# Prosthodontic Management of Congenitally Missing and Peg-Shaped Maxillary Lateral Incisors: A Case Report

## TL;DR

A 24-year-old woman with missing and abnormally shaped maxillary lateral incisors received a successful dental restoration using zirconia prostheses, improving her smile and confidence.

## Contribution

A minimally invasive prosthetic approach using CAD/CAM and zirconia for restoring congenitally missing and peg-shaped maxillary lateral incisors.

## Key findings

- A canine-supported zirconia cantilever prosthesis successfully restored the right maxillary lateral incisor.
- A zirconia crown effectively restored the peg-shaped left maxillary lateral incisor.
- The treatment improved aesthetics, function, and patient self-confidence.

## Abstract

This case report describes the prosthetic rehabilitation of a 24-year-old female patient who had aesthetic concerns due to implant failure in the right maxillary lateral incisor and peg-shaped left maxillary lateral incisor sites. The treatment plan included fabrication of a canine-supported zirconia cantilever prosthesis for the right incisor and a zirconia crown to restore the peg-shaped left incisor. A minimally invasive approach was employed, including abutment preparation, computer-aided design/computer-aided manufacturing (CAD/CAM) design, and precision milling of the zirconia restoration. The final restoration was cemented with resin cement. The result was the successful restoration of symmetry, functionality, and aesthetics in the maxillary anterior teeth, significantly improving the patient's smile and self-confidence.