Esthetic Perception of Different Clinical Situations of Maxillary Lateral Incisor Agenesis According to Populations with Dental and Non-Dental Backgrounds: A Systematic Review and Meta-Analysis

Treatment of unilateral or bilateral maxillary lateral incisor agenesis is challenging, time-consuming, expensive, and requires careful treatment planning, predictability, and esthetics. This review aimed to identify differences in esthetic perception among orthodontists, general dentists, different...

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Bibliographic Details
Published in:Dentistry journal 2023-04, Vol.11 (4), p.105
Main Authors: Calheiros-Lobo, Maria João, Calheiros-Lobo, Mafalda, Pinho, Teresa
Format: Article
Language:English
Subjects:
Agenesis
Boolean
Care and treatment
Case studies
dental professional
Dentistry
Dentists
esthetic perception
Evidence-based medicine
general dentist
Incisors
laypersons
Maxilla
maxillary lateral incisor agenesis
Meta-analysis
Orthodontics
orthodontist
Patients
Perception
Professionals
Qualitative analysis
Search engines
Search strategies
Symmetry
Systematic Review
Transplants & implants
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Summary:Treatment of unilateral or bilateral maxillary lateral incisor agenesis is challenging, time-consuming, expensive, and requires careful treatment planning, predictability, and esthetics. This review aimed to identify differences in esthetic perception among orthodontists, general dentists, differentiated dentists, and laypersons, which may interfere with treatment options. EBSCO, PubMed, ScienceDirect, Cochrane Library databases, and Google Scholar were searched using keyword pairing and a Boolean expression, "(congenitally missing OR agenesis OR hypodontia) AND (maxillary lateral incisors) AND (esthetic perception OR smile) AND (laypersons OR dental professional OR general dentist OR orthodontists)." Reviews and case studies were excluded. A total of 13 studies were selected for qualitative analysis (adapted ROBINS-I) and 11 were selected for meta-analysis ( < 0.05) after being sub-grouped into "Opening vs. Closure" and "No remodeling vs. Dental remodeling vs. Dental and gingival remodeling" groups. A meta-analysis evaluated the magnitude of the difference between groups based on differences in means and effect sizes (α = 0.05; 95% CI; Z-value 1.96), revealing that the esthetic perception of maxillary lateral incisor agenesis treatment remains controversial even among professionals. Gingival remodeling was not valued compared to isolated dental remodeling. Studies lack rigorously comparable methodologies. Discussion with the patient is pertinent in doubtful situations, as the best treatment option remains unclear, and overtreatment should be avoided.
ISSN:2304-6767
2304-6767
DOI:10.3390/dj11040105