protezirovaniya v stomatologicheskoi implantologii. Protezirovanie pri polnoi adentii. Moscow, Dental Azbuka Publ., 2017, 256 p.).
  2. Nikitina L.I., Gilyazeva V.V., Gromova A.S. Nemedlennaya ustanovka implantatov v lunku udalennogo zuba i nemedlennoe vremennoe protezirovanie – kak metod sovershenstvovaniya stomatologicheskoi reabilitacii (obzor dannyh literatury i sobstvennogo klinicheskogo opyta) [Immediate installation of implants in the socket of the extracted tooth and immediate temporary prosthetics as a method for improving dental rehabilitation (review of literature data and own clinical experience)]. Mediko-farmacevticheskij zhurnal “Pul’s”, 2022, vol. 24, no. 8, pp. 20–25. DOI: 10.26787/NYDHA-2686-6838-2022-24-8-20-25.
  3. Nikitina L.I. Dental’naya implantatsiya pri pervichnoi adentii: otsenka sostoyaniya regionarnogo krovotoka [Dental implantation in primary adentia: assessment of regional blood flow]. In: Sovremennaya stomatologiya: sb. nauch. tr., posvyashch. 125-letiyu osnovatelya kafedry ortopedicheskoi stomatologii KGMU professora I.M. Oksmana [Modern stomatology: collection of scientific works, devoted to the 125th anniversary of the founder of the department of orthopedic dentistry KSMU professor I.M. Oksman]. Kazan, 2017, pp. 312–323.
  4. Nikitina L.I., Gromova V.V. Primenenie dental’nyh implantatov v ortodonticheskih celjah [Application of dental implants for orthodontic purposes]. In: Materialy VIII Mezhdunarodnoi konferentsii chelyustno-litsevykh khirurgov i stomatologov [Proc. of the 8th Conf. of Maxillofacial Surgeons and Dentists]. St. Petersburg, 2003, pp. 119–120.
  5. Nikitina L.I., Gromova V.V. Kompleksnaya terapiya pri otsutstvii zubov [Complex therapy in the absence of teeth]. In: Materialy X i XI Vserossiiskoi nauchno-prakticheskoi konferentsii «Trudy VIII s”ezda Stomatologicheskoi Assotsiatsii Rossii» [Proc. of the 8th Congress of the Stomatological Association of Russia]. Moscow, 2003, pp. 134–136.
  6. Reva A.V., Dolgov A.A. Lechenie pervichnoi adentii bokovykh reztsov verkhnei chelyusti [Treatment of primary adentia of lateral maxillary incisors]. Novoe v stomatologii, 2007, no. 7, pp. 1–2.
  7. Rubnicovich S.P., Denisova Y.L., Troyanovskaya M.S. Osobennosti kompleksnogo stomato-logicheskogo lechenija pacientov s pervichnoj adentiej bokovyh rezcov [Peculiarities of complex dental treatment of patients with primary adentia of lateral incisors]. Medicina stomatologica, 2020, no. 1(54), pp. 83–97.
  8. Smirnova A.M., Kharitonova M.P. Pervichnaya adentiya u detei. Rasprostranennost’, etiologiya i sovremennye metody diagnostiki [Primary adentia at children. Prevalence, Ethiology and modern diagnostic methods]. Ural’skii meditsinskii zhurnal, 2012, no. 12(104), pp. 90–95.
  9. Chuikin O.S. Prognozirovanie pervichnoj adentii s primeneniem molekuljarno-geneticheskogo analiza : dis. … kand. med. nauk [Prediction of primary adentia using molecular genetic analysis Abstract of Cand. Diss.]. Moscow, 2009. 23 p.
  10. Gahlert M. Aesthetic restoration in the incisal region. Ceramic implants, 2018, vol. 2(1), pp. 24–25.
  11. Buser D., Chappuis V., Belser U.C., Chen S. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontology 2000, 2017, vol. 73(1), pp. 84–102. DOI: 1111/prd.12170.
  12. Mellinghoff FJ. Ceramic implants in anterior dental restoration. Ceramic implants, 2018, vol.2(1), pp. 32–33.

About authors

Nikitina Louise I.
Candidate of Medical Sciences, Head of the Department of Propeadeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (; ORCID:
Gromova Anna S.
Laboratory Assistant of the Department of Propeadeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (; ORCID:

Article link

Nikitina L.I., Gromova A.S. Interdisciplinary Dental Treatment for Congenital Absence of Maxillary Lateral Incisors [Electronic resource] // Acta medica Eurasica. – 2022. – №4. P. 47-57. – URL: DOI: 10.47026/2413-4864-2022-4-47-57.