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Case Reports in Dentistry
Volume 2011, Article ID 717936, 6 pages
Case Report

Interim Restorative Approach for the Management of Congenitally Missing Permanent Mandibular Incisors: Presentation of Three Cases

1Department of Pediatric Dentistry, Manubhai Patel Dental College and Oral Research Institute, Vadodra, Gugrat 390011, India
2Department of Oral and Maxillofacial Pathology, Bapujji Dental College, Davangere, Karnataka 577002, India
3Department of Dental Practice, Dr. M. R. Ambedkar Dental College, Bangalore, Karnataka 560092, India

Received 3 May 2011; Accepted 16 June 2011

Academic Editor: Alexander Milosevic

Copyright © 2011 Prashanth Prakash et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Congenital missing of mandibular permanent incisors with retained primary incisors may jeopardize the esthetic appearance and psychological development of children, especially during the years of transition into adolescence. The retained primary teeth are necessary for the maintenance and normal development of alveolar bone, which in turn is essential for future definitive rehabilitation. In such situations, an interim restoration may be provided before any definitive treatment is given to comfort the young patient during this transition period. Interim restorations may include resin-modified additions to the existing teeth as well as more sophisticated restorations such as resin-retained bridge and removable partial dentures. However, this restoration differs for different clinical situations based on various factors such as age and patient compliance, and also consideration has to be given for the growth changes of the child. The aim of this present paper is to discuss the esthetic management of three cases with bilateral agenesis of permanent mandibular incisors and retained primary incisors with composite interim restoration.