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Sun J, Zhang N, Yu P, Mei Z, Jiang C, Wu Q, Yang Y, Yu H. A polyetheretherketone framework removable partial denture for a 6-year-old child with nonsyndromic oligodontia made using glass-ceramic hemispheres to enhance retention: A clinical report. J Prosthet Dent 2024:S0022-3913(24)00355-X. [PMID: 38782607 DOI: 10.1016/j.prosdent.2024.04.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 04/25/2024] [Accepted: 04/29/2024] [Indexed: 05/25/2024]
Abstract
A 6-year-old child with nonsyndromic oligodontia in the mixed dentition received a removable dental prosthesis with a polyetheretherketone framework and artificial gingiva, restoring esthetics and function. Computer-aided design and computer-aided manufacturing hemispherical glass-ceramic attachments were added to the teeth under the guidance of acid-etching and bonding guides to obtain an undercut area. The bonding and cementation of the attachments and the prosthesis delivery were completed in a single visit. This method offers a suitable prosthodontic treatment option for treating children with oligodontia in the mixed dentition.
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Affiliation(s)
- Jikui Sun
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Na Zhang
- Doctoral Candidate, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Ping Yu
- Doctoral Candidate, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Ziyu Mei
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Chen Jiang
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Qin Wu
- Doctoral Candidate, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Yang Yang
- Associate Professor, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China
| | - Haiyang Yu
- Professor, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Sichuan, PR China.
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2
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Liu H, Wu J, Zhang N, Rao S, Tan Y, Yu H. A digital workflow for tooth-supported complete overdentures with a composite resin injection technique to manage the treatment of a child with ectodermal dysplasia. J Prosthet Dent 2024:S0022-3913(23)00833-8. [PMID: 38199946 DOI: 10.1016/j.prosdent.2023.11.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 11/10/2023] [Accepted: 11/13/2023] [Indexed: 01/12/2024]
Abstract
This clinical report describes a digital workflow for the rehabilitation of an 8-year-old patient diagnosed with ectodermal dysplasia. Based on the patient's digital primary casts, small custom trays and an arch tracer were designed and 3-dimensionally printed. The mandibular custom tray and retention plate with a tracing screw were assembled with tracing plate, forming an individual assembled mini-arch tracer system to record the jaw relationship together with a conventional facebow and a digital articulator. In addition, composite resin injection guides were designed and fabricated to form the predesigned targeted shape of the abutment teeth and provide a buffer. By following this workflow, complete overdentures with good fit, occlusion, and acceptable esthetics were delivered.
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Affiliation(s)
- Huanhuan Liu
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, PR China
| | - Jiacheng Wu
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, PR China
| | - Na Zhang
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, PR China
| | - Sihan Rao
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, PR China
| | - Ying Tan
- Graduate student, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, PR China
| | - Haiyang Yu
- Professor, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, PR China.
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3
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Dupré N, Fournier BPJ, Gondel O, Riou MC, Isaac J, Garrec P, Vi-Fane B, Kribel S, De La Dure-Molla M, Carra MC, Felizardo R, Kerner SP. Reduced bone dimension in patients affected by oligodontia: A retrospective study on maxillary and mandibular CBCT. J Clin Periodontol 2023; 50:1590-1600. [PMID: 37653705 DOI: 10.1111/jcpe.13866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 07/13/2023] [Accepted: 08/04/2023] [Indexed: 09/02/2023]
Abstract
AIM Oligodontia (OD) is a rare developmental condition characterized by the absence of six or more teeth. Dental implant placement may be challenging due to anatomical factors. This study aims to evaluate the alveolar bone dimensions in OD patients compared with controls. MATERIALS AND METHODS On maxillary and mandibular cone-beam computed tomography (CBCT), bone height and width were measured at every tooth and edentulous site. The distance to the inferior alveolar nerve was also measured. Fifty-three OD patients (40 maxillary and 32 mandibular CBCT) and 82 controls (51 maxillary and 31 mandibular CBCT) were compared using mixed models. RESULTS Compared with those in OD patients, maxillary permanent teeth and edentulous sites showed significantly higher mean height in control patients (incisive-canine site height: +2.12 mm; edentulous incisive-canine site height: +4.46 mm [p > .001]). For the mandibular permanent teeth, mean height was higher in controls than in OD patients at the incisive-canine (+3.82 mm [p > .001]) and premolar areas (+2.06 mm [p > .001]). Only edentulous incisive-canine sites were significantly different between controls and OD patients (mean: +0.52 mm [p > .001]). Changes in alveolar nerve position were observed in case of molar agenesis. CONCLUSION Maxillary and mandibular bone dimensions are reduced in OD patients compared with controls both in sites with permanent teeth and in edentulous areas.
