Orthodontic approach to dental agenesis: diagnosis, planning and aesthetic rehabilitation
DOI:
https://doi.org/10.69849/53smmm84Keywords:
Dental agenesis, Orthodontics, Digital planning, Prosthetic rehabilitation, MultidisciplinarityAbstract
This study presents a literature review aimed at analyzing the orthodontic approach to dental agenesis, detailing diagnosis, treatment planning, and possibilities for aesthetic rehabilitation. Dental agenesis, the most prevalent congenital anomaly, primarily affects third molars, maxillary lateral incisors, and mandibular premolars. The methodology employed was an analytical and descriptive literature review, with a search for recent articles in Portuguese or English in the SCIELO, PubMed, LILACS, and Google Scholar databases. The review demonstrates that diagnosis requires clinical and imaging examinations, such as Cone Beam Computed Tomography (CBCT), and the condition is classified as hypodontia, oligodontia, or anodontia. Treatment planning is individualized, with options including space closure or space opening for future rehabilitation with prostheses, implants, or autotransplantation, considering the patient’s age and facial profile. It was concluded that clinical success is strongly dependent on a coordinated multidisciplinary approach that integrates Orthodontics, Periodontics, and Rehabilitation. Furthermore, the incorporation of new technologies, such as 3D digital planning and the use of biomaterials, is crucial to increase the precision and predictability of long-term outcomes, ensuring durable functional and aesthetic rehabilitation.
References
ALKADHIMI, A.; RAZAGHI, N.; ELDER, A.; DIBIASE, A. T. Camouflaging the permanent maxillary canine to substitute an absent lateral incisor – part 1: assessment and management. British Dental Journal, v. 232, p. 20–26, 2022.
ALKADHIMI, A.; RAZAGHI, N.; ELDER, A.; DIBIASE, A. T. Camouflaging the permanent maxillary canine to substitute an absent lateral incisor – part 2: challenges and solutions. British Dental Journal, v. 232, p. 84–91, 2022.
CALHEIROS-LOBO, M. J.; CALHEIROS-LOBO, M.; PINHO, T. Percepção estética de diferentes situações clínicas de agenesia de incisivos laterais superiores: revisão sistemática e metanálise. Dental Journal (Basel), v. 11, n. 4, 2023.
CIARLANTINI, R.; MELSEN, B. Semipermanent replacement of missing maxillary lateral incisors by mini-implant retained pontics: a follow-up study. American Journal of Orthodontics and Dentofacial Orthopedics, v. 151, n. 5, p. 989–994, 2017.
CORDEIRO, W. A. et al. Agenesia dental e seu manejo em pacientes pediátricos: uma revisão de literatura. Brazilian Journal of Implantology and Health Sciences, v. 5, n. 5, p. 1731–1748, 2023.
CUNHA, D. L. et al. Premolar transplantation to replace a missing central incisor. American Journal of Orthodontics and Dentofacial Orthopedics, v. 147, n. 3, p. 394–401, 2015.
DE MARCHI, L. M. et al. Multidisciplinary management of dental agenesis: Orthodontic, implant, and prosthetic considerations. Journal of Prosthetic Dentistry, v. 125, n. 4, p. 567–574, 2021.
DOLAN, S. et al. Restorative dentistry clinical decision-making for hypodontia: peg and missing lateral incisor teeth. British Dental Journal, v. 235, n. 7, p. 471–476, 2023.
FERREIRA, A. F. A. Agenesia de elementos dentários e a ortodontia: uma revisão de literatura. Revista CPAQV – Centro de Pesquisas Avançadas em Qualidade de Vida, v. 16, n. 1, p. 12, 2024.
GÖKKAYA, B.; MOTRO, M.; KARGÜL, B. Prevalence and characteristics of non-syndromic hypodontia among Turkish orthodontic patient population. Journal of International Society of Preventive and Community Dentistry, v. 5, n. 3, p. 170–176, 2015.
HILLESHEIM, I.; NOGUEIRA, W. A. Possibilidades de tratamento em caso de agenesia do incisivo lateral superior. Journal of Multidisciplinary Investigation, v. 14, n. 3, p. 34–42, 2024.
KERN, M.; PASSIA, N.; SASSE, M.; et al. Ten-year outcome of zirconia ceramic cantilever resin-bonded fixed dental prostheses. Journal of Dentistry, v. 65, p. 51–56, 2017.
KILIARIDIS, S. et al. Treatment options for congenitally missing lateral incisors. European Journal of Oral Implantology, v. 9, p. 5–24, 2016.
LAVERTY, D. P.; THOMAS, M. B. The restorative management of microdontia. British Dental Journal, v. 221, p. 160–166, 2016.
