Multidisciplinary Management of Angle Class II Associated to Peg Shaped Lateral Incisor: A Case Report

Abstract

Angle class II malocclusion is closely related to congenital tooth anomalies such as peg shaped lateral incisor. The asymmetrical intra-arch relationship in Class II subdivision malocclusion with lateral incisor anomaly poses challenges in the treatment planning. Incisor anomalies had also a negative effect on the patient’s self-esteem consequent to an unsightly smile caused by the reduced size of the teeth and anterior diastemas. Many options are described in the literature for managing microdontia of lateral incisors such as space closure by orthodontic treatment, placement of a resin-bonded prosthesis or both. Orthodontic treatment allows a favorable alignment of the dentition, occlusal stability, and a favorable anterior dental relationship preparing to the prosthetic treatment with good esthetic outcome. The development of the adhesive dentistry allowed ceramic veneers to be the best treatment option to reestablish the teeth size, shape, and anatomic characteristics with a perfect mimicry of natural esthetic and function. The aim of this case report is to describe a conservative multidisciplinary approach to harmonize the smile of a female patient with a class II malocclusion associated to incisor shape abnormalities