Features and challenges in the diagnosis of patients with maxillary hypodontia

INTRODUCTION . In the management of patients with agenesis of maxillary lateral incisors, a number of important issues arise related to the amount of free space, the age of the patient, types of occlusions and the condition of adjacent teeth. There are three treatment options for patients diagnosed with agenesis of maxillary lateral incisors. These options include canine mesialization, restoration based on adjacent teeth, and implantation. There are also special criteria that need to be considered when choosing an appropriate treatment option.When planning all types of treatment, first, attention should be paid to the preservation of teeth. As a rule, the chosen treatment method should be the least invasive and meet the expected aesthetic and functional goals. The orthodontist plays a key role in achieving specific space requirements by placing the teeth in the ideal position for restoration. For example, canine mesialization may be one of the acceptable aesthetic treatments for patients with agenesis of maxillary lateral incisors. However, if it is used in the wrong patient, the result may be far from ideal. Ultimately, an interdisciplinary approach is the most predictable way to achieve optimal end aesthetics. AIM . To study the literature to compile a review on the diagnosis and evaluation criteria of patients with agenesis of maxillary lateral incisors.MATERIALS AND METHODS. Analysis of foreign literature data, scientific publications, electronic resources. RESULTS . The treatment plan for patients with the absence of lateral incisors of the upper jaw should be drawn up taking into account the dental, functional and aesthetic aspects identified during the initial clinical examination. CONCLUSIONS . The absence of lateral incisors in the upper jaw, with any accompanying malocclusion, should be treated as part of the overall treatment plan. Factors such as the individual characteristics of the patient, the size, shape, position, and color of teeth, their effect on the bite, as well as overall facial aesthetics, should all be taken into consideration when deciding whether to create an implant space or close one.