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Affiliation(s)
- Nicolas Dupré
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, INSERM U1138, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
| | - Benjamin P J Fournier
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, INSERM U1138, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
| | - Orianne Gondel
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Department of Periodontology, APHP, Bretonneau Hospital, Paris, France
| | - Margot C Riou
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, INSERM U1138, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
| | - Juliane Isaac
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, INSERM U1138, Laboratory of Molecular Oral Pathophysiology, Paris, France
| | - Pascal Garrec
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Department of Orthodontics, APHP, Pitié Salpêtrière Hospital, Paris, France
| | - Brigitte Vi-Fane
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Department of Orthodontics, APHP, Pitié Salpêtrière Hospital, Paris, France
| | - Samia Kribel
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
| | - Muriel De La Dure-Molla
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
- INSERM UMR_S1163 Bases moléculaires et physiopathologiques des ostéochondrodysplasies, Institut Imagine Necker, Paris, France
| | - Maria Clotilde Carra
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
- UMS 011, Population-based Epidemiologic Cohorts Unit, INSERM, Villejuif, France
- Post Graduate Program in Periodontology and Implant Dentistry, Université Paris-Cité, Paris, France
| | - Rufino Felizardo
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
- CNRS, UMR 8045, BABEL, Université Paris Cité, Paris, France
| | - Stephane P Kerner
- Faculty of Odontology, Departments of Periodontology, Oral Biology, Pediatric Dentistry, Orthodontics and Imaging, Université Paris Cité, Paris, France
- Reference Centre for Oral and Dental Rare Diseases, ORARES, Rothschild Hospital AP-HP, Paris, France
- Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, INSERM U1138, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Service of Odontology, APHP, Rothschild Hospital, Paris, France
- Post Graduate Program in Periodontology and Implant Dentistry, Université Paris-Cité, Paris, France
- Department of Periodontics, School of Dentistry, Loma Linda University, Loma Linda, California, USA
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McMillan KB, McMillan DC, Arce K, Salinas TJ. Surgical and prosthetic rehabilitation of siblings with Witkop tooth and nail syndrome using zygomatic implants: a familial case series of 3 patients with up to 15-year follow-up. Oral Maxillofac Surg 2023; 27:711-719. [PMID: 35907134 DOI: 10.1007/s10006-022-01107-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 07/26/2022] [Indexed: 10/16/2022]
Abstract
Witkop tooth and nail syndrome is a rare, autosomal dominant type of ectodermal dysplasia that can have significant effects on dentition, including hypoplastic and malformed dentition and significantly atrophic maxillas. Endosseous implants have become one possible solution to replace missing teeth, although their use in areas where bone is sparse becomes challenging. Due to the severe atrophy of the maxillary alveolus, extensive preprosthetic surgeries including orthognathic surgery, extensive bone grafting, and sinus floor augmentations have been recommended prior to placement of endosseous dental implants. Although this treatment has shown favorable outcomes, it requires multiple surgical procedures, contributing to a prolonged treatment course and increased morbidity. An alternative treatment of atrophic maxillas in patients with ectodermal dysplasia includes the use of zygomatic implants. This familial case series discusses 3 siblings, all previously diagnosed with Witkop Syndrome, who underwent comprehensive preprosthetic surgery and prosthetic rehabilitation using zygomatic implants with a follow-up period up to 15 years.
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Affiliation(s)
- Kale B McMillan
- Division of Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN, USA.
