# Achieving Functional and Aesthetic Harmony Through a Fully Digital Workflow for Lateral Agenesis Rehabilitation: A 12‐Month Follow‐Up

**Authors:** Cassiana Koch Scotti, Martha Beteghelli Michielin, Ernesto Benalcázar‐Jalkh, Nathalia Cristina Bortolozzo, Juliana Fraga Soares Bombonatti, Marilia Mattar de Amoêdo Campos Velo

PMC · DOI: 10.1111/jerd.70004 · Journal of Esthetic and Restorative Dentistry · 2025-07-21

## TL;DR

This paper presents a case where digital dentistry was used to successfully treat a patient with missing lateral incisors and facial asymmetry over 12 months.

## Contribution

The study showcases a novel, fully digital workflow for lateral agenesis rehabilitation combining aesthetic and functional outcomes.

## Key findings

- A fully digital workflow achieved successful aesthetic and functional rehabilitation in a patient with lateral incisor agenesis.
- Conservative treatment with veneers and lip augmentation provided a lasting solution without orthognathic surgery.
- Digital technologies enabled precise planning and interdisciplinary coordination for complex dental cases.

## Abstract

Digital technologies are revolutionizing dentistry by introducing advanced methods that enhance treatment planning and execution. In complex cases, these innovations improve communication among interdisciplinary teams and streamline workflows for more personalized and efficient care. This case report demonstrates the aesthetic and functional rehabilitation of a patient with agenesis of lateral incisors, smile asymmetry, and facial skeletal discrepancies, using an integrated digital approach.

The patient presented with disproportionate tooth dimensions, color mismatches, and skeletal issues. Initially, orthognathic surgery was considered to address the mandibular discrepancy, but the patient preferred a conservative treatment plan, which included periodontal regularization, teeth whitening, and the fabrication of lithium disilicate laminate veneers through a fully digital workflow. Additionally, facial aesthetics were enhanced with hyaluronic acid lip augmentation.

This case exemplifies the efficacy of a modern, interdisciplinary strategy in aesthetic dentistry, merging cutting‐edge materials, digital planning, and innovative techniques to tackle both functional and aesthetic concerns. The individualized treatment approach and focus on patient‐specific needs were pivotal in achieving a successful and lasting outcome.

## Full-text entities

- **Diseases:** agenesis of lateral incisors (MESH:C563634), facial skeletal discrepancies (MESH:C557821), mandibular discrepancy (MESH:D008338)
- **Chemicals:** hyaluronic acid (MESH:D006820)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

19 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12538197/full.md

## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12538197/full.md

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Source: https://tomesphere.com/paper/PMC12538197