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Niger J Clin Pract. 2020 Mar;23(3):425-428. doi: 10.4103/njcp.njcp_346_19.

How to address a biological complication by using advanced platelet-rich fibrin during the interdisciplinary management of congenitally missing maxillary lateral incisors.

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Department of Oral and Maxillofacial Surgery, Near East University Faculty of Dentistry, Nicosia, Mersin.10, Turkey.
Department of Prosthodontics, Near East University Faculty of Dentistry, Nicosia, Mersin.10, Turkey.


Congenital agenesis of lateral incisor is one of the most prevalent dental anomalies and is commonly treated by correcting the axes of maxillary central and canine teeth deviated toward the deficient area orthodontically, replacing the missing maxillary lateral incisor with dental implants and prosthetic restorations. Conducting treatment in interdisciplinary manner is the main criterion for the successful outcome. If this is ignored, clinicians may experience biological, mechanical or combined complications. As encountered in this case, bone resorption may occur if there is very limited bone-width or if there is a past of orthodontic treatment. In contemporary dentistry, this biological complication can be treated with the aid of a mixture including bovine bone graft material and advanced platelet-rich fibrin.


Advanced platelet-rich fibrin; anterior aesthetic; congenitally missing teeth; dental implant; interdisciplinary approach

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