MEADE, M. J. et al. Tooth agenesis: An overview of diagnosis, aetiology and management. British Dental Journal, v. 235, n. 3, p. 159–166, 2023. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461125/. Acesso em: 18 out. 2025.
MIKKOLA, M. et al. Oral rehabilitation with dental implants in patients with tooth agenesis: a retrospective study in Helsinki University Hospital. Journal of Oral and Maxillofacial Surgery, v. 75, n. 5, p. 1020–1027, 2017.
PEREIRA, L. C. et al. Multidisciplinary approach to dental agenesis in young patients: Timing and treatment planning considerations. Clinical Oral Investigations, v. 26, n. 11, p. 6583–6592, 2022.
PRIEST, G. The treatment dilemma of missing maxillary lateral incisors – Part II: implant restoration. Journal of Esthetic and Restorative Dentistry, v. 31, p. 319–326, 2019.
QADRI, S.; PARKIN, N. A.; BENSON, P. E. Space closing versus space opening for bilateral missing upper laterals – aesthetic judgements of laypeople: a web-based survey. Journal of Orthodontics, v. 43, p. 137–146, 2016.
RÉDUA, R. B.; RÉDUA, P. C. B. Hypodontia of mandibular incisors: considerations on the orthodontic treatment. Dental Press Journal of Orthodontics, v. 20, n. 4, p. 90–98, 2015.
RITWIK, P. et al. Diagnosis of Tooth Agenesis in Childhood and Risk for Neoplasms. JAMA Network Open, v. 1, n. 6, p. e183328, 2018. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292463/. Acesso em: 18 out. 2025.
ROCHA, D. T. B. et al. Tratamento ortodôntico em paciente com agenesia de incisivos laterais e desvio de linha média superior e inferior – relato de caso. Orthodontic Science and Practice, v. 12, n. 48, p. 76–85, 2019.
SANTOS, D. J. S.; MIGUEL, J. A. M. Association between hypodontia of permanent maxillary lateral incisors and other dental anomalies. Dental Press Journal of Orthodontics, v. 23, n. 5, p. 52–58, 2018.
SCHONBERGER, S. et al. Permanent tooth agenesis and associated dental anomalies among orthodontically treated children. Children, v. 10, n. 3, p. 596, 2023.
SHAPIRO, L.; LAMBERT, P. M. Implant placement timing and multidisciplinary considerations in patients with tooth agenesis. International Journal of Oral & Maxillofacial Implants, v. 34, n. 6, p. 1332–1340, 2019.
TAVARES, C. A. E. Agenesis of mandibular second premolar in patient with dental bimaxillary protrusion. Dental Press Journal of Orthodontics, v. 22, n. 2, p. 106–117, 2017.
TAVARES, R. R. Angle Class II, subdivision, with agenesis of mandibular second molars and extrusion of maxillary second molars. Dental Press Journal of Orthodontics, v. 21, n. 3, p. 92–99, 2016.
ULHAQ, A.; FEE, P.; CRESTA, M. et al. Dental factors influencing treatment choice for maxillary lateral incisor agenesis: a retrospective study. European Journal of Prosthodontics and Restorative Dentistry, v. 27, p. 182–188, 2019.
ZHOU, M. et al. Analyses of oligodontia phenotypes and genetic etiologies. International Journal of Oral Science, v. 13, n. 22, 2021. Disponível em: https://www.nature.com/articles/s41368-021-00135-3. Acesso em: 18 out. 2025.
ZITZMANN, N. U. et al. Resin-bonded restorations: a strategy for managing anterior tooth loss in adolescence. Journal of Prosthetic Dentistry, v. 113, p. 270–276, 2015.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Danilo Martins Ribeiro Nascimento, Davi Salomão Andrade, Emile Leite Lima Andrade, Guilherme Almeida Borges, Guilherme Akaoshi Canguçu Viana, Jéssica de Oliveira Rocha, Daniel Ferraz Lima (Autor)
This work is licensed under a Creative Commons Attribution 4.0 International License.
"Os Autores que publicam nesta revista concordam com os seguintes termos:
-
Os Autores mantêm os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a licença Creative Commons Attribution 4.0 International (CC BY 4.0). Esta licença permite que o trabalho seja compartilhado, copiado e adaptado em qualquer suporte ou formato, para qualquer fim, inclusive comercial, desde que seja atribuído o devido crédito de autoria e de publicação inicial nesta revista.
-
Os Autores têm autorização para assumir compromissos contratuais adicionais separadamente, para a distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
-
A revista permite e incentiva os autores a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) após o processo de edição e publicação, pois isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado."
