TREATMENT STRATEGIES AND EFFECTIVENESS OF ORTHODONTIC AND PROSTHETIC MANAGEMENT IN CHILDREN WITH PARTIAL PRIMARY TOOTH AGENESIS

Abstract

Partial primary tooth agenesis is a developmental anomaly that requires individualized and stage-specific treatment planning. Management strategies depend on the patient’s age, dentition stage, occlusal characteristics, and craniofacial growth pattern. The purpose of this study was to evaluate the effectiveness of orthodontic and prosthetic treatment approaches in children and adolescents with partial tooth agenesis. A prospective clinical study was conducted involving 210 pediatric patients aged 6–18 years undergoing orthodontic and/or prosthetic treatment. Treatment modalities included space maintenance, orthodontic space closure, space opening for prosthetic replacement, removable partial dentures, adhesive bridges, and implant planning after growth completion. Clinical effectiveness was evaluated based on occlusal stability, facial symmetry, masticatory efficiency, esthetic satisfaction, and complication rates. The results demonstrate that early interceptive orthodontic therapy significantly reduces arch asymmetry and prevents secondary malocclusion. Combined orthodontic-prosthetic management in adolescence yields the most stable long-term functional and aesthetic outcomes. The study emphasizes the importance of multidisciplinary planning and growth monitoring in pediatric patients with agenesis.