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The aim of this case report is to illustrate the fixed orthodontic, surgical and periodontal implant management of a young adult with multiple agenesis associated with a class II division 2 malocclusion. The challenge here was the multidisciplinary synchronisation in order to achieve a coordinated treatment with the best possible aesthetic, prosthetic and functional prognosis. The patient suffered from a total of 10 agenesis including third molars and underwent implant replacement with bone grafting and periodontal planning of the 6 missing premolars. The orthodontic treatment lasted 22months and was followed by a period of just under a year for periodontal and implant prosthetic completion. The 3-year follow-up after the orthodontic phase showed an excellent prognosis in terms of aesthetics, function and stability., (Copyright © 2023 CEO. Published by Elsevier Masson SAS. All rights reserved.)

Adult patients who consult an orthodontist are looking for dental rehabilitation underpinned by an implicit esthetic demand, which needs to be analyzed. When the discrepancy involves more than the teeth and cannot be corrected by dentoalveolar compensation alone, there is a need, on account of the lack of growth, the periodontal setting and underlying dysfunctions, for an orthodontic-surgical solution. A clear understanding of the required future functional balance will help achieve a satisfactory esthetic target and give stable, lasting results., (Copyright © 2013. Published by Elsevier Masson SAS.)