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Prosthetic rehabilitation of oligodontia in a child: a case report
Abstract
Oligodontia is a developmental dental anomaly. It is either an isolated trait or part of a syndrome. Oligodontia is characterized by the congenital absence of more than six permanent teeth except the third molars. In this presented case, the treatment plan aimed at psychological, esthetic and functional rehabilitation of the patient who was suffering from oligodontia. After taking a thorough medical and dental history, clinical and radiological examination, the patient was treated with a removable partial denture in the maxillary arch, while a complete denture was made in the mandibular arch. The patients esthetics was greatly improved and early functional rehabilitation of the patient was done. DOI: http://dx.doi.org/10.3329/updcj.v4i1.21167 Update Dent. Coll. j: 2014; 4 (1): 38-43
... 38,[39][40][41][42][43][44][45] and Iran 12,46,47 reported fewer than 10 patients, whereas fewer than 5 patients were reported from the United States of America, 3,10,48,49 Turkey, 8,[50][51][52] Tunisia, 53 Greece, 54 and Nepal. 55,56 The countries with only 1 treatment reported were France, 6 Ireland, 57 Pakistan, 58 Bangladesh, 59 the United Kingdom, 60 the Republic of Korea, 61 Poland, 62 Jordan, 63 Kenya, 64 China, 65 and Germany. 66 All the reports clearly described the demographic details of the patients and the patient's initial clinical condition. ...
... Sixty-eight reports described hypodontia or oligodontia of the maxilla, 3 16,21 Simpson-Golabi-Behmel syndrome, 51 Papillon-Lefevre syndrome, 58 Russell-Silver syndrome, 61 Axenfeld-Rieger syndrome, 57 rhabdomyosarcoma, 66 Sanjad Sakati syndrome, 63 progeroid syndrome, 39 or Jeune syndrome. 45 Most authors advocated the fabrication of a CD 6,8,10,13,15,17,22,23,26,28,33,34,36,38,43,44,52,59,62,64 or OD 12 for complete edentulism. Partial edentulism was managed with an RPD, 12,13,17,18,20,24,26,[28][29][30][31]33,37,38,40,41,43,[52][53][54][55][56][57][58][59]63,64 ODs, 3,[10][11][12]15,16,18,19,[47][48][49]54,60,61 a precision attachmentretained interim RPD, 21 overlay RPDs, 46 rotational path RPDs, 45 a cast partial denture, 25 a mobile pediatric prosthesis, 50 or CDs. ...
... 45 Most authors advocated the fabrication of a CD 6,8,10,13,15,17,22,23,26,28,33,34,36,38,43,44,52,59,62,64 or OD 12 for complete edentulism. Partial edentulism was managed with an RPD, 12,13,17,18,20,24,26,[28][29][30][31]33,37,38,40,41,43,[52][53][54][55][56][57][58][59]63,64 ODs, 3,[10][11][12]15,16,18,19,[47][48][49]54,60,61 a precision attachmentretained interim RPD, 21 overlay RPDs, 46 rotational path RPDs, 45 a cast partial denture, 25 a mobile pediatric prosthesis, 50 or CDs. 39,53 Conical teeth, if present, were modified with composite resin restorations, 12,30,41,48,54 complete coverage crowns, 38 or direct composite resin laminates. ...
Statement of problem:
Dental agenesis is a condition in which the absence of teeth causes debilitating problems, primarily in speech, mastication, and esthetics. The optimal removable prosthetic management for the condition is unclear.
Purpose:
The purpose of this systematic review was to evaluate the spectrum of removable prosthetic techniques with regard to the type of edentulism and to provide clinical guidance for practicing dentists.
Material and methods:
An electronic and manual search was conducted in the PubMed, Scopus, and Google Scholar databases. Publications of case reports and series written in English without data restrictions that reported on removable prosthodontic management of patients with oligodontia, hypodontia, or anodontia were included.
Results:
A total of 59 articles comprising 83 case reports were analyzed. In patients with anodontia, the most common treatment option was an acrylic resin complete denture. Hypodontia and oligodontia were commonly managed by using either a partial denture or overdenture. Irreversible hydrocolloid or alginate was the most accepted material for the preliminary impressions and elastomeric materials for definitive impressions. The tooth arrangements were modified to simulate natural dentition and improve esthetics. Modifications of conventional acrylic resin dentures have been proposed for improved denture adaptation. Good retention is essential to the long-term success of prosthetic treatment and may be achieved with a denture reline or with retention clasps. The active growth of the patients means constant maintenance, including denture renewals or repairs, emphasizing the need for long-term follow-up care.
Conclusions:
Prosthodontic rehabilitation at an early age has been shown to significantly impact the overall quality of life for a child with tooth agenesis.
The aim of this report is to describe the management of a 16-year-old patient with oligodontia including six permanent teeth.
Oligodontia is agenesis of six teeth or more, excluding third molars. The etiology of congenital absence of teeth is believed to be involved in heredity or developmental anomalies. It can be isolated or as part of a syndrome. There are a number of options available to restore space generated by missing teeth. Dental treatment can vary depending on the severity of the disease and generally requires a multidisciplinary approach. Treatment options include orthodontic therapy, implants, adhesive techniques, and removable prostheses.
A 16-year-old male patient with oligodontia affecting six permanent teeth received conservative care that met his and his parent's expectations. The existing primary teeth were restored to resemble permanent teeth in order to achieve a favorable esthetic result using direct composite resin. The restorative treatment was provided for the psychosocial comfort of the young patient. The loss of teeth in young patients can cause esthetic, functional, and psychological problems particularly if the teeth of the anterior region are involved.
Adhesive techniques and new restorative materials represent current options in the management of the dental rehabilitation of young patients with oligodontia.
Statement of the Problem: Oligodontia (severe partial anodontia) is a developmental dental anomaly. It is either an isolated trait or part of a syndrome. Oligodontia is characterized by the congenital absence of more than six permanent teeth except the third molars. Treatment often calls for facilitated surgical techniques, but less severe cases can be treated conventionally in a normally equipped dental office.
Case Presentation: A case of oligodontia treated with prosthetic rehabilitation is presented in this article to remind clinicians of the anomaly. A medical history was taken and clinical and radiographic examinations were made. It is emphasized that conventional prosthetic treatment can lead to a satisfactory result. The patient was treated with fully extending denture prostheses. An overdenture was designed in the maxillary arch, while a removable partial denture was made in the mandibular arch.
Results: The patient’s speech and masticatory function improved greatly. He was also pleased with better facial esthetics. Observed temporomandibular joint dysfunction also ameliorated after the treatment.
Conclusion: Dental clinicians should keep in mind that there are good possibilities with conventional prosthodontic techniques to help patients with dental anomalies. Treatment not only improves speech and masticatory function but also has psychological implications that may greatly help in regaining self‐confidence.
CLINICAL SIGNIFICANCE
Patients suffering from oligodontia may have severe psychological, esthetic, and functional problems. Thus, early diagnosis and treatment of these patients are necessary.
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