Achieving Functional and Aesthetic Harmony Through a Fully Digital Workflow for Lateral Agenesis Rehabilitation: A 12-Month Follow-Up.

Abstract

Objective: Digital technologies are revolutionizing dentistry by introducing advanced methods that enhance treatment planning and execution. In complex cases, these innovations improve communication among interdisciplinary teams and streamline workflows for more personalized and efficient care. This case report demonstrates the aesthetic and functional rehabilitation of a patient with agenesis of lateral incisors, smile asymmetry, and facial skeletal discrepancies, using an integrated digital approach.

Clinical considerations: The patient presented with disproportionate tooth dimensions, color mismatches, and skeletal issues. Initially, orthognathic surgery was considered to address the mandibular discrepancy, but the patient preferred a conservative treatment plan, which included periodontal regularization, teeth whitening, and the fabrication of lithium disilicate laminate veneers through a fully digital workflow. Additionally, facial aesthetics were enhanced with hyaluronic acid lip augmentation.

Conclusions: This case exemplifies the efficacy of a modern, interdisciplinary strategy in aesthetic dentistry, merging cutting-edge materials, digital planning, and innovative techniques to tackle both functional and aesthetic concerns. The individualized treatment approach and focus on patient-specific needs were pivotal in achieving a successful and lasting outcome.