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Akitomo T, Kusaka S, Iwamoto Y, Usuda M, Kametani M, Asao Y, Nakano M, Tachikake M, Mitsuhata C, Nomura R. Five-Year Follow-Up of a Child with Non-Syndromic Oligodontia from before the Primary Dentition Stage: A Case Report. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10040717. [PMID: 37189966 DOI: 10.3390/children10040717] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 04/10/2023] [Accepted: 04/12/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND Congenital absence of teeth is a major dental abnormality in pediatric dentistry and the absence of six or more teeth is defined as oligodontia. Few reports of patients with non-syndromic oligodontia without systemic disease have continued dental follow-up from an early age. METHODS We performed the five-year follow-up from before the eruption of the primary dentition of a Japanese child with non-syndromic oligodontia and analyzed changes in dental arch growth. RESULTS At the oral examination at the age of 1 year and 2 months, eight primary incisors were congenitally absent. Therefore, we made dentures for the patient at the age of 3 years and 4 months. From the age of 5 years and 1 month, the child received articulation training for dysarthria from a speech therapist to improve the function and appearance of the oral cavity. Measurement of the patient's dental models revealed a particularly narrow dental arch, especially between the primary canines. CONCLUSIONS Our findings highlight the importance of treatment for patients with non-syndromic oligodontia from an early age by multiple medical professionals, recognizing that the missing teeth affect the growth of the maxillofacial region.
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Affiliation(s)
- Tatsuya Akitomo
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Satoru Kusaka
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Yuko Iwamoto
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Momoko Usuda
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Mariko Kametani
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Yuria Asao
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Masashi Nakano
- Department of Pediatric Dentistry, Hiroshima University Hospital, Hiroshima 734-8553, Japan
| | - Meiko Tachikake
- Department of Pediatric Dentistry, Hiroshima University Hospital, Hiroshima 734-8553, Japan
| | - Chieko Mitsuhata
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
| | - Ryota Nomura
- Department of Pediatric Dentistry, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
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Priest G. The treatment dilemma of missing maxillary lateral incisors‐Part I: Canine substitution and resin‐bonded fixed dental prostheses. J ESTHET RESTOR DENT 2019; 31:311-318. [DOI: 10.1111/jerd.12484] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 03/05/2019] [Accepted: 04/14/2019] [Indexed: 11/29/2022]
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Sethuram AK, Arora V, Kumar Pal A, Singh Sandhu H, Sahoo NK, Guruprasada BS. Prosthodontic Rehabilitation with a Telescopic Prosthesis of a Nonsyndromic Oligodontia Patient. J Prosthodont 2015; 25:247-51. [PMID: 26032146 DOI: 10.1111/jopr.12297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/03/2014] [Indexed: 11/29/2022] Open
Abstract
Oligodontia is the congenital absence of six or more permanent teeth, excluding the third molars. Oligodontia of permanent dentition is a rare occurrence. Preservation of the remaining deciduous dentition in such situations is important for both functional and esthetic rehabilitation of the patient. This clinical report describes the rehabilitation of a 16-year-old male with oligodontia of permanent teeth treated by an interdisciplinary team of prosthodontist, pedodontist, and orthodontist. The remaining deciduous dentition was endodontically treated. Occlusal vertical dimension (OVD) of the deciduous dentition was assessed. A full-mouth single piece porcelain-fused-to-metal telescopic prosthesis for the maxillary and mandibular arches was planned with a minimal increase in OVD. The telescopic prosthesis provided excellent retention, stability, esthetics, and stress equalization on the remaining deciduous dentition. Maintenance of oral hygiene procedures was simplified for the adolescent with the telescopic prosthesis. Preservation of remaining deciduous dentition and fabrication of a telescopic prosthesis in this patient provided an effective esthetic and functional rehabilitation.
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Affiliation(s)
- Anil Kumar Sethuram
- Department of Prosthodontics, Command Military Dental Centre Lucknow, Lucknow, India
| | - Vimal Arora
- Department of Prosthodontics, O/o DGDS, Integrated AHQ, Delhi, India
| | - Arup Kumar Pal
- Department of Oral and Maxillofacial Surgery, Command Military Dental Centre Lucknow, Lucknow, India
| | | | | | - B S Guruprasada
- Department of Prosthodontics, Command Military Dental Centre Chandigarh, Chandigarh, India
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Xie Q, Ding T, Yang G. Rehabilitation of oral function with removable dentures - still an option? J Oral Rehabil 2014; 42:234-42. [PMID: 25327636 DOI: 10.1111/joor.12246] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Q. Xie
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
| | - T. Ding
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
| | - G. Yang
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
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Reston EG, Bervian J, Kramer PF, Spiguel MH, Ferreira SH, Closs LQ. Esthetic Rehabilitation of a Patient With Severe Oligodontia. Oper Dent 2014; 39:339-44. [DOI: 10.2341/12-397-s] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Oligodontia, or the congenital absence of teeth, can occur in isolation or as part of a syndrome. This study describes a case of isolated oligodontia associated with conical teeth and large diastemas in the anterior region. The patient was treated using direct composite resin restorations. Recent improvements in adhesive restorative materials allow practitioners to offer this low-cost, conservative esthetic treatment, which has the advantage of preserving sound dental structures, to patients with missing teeth.
