Replacement of Congenitally Missing Laterals
with MTI-Monorail™ Transitional Implants
Fixed, Cosmetic Provisional Restoration that
is Easily Maintained
Ten percent of the population has congenitally missing teeth, and
often it’s the maxillary laterals that are missing. Traditionally,
orthodontists have moved the canines mesially to fill the space
of the lateral incisors. When this technique is utilized, there
has to be extensive reshaping of the canines and removal of much
of the enamel. This could lead to problematic functional changes
in the occlusion.
The current approach in orthodontics is to establish an ideal occlusal
relationship by creating enough space to replace the lateral incisors.
Prosthetic replacements include fixed bridges, removable partial
dentures, bonded resin [Maryland] bridges or osseointegrated implants.
Historically, a removal appliance has been the first choice of
orthodontists because it replaces the missing teeth and serves as
an orthodontic retainer. Orthodontic retention is necessary for
9-12 months after the orthodontic therapy is completed, and without
it, reversals may result. The problem is that teenagers don’t
like wearing removable appliances and the bonded bridges tend to
become loose and/or are difficult to maintain.
Replacing congenitally missing laterals with implants has become
a widely accepted approach and well documented in the literature.
However, orthodontic therapy is usually completed in a child’s
early teens when their growth patterns are still very active. In
most instances the clinician must wait 3-5 years before placing
the permanent implants.The MTI-Monorail System is just "what
the doctor ordered." After local anesthetic is given, they
can be placed without cutting a flap that would be more traumatic,
especially to a teenager. The bone will continue to grow with stimulation
from the implant. The youngster will have a fixed, cosmetic provisional
restoration that they can maintain easily. Clinicians will not have
to depend on compliance from a teenagers; instead the teenagers
will love their new smiles. Everyone wins.
Recommended Reference Articles
• Keller, W., “Temporarily Replacing Congenitally Missing
Maxillary Lateral Incisors in Teenagers Using Transitional Implants”,
Implant News & Views, Vol. 3 No. 1 Jan/Feb ‘01, pgs.
1,4,5,10.
See also:
Bone Augmentation with MTI-Monorail Transitional
Implants
Fixed Provisional Restorations with MTI-Monorail
Transitional Implants
Orthodontic Anchorage with MTI-Monorail Transitional
Implants
Repairing Broken Bridges with MTI-Monorail Transitional
Implants
Stabilizing Existing Dentures with MTI-Monorail
Transitional Implants
Continuing Education:
CE for MTI-Monorail™ Transitional Implant
Courses
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