Osseointegrated Supported Prosthesis and Interdisciplinary Approach for Prosthodontic Rehabilitation of a Young Patient with Ectodermal Dysplasia
Identifieur interne : 001881 ( Pmc/Checkpoint ); précédent : 001880; suivant : 001882Osseointegrated Supported Prosthesis and Interdisciplinary Approach for Prosthodontic Rehabilitation of a Young Patient with Ectodermal Dysplasia
Auteurs : Karthik M. Sadashiva [Inde] ; N. Sridhar Shetty [Inde] ; Rakshith Hegde [Inde] ; Mallika M. Karthik [Inde]Source :
- Case Reports in Medicine [ 1687-9627 ] ; 2013.
Abstract
Anhidrotic ectodermal dysplasia is a triad of hypodontia or anodontia, hypotrichosis, and hypohydrosis, associated with other problems that result from the defective development of structures of ectodermal origin (Freire-Maia, Pinheiro (1988)). Early and extensive dental treatment is needed keeping in mind the effect on the craniofacial growth. Due to rapid growth of the jaws, the patients are rehabilitated using removable prostheses (Tarjan et al. (2005)). Hence for a young patient in this case report, the placement of endosseous osseointegrated implants was delayed till adulthood. Finally a definitive fixed tooth-supported and osseointegrated implant supported fixed partial denture therapy was used to rehabilitate the patient satisfactorily after she had completed her growth (Sweeney et al. (2005)). A review of the current literature relevant to several aspects of syndromic hypodontia, patient selection, and implant planning is discussed.
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DOI: 10.1155/2013/963191
PubMed: 24151512
PubMed Central: 3789299
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<front><div type="abstract" xml:lang="en"><p>Anhidrotic ectodermal dysplasia is a triad of hypodontia or anodontia, hypotrichosis, and hypohydrosis, associated with other problems that result from the defective development of structures of ectodermal origin (Freire-Maia, Pinheiro (1988)). Early and extensive dental treatment is needed keeping in mind the effect on the craniofacial growth. Due to rapid growth of the jaws, the patients are rehabilitated using removable prostheses (Tarjan et al. (2005)). Hence for a young patient in this case report, the placement of endosseous osseointegrated implants was delayed till adulthood. Finally a definitive fixed tooth-supported and osseointegrated implant supported fixed partial denture therapy was used to rehabilitate the patient satisfactorily after she had completed her growth (Sweeney et al. (2005)). A review of the current literature relevant to several aspects of syndromic hypodontia, patient selection, and implant planning is discussed.</p>
</div>
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</author>
<author><name sortKey="Carrel, R" uniqKey="Carrel R">R Carrel</name>
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</author>
<author><name sortKey="Majstorovi, M" uniqKey="Majstorovi M">M Majstorović</name>
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<author><name sortKey="Luli Duki, O" uniqKey="Luli Duki O">O Lulić-Dukić</name>
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<author><name sortKey="Gillgrass, Tj" uniqKey="Gillgrass T">TJ Gillgrass</name>
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<author><name sortKey="Mccarthy, Gr" uniqKey="Mccarthy G">GR McCarthy</name>
</author>
<author><name sortKey="Brahim, J" uniqKey="Brahim J">J Brahim</name>
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<author><name sortKey="Nilsson, P" uniqKey="Nilsson P">P Nilsson</name>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Med</journal-id>
<journal-id journal-id-type="publisher-id">CRIM.MEDICINE</journal-id>
<journal-title-group><journal-title>Case Reports in Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1687-9627</issn>
<issn pub-type="epub">1687-9635</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24151512</article-id>
<article-id pub-id-type="pmc">3789299</article-id>
<article-id pub-id-type="doi">10.1155/2013/963191</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Osseointegrated Supported Prosthesis and Interdisciplinary Approach for Prosthodontic Rehabilitation of a Young Patient with Ectodermal Dysplasia</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sadashiva</surname>
<given-names>Karthik M.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shetty</surname>
<given-names>N. Sridhar</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hegde</surname>
