International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Call for Paper Volume 8, Issue 5 (September-October 2026) Submit your research before last 3 days of October to publish your research paper in the issue of September-October.
Submit Research Paper Join as a Reviewer

Plagiarism is checked by the leading plagiarism checker TurnItIn

Call for Paper

Volume 8 Issue 5
September-October 2026

Submit your research paper

Indexing Partners
Academia Advanced Sciences Index Bielefeld Academic Search Engine CiteSeer DRJI Google Scholar Independent Search Engine & Directory Network ISI (International Scientific Indexing) Issuu Mendeley Research Networks
RefSeek ResearcherId - Thomson Reuters ResearchGate Scirus Scribd Semantic Scholar UTeM - Universiti Teknikal Malaysia Melaka Wiki for Call for Papers WorldCat Zenodo

Designing a Complete Smile from Incomplete Dentition: A Prosthodontic Case Report

Author(s) Dr. Vidhi Ahuja, Dr. Rajesh Kumar, Dr. Sunil Kumar MV
Country India
Abstract Background:
Esthetic rehabilitation in patients with congenitally missing anterior teeth presents a complex clinical challenge, particularly when associated with generalized spacing and altered tooth proportions. Contemporary prosthodontic treatment requires integration of esthetic principles, functional considerations, and predictable restorative planning to achieve a harmonious outcome.
Case Presentation:
A 45-year-old female patient reported with a chief complaint of an unaesthetic smile. Clinical examination revealed congenitally missing maxillary and mandibular lateral incisors associated with generalized spacing of the anterior dentition. Radiographic and clinical evaluation also revealed an endodontically treated mandibular right first premolar (44) with extensive loss of coronal tooth structure. Various treatment alternatives, including orthodontic space redistribution and implant-supported rehabilitation, were discussed. The patient elected fixed prosthodontic rehabilitation. Endodontic treatment of the planned abutment teeth was followed by post-and-core restoration of 44, with 45 incorporated as an additional abutment. Diagnostic impressions and face-bow transfer were performed, and the casts were mounted on a Hanau semi-adjustable articulator. A diagnostic wax-up was developed to establish appropriate tooth proportions, spatial distribution, and occlusal relationships. The wax-up was incorporated into a digital workflow for guided tooth preparation and fabrication of CAD/CAM provisional restorations. The provisional phase facilitated evaluation and refinement of esthetics, phonetics, occlusion, and patient acceptance prior to fabrication and cementation of the definitive fixed prostheses.
Conclusion:
This case demonstrates the application of a systematic prosthodontic and digital workflow for the esthetic rehabilitation of congenitally missing anterior teeth with generalized spacing. Integration of diagnostic wax-up, guided tooth preparation, and CAD/CAM provisionalization facilitated controlled management of tooth proportions and spatial distribution while enabling patient participation in the esthetic treatment process.
Keywords Congenitally missing teeth; smile design; esthetic rehabilitation; fixed partial denture; diagnostic wax-up; CAD/CAM; digital workflow; prosthodontic rehabilitation.
Field Medical / Pharmacy
Published In Volume 8, Issue 5, September-October 2026
Published On 2026-09-20
DOI https://doi.org/10.36948/ijfmr.2026.v08i05.88009
View / Download PDF File

Share this



E-ISSN 2582-2160
CrossRef

CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

Downloads
Research Paper Format Copyright Permission Form and Undertaking Form

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA Open Access

About IJFMR
Fees & Payment
Current Issue
Publication Archive 		Submit Research Paper
Track Submission Status
Publication Guidelines
Publication Ethics
Peer Review & Plagiarism 		Join as a Reviewer
Editors & Reviewers
Reviewer Referral Program
Get Reviewer Membership Certi. 		Website/Journal Policies
Usage Policy
Content Policies
Privacy Policy
Contact Us +91-9687-828-838 editor@ijfmr.com
Powered by Sky Research Publication and Journals