J Adv Prosthodont.  2009 Mar;1(1):6-9. 10.4047/jap.2009.1.1.6.

Oral rehabilitation for a patient with oligodontia and maxillary hypoplasia

• Chung DW
• Vang MS
• Park SW
• Lim HP
• Yang HS

• KMID: 2176331
• DOI: http://doi.org/10.4047/jap.2009.1.1.6

Abstract

An 18 year old female with oligodontia and maxillary hypoplasia was treated using an interdisciplinary team approach involving orthodontists, maxillofacial surgeons and prosthodontists. Full mouth one-piece fixed partial dentures were the final restoration. The fixed partial dentures fabricated for the maxilla and mandible using the concept of a shortened dental arch resulted in improved esthetics and the masticatory function. This paper describes the treatment procedures for an oligodontia patient with alveolar bone hypoplasia.

Keyword

Rehabilitation; Oligodontia; Interdisciplinary; Shortend dental arch; Esthetics

MeSH Terms

Dental Arch
Denture, Partial, Fixed
Esthetics
Female
Humans
Mandible
Maxilla
Mouth

Figure

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  Fig. 1 Pretreatment occlusal view.

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  Fig. 2 Pretreatment facial view.

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  Fig. 3 Pretreatment maxillary occlusal view.

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  Fig. 4 Panoramic radiograph.

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  Fig. 5 Postorthodontic and orthognathic surgery.

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  Fig. 6 Tooth preparation for the FPDs.

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  Fig. 7 Frontal view of definitive prostheses.

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  Fig. 8 Facial view - 2 years after treatment.

Reference

1. Graber LW. Congenital absence of teeth: a review with emphasis on inheritance patterns. J Am Dent Assoc. 1978. 96:266–275.

2. Präger TM, Finke C, Miethke RR. Dental findings in patients with ectodermal dysplasia. J Orofac Orthop. 2006. 67:347–355.

3. Sakai VT, Oliveira TM, Pessan JP, Santos CF, Machado MA. Alternative oral rehabilitation of children with hypodontia and conical tooth shape: a clinical report. Quintessence Int. 2006. 37:725–730.

4. Guckes AD, Roberts MW, McCarthy GR. Pattern of permanent teeth present in individuals with ectodermal dysplasia and severe hypodontia suggests treatment with dental implants. Pediatr Dent. 1998. 20:278–280.

5. Bishop K, Addy L, Knox J. Modern restorative management of patients with congenitally missing teeth: 3. Conventional restorative options and considerations. Dent Update. 2007. 34:30–32. 3437–38.

6. Jepson NJ, Nohl FS, Carter NE, Gillgrass TJ, Meechan JG, Hobson RS, Nunn JH. The interdisciplinary management of hypodontia: restorative dentistry. Br Dent J. 2003. 194:299–304.

7. Hayes-Sinclair K, Barclay CW. Case report: a restorative option in the management of hypodontia. Eur J Prosthodont Restor Dent. 1994. 3:11–14.

8. Addy L, Bishop K, Knox J. Modern restorative management of patients with congenitally missing teeth: 2. Orthodontic and restorative considerations. Dent Update. 2006. 33:592–595.

9. Witter DJ, van Palenstein Helderman WH, Creugers NH, Käyser AF. The shortened dental arch concept and its implications for oral health care. Community Dent Oral Epidemiol. 1999. 27:249–258.

10. Käyser AF. Shortened dental arches and oral function. J Oral Rehabil. 1981. 8:457–462.

11. Jepson N, Allen F, Moynihan P, Kelly P, Thomason M. Patient satisfaction following restoration of shortened mandibular dental arches in a randomized controlled trial. Int J Prosthodont. 2003. 16:409–414.