Orthodontic replacement of maxillary central incisors by lateral incisors: Issues to be considered.

Management of cases with extraction of single or both maxillary central incisors are very occasional in orthodontics. Among various treatment modalities, closure of the extraction space by substitution of ipsilateral lateral incisor for the central incisor is usually patient satisfactory. Various issues related to optimum esthetics, static and functional occlusion, restoration and individualization of orthodontic appliances in the management of such cases are highlighted. The clinical management of a case with extraction of both maxillary central incisors is discussed.