| | - Dane C McMillan
- Division of Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN, USA
| | - Kevin Arce
- Division of Oral and Maxillofacial Surgery, Section of Head & Neck Oncologic Surgery and Reconstruction, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN, USA
| | - Thomas J Salinas
- Department of Dental Specialties, Mayo Clinic and Mayo College of Medicine, Rochester, MN, USA
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Implications of Post-Traumatic Treatment of Immature Maxillary Incisors. Int Dent J 2023; 73:337-345. [PMID: 36804746 DOI: 10.1016/j.identj.2023.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/15/2023] [Accepted: 01/17/2023] [Indexed: 02/20/2023] Open
Abstract
The aim of this review was to discuss traumatic dental injuries in view of their treatment implications to provide an evidence-based resource for clinicians when planning treatment for traumatised immature maxillary incisors. Dental trauma to immature maxillary incisors can result in various complications, such as critical fractures, resorptions, or ankylosis, and might lead to tooth loss. Traumatised teeth may exhibit various unaesthetic discolourations as a result of different dental trauma sequelae or materials used for treatment. All of the above can influence patients' social experience, including self-esteem, confidence, eating and speaking abilities, as well as proper development and growth of the jaw bones. Treatment of traumatised immature incisors should focus not only on the acute phase but on the long-term consequences. Any time gained with the tooth in the jaw bone, free of infection, is an achievement, as it allows normal growth and development. All these aspects are discussed in this narrative review, and an evidence-based summary resource is suggested for clinicians to use when planning treatment for traumatised immature maxillary incisors.
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Sinada N, Wang CI. Fixed prosthodontic rehabilitation for an adolescent patient with ectodermal dysplasia using a fully digital workflow: Two-year follow-up. J Prosthet Dent 2022:S0022-3913(22)00700-4. [PMID: 36577569 DOI: 10.1016/j.prosdent.2022.10.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 12/27/2022]
Abstract
Ectodermal dysplasia is a rare genetic disorder characterized by congenital abnormalities of tissues and structures of ectodermal origin, such as the hair, nails, skin, sweat glands, and teeth. Common dental characteristics include retained primary teeth, conical shaped incisors and canines, and hypodontia or oligodontia. Early prosthodontic intervention of young patients diagnosed with ectodermal dysplasia is essential as symptoms can have substantial esthetic, functional, and psychosocial impacts. This clinical report describes the fixed prosthodontic treatment of an adolescent patient with ectodermal dysplasia by using a fully digital workflow. Digital workflows streamlined the treatment process and allowed for esthetic, functional, and psychological improvements in an efficient manner.
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Sun M, Tan X, Zhang N, Lou Y, Wu Q, Yu H. Recording jaw relation of a pediatric patient with ectodermal dysplasia and complete anodontia using a digital mini arch tracer: A case report. J Prosthodont 2022; 31:738-743. [PMID: 35946867 DOI: 10.1111/jopr.13587] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 07/25/2022] [Indexed: 01/04/2023] Open
Abstract
Children with ectodermal dysplasia and complete anodontia experience difficulties in oral rehabilitation because of the small arch size. A case of a 7-year-old boy, whose arch size (length and width) was 30-40% smaller than that of a male adult and who presented with difficulties in jaw relation recording using commercially available devices is described. A digital workflow involving a mini arch tracer was introduced. Primary impressions were made using three-dimensionally (3D) printed mini trays produced based on the patient's computed tomography images, and digital primary casts were obtained based on the scanned and reversed primary impressions. The final custom impression trays with mini tracing plates were designed based on the primary casts. In addition, the hand shank, retention plate, and retainers were placed on the designed custom trays and 3D-printed to produce an individual arch tracer system. In addition, two height-checking buckles were designed to help adjust the height of a tracing screw. Finally, the jaw relation of the patient was recorded and transferred, and a set of complete dentures were delivered, satisfying both the patient and his family.
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Affiliation(s)
- Manlin Sun
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xin Tan
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Na Zhang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yuxin Lou
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Qin Wu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Haiyang Yu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
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Primary Teeth Supported Fixed Prosthesis—A Predictable Treatment Alternative. CHILDREN 2022; 9:children9060804. [PMID: 35740741 PMCID: PMC9221699 DOI: 10.3390/children9060804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Revised: 05/12/2022] [Accepted: 05/27/2022] [Indexed: 11/16/2022]
Abstract
Background: Individuals with tooth agenesis often present a significant clinical challenge for dental practitioners. This retrospective study evaluated clinical and radiological long-term functional and esthetic outcomes following restoration using primary teeth to support fixed all-ceramic prosthesis in patients with teeth agenesis. Methods: Patients with teeth agenesis and at least one year follow-up were included. Examinations included panoramic X-ray, clinical examination and family history records. Only primary teeth without permanent teeth underneath were chosen. All ceramic fixed restorations were used. All data were collected from patient files. Outcome parameters included: restoration parameters (restoration survival, restoration fractures, restoration detachment, restoration replacement, and secondary caries), plaque index, and gingival index. Results: The study included 58 porcelain restorations inserted in 25 individuals; mean age 12 ± 2.1 years (range 10–19 years); mean number of missing teeth 12.3 ± 9 (range 6–12). Mean follow-up 48 ± 6 months (range 12–60 months). All restorations survived up to last follow-up, rendering a survival rate of 100%. Restorations outcome—porcelain chipping (9%), detachment (2%), no restoration replacement nor secondary caries, mean gingival index—0.7 ± 0.5 and mean plaque index—0.9 ± 0.3. Conclusions: In tooth agenesis, restoration using primary teeth to support fixed all-ceramic prosthesis is a viable treatment alternative.
