EC Dental Science

We report a case of comprehensive treatment centered on orthodontic therapy in a patient with eight congenitally missing permanent teeth and no systemic symptoms, which resulted in favorable outcomes. In cases of multiple tooth agenesis involving five or more teeth, the first phase of treatment focuses on utilizing the patient’s growth and development to approximate normal growth and establish proper jaw and oral functions by the appropriate developmental stage. The second phase of treatment is guided by a treatment plan based on VTO and Arch VTO, with the aim of anticipating future prosthetic rehabilitation for the missing areas and achieving optimal long-term outcomes.

 Keywords: Congenital Permanent Tooth Defects; Comprehensive Orthodontic Treatment; Arch VTO

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