Early implant placement for a patient with ectodermal dysplasia: Thirteen years of clinical care

Patients with ectodermal dysplasia have abnormalities of 2 or more structures that originate from the ectoderm. The oral manifestations often include the congenital absence of teeth and malformed teeth. This clinical report describes the interdisciplinary care from childhood through the definitive d...

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Bibliographic Details
Published in:The Journal of prosthetic dentistry 2018-05, Vol.119 (5), p.702-709
Main Authors: Knobloch, Lisa A., Larsen, Peter E., Saponaro, Paola C., L’Homme-Langlois, Emilie
Format: Article
Language:English
Subjects:
Child
Crowns
Dental Implantation, Endosseous - methods
Dental Impression Technique
Dental Prosthesis, Implant-Supported
Dentistry
Denture Design
Denture Precision Attachment
Denture, Overlay
Denture, Partial, Removable
Ectodermal Dysplasia - complications
Esthetics, Dental
Humans
Male
Orthodontics, Corrective
Tooth Abnormalities - complications
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Summary:Patients with ectodermal dysplasia have abnormalities of 2 or more structures that originate from the ectoderm. The oral manifestations often include the congenital absence of teeth and malformed teeth. This clinical report describes the interdisciplinary care from childhood through the definitive dental rehabilitation completed at skeletal maturation to replace the missing teeth in a patient with ectodermal dysplasia. Treatment began at 9 years of age with an implant-assisted mandibular overdenture to improve function and replace the missing mandibular teeth. Orthodontic treatment for the consolidation of space, composite resin restorations, and interim removable dental prostheses were provided to improve esthetics and replace the missing maxillary teeth. Skeletal growth was monitored, and orthognathic surgery was performed at the cessation of growth. The definitive rehabilitation consisted of a mandibular fixed dental prosthesis supported by dental implants and a maxillary removable dental prosthesis to restore the patient to esthetics and function.
ISSN:0022-3913
1097-6841
DOI:10.1016/j.prosdent.2017.08.015