Abstract

Hypodontia or tooth agenesis is a developmental anomaly characterized by missing teeth (excluding allthird molars), which can range from single tooth to anodontia (complete absence of teeth). Hypodontiais the most common developmental anomaly in humans, affecting primary teeth (rarely) or permanent teeth, and may occur as part of a genetic syndrome or can be non-syndromic. This report is aimed to demonstrate alternative treatment modalities for hypodontia considering various factors. We present two clinical cases of congenital missing upper permanent lateral incisor that created an aesthetic problem in conjunction with impacted canine and microdont lateral incisor. Case One involves a 19-year-old female who complained of spaces in her upper front teeth. The space of congenital missing maxillary permanent lateral incisor was closed by mesialisation of the canine and posterior teeth, followed by canine transformation with lateral incisor. Case Two is about 18 years old boy who disliked his smile. The treatment was carried out by a multidisciplinary approach with orthodontics and restorative dentistry for improvement of aesthetics.

Keywords: Hypodontia; Dental anomalies; Impacted canine; Missing teeth; Multidisciplinary.