<given-names>Rakshith</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Karthik</surname>
<given-names>Mallika M.</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Dental and Prosthetic Surgery, Tata Memorial Hospital, Dr. E. Borges Marg, Parel, Mumbai 400012, India</aff>
<aff id="I2"><sup>2</sup>
Department of Prosthodontics, A. B. Shetty Dental College, Deralakatte, Mangalore 575018, India</aff>
<aff id="I3"><sup>3</sup>
Department of Prosthodontics, Guardian College of Dental Sciences & Research Centre, Jambhulgaon Road, Chikhloli, Ambarnath W., Thane District 421503, India</aff>
<author-notes><corresp id="cor1">*Karthik M. Sadashiva: <email>karthikms21@gmail.com</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Paul S. Casamassimo</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>9</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>963191</elocation-id>
<history><date date-type="received"><day>26</day>
<month>4</month>
<year>2013</year>
</date>
<date date-type="rev-recd"><day>5</day>
<month>7</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>19</day>
<month>8</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Karthik M. Sadashiva et al.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Anhidrotic ectodermal dysplasia is a triad of hypodontia or anodontia, hypotrichosis, and hypohydrosis, associated with other problems that result from the defective development of structures of ectodermal origin (Freire-Maia, Pinheiro (1988)). Early and extensive dental treatment is needed keeping in mind the effect on the craniofacial growth. Due to rapid growth of the jaws, the patients are rehabilitated using removable prostheses (Tarjan et al. (2005)). Hence for a young patient in this case report, the placement of endosseous osseointegrated implants was delayed till adulthood. Finally a definitive fixed tooth-supported and osseointegrated implant supported fixed partial denture therapy was used to rehabilitate the patient satisfactorily after she had completed her growth (Sweeney et al. (2005)). A review of the current literature relevant to several aspects of syndromic hypodontia, patient selection, and implant planning is discussed.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Preoperative radiograph showing overretained deciduous teeth and a few permanent teeth.</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Severely attritted mixed dentition resulting in a collapsed bite.</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>The patient exhibiting prominent and protuberant lips, abnormal hair (trichodysplasia) (head and eyebrows) (a), dry wrinkled skin of the palm (b), and feet with abnormal nails (onychodysplasia) (c).</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Maxillary and mandibular arch after extraction of mobile deciduous teeth.</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>Conventional overdenture prosthesis inserted in the patient's mouth.</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>Milling of wax pattern on the cast (a) and milled metallic framework cemented to the teeth intraorally (b).</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Implants in maxillary (12, 13, and 21 regions) (a) and mandibular (41, 43, and 32 regions) (b) with attached gingival formers. </p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label>
<caption><p>Occlusal view of the prosthesis, maxillary arch (mirror image) (a), mandibular arch (b) (mirror image), in occlusion (c), and patient's smile (d).</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label>
<caption><p>Radiograph taken after 6 months of cementation of the prosthesis.</p>
</caption>
<graphic xlink:href="CRIM.MEDICINE2013-963191.009"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Inde</li>
</country>
</list>
<tree><country name="Inde"><noRegion><name sortKey="Sadashiva, Karthik M" sort="Sadashiva, Karthik M" uniqKey="Sadashiva K" first="Karthik M." last="Sadashiva">Karthik M. Sadashiva</name>
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<name sortKey="Hegde, Rakshith" sort="Hegde, Rakshith" uniqKey="Hegde R" first="Rakshith" last="Hegde">Rakshith Hegde</name>
<name sortKey="Karthik, Mallika M" sort="Karthik, Mallika M" uniqKey="Karthik M" first="Mallika M." last="Karthik">Mallika M. Karthik</name>
<name sortKey="Shetty, N Sridhar" sort="Shetty, N Sridhar" uniqKey="Shetty N" first="N. Sridhar" last="Shetty">N. Sridhar Shetty</name>
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