Multidisciplinary Approach to the Management of Congenitally Missing Lateral Incisors with Zirconia Implants: A Case Report with One Year Follow-Up
Haseeb Al Dary1*, Musab Masadeh2*
1Dr. Haseeb's Dental Practice, Amman/Jordan.
2Metrohealth Medical Center Cleveland Ohio, USA.
*Corresponding Authors: Haseeb Al Dary, Dr. Haseeb's Dental Practice, Amman/Jordan and Musab Masadeh, GPR, DDS, OMFS, Metrohealth Medical Center Cleveland Ohio, USA.
Equal Contribution: Authors 1 and 2 contributed equally to this work.
https://doi.org/10.58624/SVOADE.2025.06.035
Received: October 27, 2025
Published: November 26, 2025
Citation: Al Dary H, Masadeh M. Multidisciplinary Approach to the Management of Congenitally Missing Lateral Incisors with Zirconia Implants: A Case Report with One Year Follow-Up. SVOA Dentistry 2025, 6:6, 215-220. doi: 10.58624/SVOADE.2025.06.035
Abstract
This case report emphasizes the critical role of zirconia implants in the multidisciplinary management of congenitally missing maxillary lateral incisors in a 19-year-old male patient. The treatment approach involved a combination of orthodontic space opening, soft tissue management, and the strategic placement of zirconia implants to achieve optimal functional and aesthetic outcomes. Comprehensive smile analysis was conducted to ensure adequate space for implant placement, utilizing orthodontic widening to create sufficient interdental space. In the second phase, soft tissue management was carried out using a punch connective tissue graft to enhance gingival aesthetics and prepare the site for implant placement. Two WhiteSky Type 1 one-piece zirconia implants were selected for their superior biocompatibility, excellent osseointegration potential, and natural white color, which effectively eliminates the greyish discoloration risk commonly seen with titanium implants. To allow for undisturbed healing, provisional restorations were placed in a non-functional position during the four-month osseointegration period. Final restorations were fabricated using a multicolor hybrid ceramic material that complemented the zirconia implants’ natural translucency, enhancing both the esthetic outcome and the overall appearance of the smile. At the one-year follow-up, the patient demonstrated stable soft tissue, no signs of inflammation, and a highly satisfactory smile. This case underscores the importance of zirconia implants in addressing the challenges posed by congenitally missing lateral incisors, emphasizing their long-term aesthetic and functional advantages when integrated into a well-coordinated multidisciplinary treatment plan.
Keywords: Congenitally Missing Lateral Incisors, One-Piece Zirconia Implant, Flapless Implant Placement, Tissue Graft Punch Technique.
