Abstract
This case report presents the multidisciplinary treatment of oligodontia by orthodontist and implantologist in a female Caucasian patient with hypothyroidism, aged 33 years 2 months. Clinical and radiological examination showed the congenitally determined absence of the upper lateral incisors, all second premolars and wisdom teeth.
The patient displayed an unaesthetic smile showing upper canines in place of laterals and rotated first premolars; her profile was slightly concave due to the tooth agenesis leading to retrusion of the upper and lower incisors. The orthodontic phase of treatment aimed to create sufficient space for the alignment of all teeth and implants.
Subsequently implants were inserted and augmentation done at the space open for lateral incisors. The total time taken to accomplish treatment, achieved stable and aesthetic occlusion and to meet the patient's expectations was 4 years and 4 months (3 years and 10 months for the upper jaw and 1 year and 2 months for the lower jaw).
Follow-up checks took place over a period of 6 years after completion of the treatment in order to maintain the stability of the results achieved.