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Affiliation(s)
- EG Reston
- Eduardo G. Reston, EBM, DDS, MSD, PhD, associate professor, Head of the Department of Restorative Dentistry, Lutheran University of Brazil, School of Dentistry, Canoas, Brazil
| | - J Bervian
- Juliane Bervian, DDS, MSD, PhD, Former Graduate Student, Lutheran University of Brazil, Canoas, Brazil. associate professor, Department of Pediatric Dentistry, Passo Fundo University, Passo Fundo, Brazil
| | - PF Kramer
- Paulo Floriani Kramer, DDS, MSD, PhD, associate professor, Head of the Department of Pediatric Dentistry, Lutheran University of Brazil, Canoas, Brazil
| | - MH Spiguel
- Monica Hermann Spiguel, MSD, private practice, Porto Alegre, Brazil
| | - SH Ferreira
- Simone Helena Ferreira, MSD, PhD, associate professor, Department of Pediatric Dentistry, Lutheran University of Brazil, Canoas, Brazil
| | - LQ Closs
- Luciane Q. Closs, DDS, MSD, PhD, associate professor, Head of the Department of Orthodontics, Lutheran University of Brazil, School of Dentistry, Canoas, Brazil
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Gonçalves TMSV, Gonçalves LM, Sabino-Bezerra JR, Santos-Silva AR, da Silva WJ, Garcia RCMR. Multidisciplinary therapy of extensive oligodontia: a case report. Braz Dent J 2013; 24:174-8. [PMID: 23780360 DOI: 10.1590/0103-6440201302158] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2012] [Accepted: 04/18/2013] [Indexed: 11/22/2022] Open
Abstract
Oligodontia is a rare congenital disorder consisting in the absence of six or more teeth. This case report describes a multidisciplinary treatment approach for a 12-year-old male with absence of 11 permanent teeth. Prior to any procedure, all primary teeth were scheduled for extraction due to poor crown-to-root ratio. The treatment plan comprised two phases: 1. orthodontic and speech therapy aimed at overbite and anterior open bite adjustment, as well as tongue position improvement; and 2. prosthetic treatment by insertion of removable temporary partial dentures. The multidisciplinary treatment involving orthodontics, speech and prosthetic therapies have reestablished the masticatory function and aesthetics, allowing the patient to achieve greater self-esteem and better social acceptance.
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Ergun G, Cekic-Nagas I. Implant-prosthetic rehabilitation of a patient with nonsyndromic oligodontia: a clinical report. J ORAL IMPLANTOL 2011; 38 Spec No:497-503. [PMID: 21905913 DOI: 10.1563/aaid-joi-d-10-00120] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Oligodontia is defined as the absence of 6 or more permanent teeth due to the hypodevelopment of tooth germs. This familial abnormality is attributable to various mutations or polymorphisms of genes and associated with malformative syndromes. This clinical report presents the multidisciplinary dental treatment planning for a 27-year-old woman who exhibited oligodontia. After radiographic and clinical evaluations, 7 retained primary teeth and 2 mandibular third molars were extracted. Three dental implants were placed into the maxillary alveolar process. After the osseointegration period, complete-arch fixed prostheses in both maxilla and mandible, supported by a combination of implants and teeth, were fabricated. Osseointegration of the implants, peri-implant mucosa health, and prosthesis function were assessed every 6 months. At the end of the 3-year clinical follow-up, the patient was satisfied with the esthetics, function, and phonation of her prosthesis. To attain the best esthetic and biological results, an interdisciplinary approach could be used to synergistically combine surgery and restorative dentistry for the restoration of maximal esthetics and function.
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Affiliation(s)
- Gulfem Ergun
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
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THALJI GHADEERN, COOPER LYNDONF. The Role of Complete Overdentures in Esthetic Rehabilitation of the Adolescent Oligodontia Patient. A Case Report. J ESTHET RESTOR DENT 2010; 22:213-21. [DOI: 10.1111/j.1708-8240.2010.00341.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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