Ectodermal Dysplasia: Management of Knife-Edged Irregular Ridge and Its Rehabilitation with Hybrid Implant Prosthesis
Identifieur interne : 000883 ( Main/Exploration ); précédent : 000882; suivant : 000884Ectodermal Dysplasia: Management of Knife-Edged Irregular Ridge and Its Rehabilitation with Hybrid Implant Prosthesis
Auteurs : Prithviraj Doddamane Revanappa ; Satyam Gaur ; Rachana Srivastava ; Abhishekha Patil ; Shruthi Doddamane PrithvirajSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2016.
Abstract
Ectodermal Dysplasia Syndrome (EDS) is mainly X-linked inherited disorder with male predominance. According to Lyon hypothesis, female patients may show partial expression of EDS. Oral findings include hypodontia, rarely anodontia, protuberant lips, hyposalivation, conical teeth and loss of vertical dimension. The alveolar process fails to develop in the three dimensions. Such patients present a challenge to dental treatment due to an irregular residual ridge. This case report presents oral, functional and aesthetic rehabilitation of a 21-year-old female diagnosed with EDS using implants in the anterior maxilla at the sites of the canines bilaterally. Following, implant placement, it was noted that implant in the region of right canine was labially inclined compared to implant in the region of left canine, but both were centered in the ridge. To manage non-parallelism, one-piece titanium framework was fabricated using computer numeric controlled (CNC) machine. Subsequently, tooth and gingival shade ceramics were fired to simulate natural teeth and compensate for gingival deficiency respectively. The treatment described here restored patient’s aesthetics, function, self-confidence and status in society.
Url:
DOI: 10.7860/JCDR/2016/17225.7785
PubMed: 27437373
PubMed Central: 4948549
Affiliations:
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Rachana" sort="Srivastava, Rachana" uniqKey="Srivastava R" first="Rachana" last="Srivastava">Rachana Srivastava</name><affiliation><nlm:aff id="aff3"> Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>,<addr-line>Bangalore, Karnataka, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Patil, Abhishekha" sort="Patil, Abhishekha" uniqKey="Patil A" first="Abhishekha" last="Patil">Abhishekha Patil</name><affiliation><nlm:aff id="aff4"> Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>,<addr-line>Bangalore, Karnataka, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Prithviraj, Shruthi Doddamane" sort="Prithviraj, Shruthi Doddamane" uniqKey="Prithviraj S" first="Shruthi Doddamane" last="Prithviraj">Shruthi Doddamane Prithviraj</name><affiliation><nlm:aff id="aff5"> Dental Health 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sortKey="Gaur, Satyam" sort="Gaur, Satyam" uniqKey="Gaur S" first="Satyam" last="Gaur">Satyam Gaur</name><affiliation><nlm:aff id="aff2"> Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>,<addr-line>Bangalore, Karnataka, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Srivastava, Rachana" sort="Srivastava, Rachana" uniqKey="Srivastava R" first="Rachana" last="Srivastava">Rachana Srivastava</name><affiliation><nlm:aff id="aff3"> Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>,<addr-line>Bangalore, Karnataka, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Patil, Abhishekha" sort="Patil, Abhishekha" uniqKey="Patil A" first="Abhishekha" last="Patil">Abhishekha Patil</name><affiliation><nlm:aff id="aff4"> Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>,<addr-line>Bangalore, Karnataka, India</addr-line>.</nlm:aff></affiliation></author><author><name sortKey="Prithviraj, Shruthi Doddamane" sort="Prithviraj, Shruthi Doddamane" uniqKey="Prithviraj S" first="Shruthi Doddamane" last="Prithviraj">Shruthi Doddamane Prithviraj</name><affiliation><nlm:aff id="aff5"> Dental Health Officer,<institution>Government Dental College and Research Institute</institution>,<addr-line>Bangalore, Karnataka, India</addr-line>.</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title><idno type="ISSN">2249-782X</idno><idno type="eISSN">0973-709X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Ectodermal Dysplasia Syndrome (EDS) is mainly X-linked inherited disorder with male predominance. According to Lyon hypothesis, female patients may show partial expression of EDS. Oral findings include hypodontia, rarely anodontia, protuberant lips, hyposalivation, conical teeth and loss of vertical dimension. The alveolar process fails to develop in the three dimensions. Such patients present a challenge to dental treatment due to an irregular residual ridge. This case report presents oral, functional and aesthetic rehabilitation of a 21-year-old female diagnosed with EDS using implants in the anterior maxilla at the sites of the canines bilaterally. Following, implant placement, it was noted that implant in the region of right canine was labially inclined compared to implant in the region of left canine, but both were centered in the ridge. To manage non-parallelism, one-piece titanium framework was fabricated using computer numeric controlled (CNC) machine. Subsequently, tooth and gingival shade ceramics were fired to simulate natural teeth and compensate for gingival deficiency respectively. The treatment described here restored patient’s aesthetics, function, self-confidence and status in society.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Gaur, Satyam" sort="Gaur, Satyam" uniqKey="Gaur S" first="Satyam" last="Gaur">Satyam Gaur</name><name sortKey="Patil, Abhishekha" sort="Patil, Abhishekha" uniqKey="Patil A" first="Abhishekha" last="Patil">Abhishekha Patil</name><name sortKey="Prithviraj, Shruthi Doddamane" sort="Prithviraj, Shruthi Doddamane" uniqKey="Prithviraj S" first="Shruthi Doddamane" last="Prithviraj">Shruthi Doddamane Prithviraj</name><name sortKey="Revanappa, Prithviraj Doddamane" sort="Revanappa, Prithviraj Doddamane" uniqKey="Revanappa P" first="Prithviraj Doddamane" last="Revanappa">Prithviraj Doddamane Revanappa</name><name sortKey="Srivastava, Rachana" sort="Srivastava, Rachana" uniqKey="Srivastava R" first="Rachana" last="Srivastava">Rachana Srivastava</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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