Oral Rehabilitation in a Child with Anodontia Case Report
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2018, Vol 6, Issue 4
Abstract
Anodontia is an inherited genetic disorder and is associated withectodermal dysplasia. Oral rehabilitation procedures are helping clinicians restore patients to better function and more esthetic outcomes than ever before. Oral rehabilitation is a difficult field in dentistry and especially in very young patients. It is a big problem to deal with children especially when you need to use dentures but is more delicate to use the implants in very young children. Due to the ectodermal anomaly the child has not just dental problems but also some general disturbances. This article deals with the procedure of total denture until the children will be able to receive implants for a better function. Ectodermal dysplasia is a rare inherited disorder characterized bydysplasia of at least two tissues of ectodermal origin [1,2]. The clinical features are well known and are based on congenital missing of temporary and permanent teeth, also thin, rare hair and hypoplastic skin. The incidence of this condition is 1:100000[3]. To present the major morpho-functional parameters affected by thisdevelopmental anomaly. Also, to mention the reduced possibilities to restore the dento-maxilar functionality in children with ectodermal dysplasia. The oral rehabilitation in children with anodontia of permanent teeth depends on the bone status and parents’ financial status but also the interconnection between the pediatric dentist, the prosthodontist and the implantologist. Clinical case of a6-year-old male patient clinically and radiologically diagnosed with anodontia in both maxillary and mandible and with the presence of only upper central incisors [4-21].The patient’s gender is male and at the moment of his first presentation was 6 years old and a month. The child is the first born in the family. After the anamnesis we found out from his mother that the child didn’t have the temporary teeth. The first and only erupted teeth were the two upper central incisors with absolute microdontia, but the shape is normal. In patients with partial anodontia teeth malformations are the most frequent dental findings: incisors and canines are often conical-shaped while primarily second molars, if present, are mostly affected by taurodontism[4].The chief complaint was the phonation problem but also mastication and alimentation. The child cannot speak well at the school and has some esthetic problems like elder aspect due to the reduced height of the lower level of the face. The phonation was affected due to the missing of the temporary teeth and because of that, the tongue became slightly hypertrophic.The patients with ectodermal dysplasia present a soft, smooth, thin and dry skin[5]. Our patient presented with thin, dry and friable hair. The skin was thin and had no elasticity and the thermoregulation mechanism was affected. Other clinical elements of the ectodermal dysplasia were observed: his eyebrows and eyelashes were very thin and almost non-existent; the skin had an elderly aspect(Figures1 & 2).
Authors and Affiliations
Ileana Bledea, Irina Totolici, Cristina Gabriela Puscasu
Keywords
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- EP ID EP585804
- DOI 10.26717/BJSTR.2018.06.001392
- Views 167
- Downloads 0
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