American Board of Orthodontics (ABO) Practice Exam 2026 – All-in-One Resource to Master Your Orthodontics Certification!

When optimal occlusion is present but there is insufficient space for a lateral incisor implant, the recommended approach involves interproximal reduction (IPR) of the adjacent teeth. This technique allows for the necessary space to be created without compromising the overall alignment and function of the dental arch.

By performing IPR, orthodontists can subtly reduce the width of the adjacent teeth, thereby creating sufficient space for the lateral incisor implant to be placed correctly and with the right angulation. This method preserves the integrity of the adjacent teeth while maintaining the occlusal relationship, thus ensuring that no significant alterations are made to the bite.

Choosing to place a larger implant might lead to complications related to surrounding structures or aesthetic outcomes and would not address the underlying issue of space. Removing adjacent teeth could disrupt the dental arch's balance and result in further complications. Shifting the occlusion could potentially cause changes in the way the teeth contact and function, which may not be desirable.

Therefore, opting for IPR is a conservative and effective strategy that balances the need for space with the desire to retain optimal occlusal relationships.