# Solitary Median Maxillary Central Incisor Syndrome: A Case Report of a Unique Dental Anomaly

## TL;DR

This paper reports a rare dental condition where a person has only one central incisor in the upper jaw, highlighting the need for better awareness and multidisciplinary care.

## Contribution

The paper presents a unique case of SMMCI syndrome in a 13-year-old girl and emphasizes the importance of clinician awareness.

## Key findings

- SMMCI syndrome is a rare dental anomaly occurring in about 1 in 50,000 live births.
- The case highlights the need for a multidisciplinary approach to manage SMMCI syndrome.
- The patient had a single large upper front tooth causing cosmetic concerns.

## Abstract

Solitary median maxillary central incisor (SMMCI) syndrome is complex and usually develops 35-38 days postconception during the intrauterine period. A noteworthy discovery is that just one central incisor in the maxillary alveolus, found exactly on the centerline, is present in both deciduous and permanent dentitions with other congenital anomalies. Around one in every 50,000 live babies exhibits this abnormality. This report describes the case of a 13-year-old female patient with SMMCI syndrome with a complaint about an unsightly appearance due to a single large upper front tooth. We underline the importance of increasing clinician awareness of SMMCI syndrome and the need for a multidisciplinary approach to its care.