Implant for Congenitally Missing Maxillary Permanent Cuspid

Objective: This case report describes the multidisciplinary approach to treat congenitally missing maxillary canine, how to improve patient’s smile using orthodontic fixed appliance, endosseous dental implant, and porcelain veneer to achieve the treatment results of function and esthetic. Materials and Procedures: Unilateral agenesis of the permanent maxillary canines in healthy individuals is extremely rare. This paper presents the case of a female patient diagnosed with congenital unilateral agenesis of the permanent maxillary canines as well as occlusal abnormalities in the form of left-side crossbite. To restore proper aesthetics and function, interdisciplinary therapeutic treatment was implemented. In the case presented in this paper, the aim of oral rehabilitation was to restore a functional balance by obtaining proper skeletal relationships, create optimal occlusal conditions and obtain arch continuity. Conclusion: Interdisciplinary treatment combined with orthodontics, implant surgery, and prosthodontics was useful to treat a nonsyndromic oligodontia patient. Especially, the new strategy, implant-anchored orthodontics, can facilitate the treatment more simply with greater predictability.