Ectodermal Dysplasia: Management of Knife-Edged Irregular Ridge and Its Rehabilitation with Hybrid Implant Prosthesis
Identifieur interne : 000746 ( Pmc/Checkpoint ); précédent : 000745; suivant : 000747Ectodermal 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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<series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title>
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<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>
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<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
<journal-id journal-id-type="publisher-id">JCDR</journal-id>
<journal-title-group><journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
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<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
<publisher><publisher-name>JCDR Research and Publications (P) Limited</publisher-name>
<publisher-loc>Delhi, India</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">27437373</article-id>
<article-id pub-id-type="pmc">4948549</article-id>
<article-id pub-id-type="doi">10.7860/JCDR/2016/17225.7785</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dentistry Section</subject>
<subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Ectodermal Dysplasia: Management of Knife-Edged Irregular Ridge and Its Rehabilitation with Hybrid Implant Prosthesis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Revanappa</surname>
<given-names>Prithviraj Doddamane</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1"></xref>
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<contrib contrib-type="author"><name><surname>Gaur</surname>
<given-names>Satyam</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Srivastava</surname>
<given-names>Rachana</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Patil</surname>
<given-names>Abhishekha</given-names>
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<xref ref-type="aff" rid="aff4">4</xref>
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<contrib contrib-type="author"><name><surname>Prithviraj</surname>
<given-names>Shruthi Doddamane</given-names>
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<xref ref-type="aff" rid="aff5">5</xref>
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<aff id="aff1"><label>1</label>
Dean Cum Director,<institution>Government Dental College and Research Institute</institution>
,<addr-line>Bangalore, Karnataka, India</addr-line>
.</aff>
<aff id="aff2"><label>2</label>
Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>
,<addr-line>Bangalore, Karnataka, India</addr-line>
.</aff>
<aff id="aff3"><label>3</label>
Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>
,<addr-line>Bangalore, Karnataka, India</addr-line>
.</aff>
<aff id="aff4"><label>4</label>
Post Graduate Student, Department of Prosthodontics,<institution>Government Dental College and Research Institute</institution>
,<addr-line>Bangalore, Karnataka, India</addr-line>
.</aff>
<aff id="aff5"><label>5</label>
Dental Health Officer,<institution>Government Dental College and Research Institute</institution>
,<addr-line>Bangalore, Karnataka, India</addr-line>
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<author-notes><corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Prithviraj Doddamane Revanappa, #7, GDCRI, Victoria Hospital Campus, Bangalore, Karnataka - 560002, India. E-mail: <email>prithvidr@yahoo.com</email>
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<pub-date pub-type="ppub"><month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>01</day>
<month>5</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>5</issue>
<fpage>ZD05</fpage>
<lpage>ZD07</lpage>
<history><date date-type="received"><day>16</day>
<month>10</month>
<year>2015</year>
</date>
<date date-type="rev-request"><day>21</day>
<month>12</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>11</day>
<month>1</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© 2016 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Aesthetics</kwd>
<kwd>CAD-CAM</kwd>
<kwd>Ectodermal dysplasia syndrome</kwd>
<kwd>One-piece titanium framework</kwd>
</kwd-group>
</article-meta>
</front>
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<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>
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</record>
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