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Rehabilitation Considerations for Very Young Children with Severe Oligodontia due to Ectodermal Dysplasia: Report of Three Clinical Cases with a 2-Year Follow-Up. Case Rep Dent 2022; 2022:9925475. [PMID: 35360383 PMCID: PMC8964192 DOI: 10.1155/2022/9925475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 02/16/2022] [Accepted: 03/02/2022] [Indexed: 11/20/2022] Open
Abstract
Introduction Management of oligodontia can be complicated and requires multidiscipline care, involving a wide spectrum of interventions. The aim of this report is to describe the challenges of oral rehabilitation of three very young children with oligodontia. Report. Three preschool aged Caucasian males, diagnosed with ectodermal dysplasia, were treated with interim removable dentures in order to replace missing teeth, reclaim vertical dimension, and improve function and aesthetics. The main challenges faced were patient cooperation, dental and skeletal characteristics, and parental expectations. Two years post-treatment, both patients and parents reported excellent adaptation to prosthesis and satisfaction with aesthetics. Conclusion Rehabilitation of oligodontia may be challenging due to accompanying oral findings, dentofacial growth considerations, and behavioral issues. Establishment of good rapport between patients, parents, and clinician is the key for the success of the treatment even with the use of nonpharmacological behavioral management techniques.
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10
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Digital Implant Planning in Patients with Ectodermal Dysplasia: Clinical Report. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031489. [PMID: 35162510 PMCID: PMC8835085 DOI: 10.3390/ijerph19031489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/13/2022] [Accepted: 01/27/2022] [Indexed: 12/04/2022]
Abstract
Ectodermal dysplasia may severely affect the development of jaw growth and facial appearance. This case report describes the treatment of two patients suffering from ectodermal dysplasia, both treated with dental implant-fixed restorations by means of computer-guided surgery. Two patients presented to our clinic with congenital malformation of the jaw as a manifestation of ectodermal dysplasia, showing oligodontia and alveolar ridge deficit. Clinical examination revealed multiple unattached teeth and a need for prosthetic therapy. For both cases, dental implants were placed based on a computer-guided planning. A surgical guide was used to determine the positioning of the dental implants according to the prosthetic planning, which allowed for a satisfactory aesthetic and functional outcome. Computer-guided implant placement allowed predictable treatment of complex cases with satisfactory aesthetic and functional results. Adequate surgical and prosthetic planning is considered critical for treatment success.
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A Hybrid Oral Rehabilitation of Hypohidrotic Ectodermal Dysplasia: A Conservative Approach with Three-Year Follow-Up. Case Rep Dent 2021; 2021:7469595. [PMID: 34931149 PMCID: PMC8684530 DOI: 10.1155/2021/7469595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 11/07/2021] [Accepted: 11/10/2021] [Indexed: 11/18/2022] Open
Abstract
This case report presents a 19-year-old male patient with hypohidrotic ectodermal dysplasia, having a chief complaint of multiple missing teeth. Atraumatic extraction of the teeth with hopeless prognosis was done, and teeth with grade 2 mobility were submerged using cast dowel and coping. Following this, incremental increase in the vertical dimension was made using removable flexible splint of two-millimeter thickness. After facebow transfer and making appropriate eccentric bite records to program the semiadjustable articulator, wax-up was done at the desired vertical dimension (VD). The upper arch was finally restored using a long-span fixed partial denture and lower arch using bilateral attachment (Rhein 83) retained cast removable partial denture as a definitive prosthesis. Therefore, in conditions like hypodontia or oligodontia caused due to ectodermal dysplasia, attachment retained removable partial denture may prove beneficial by effectively distributing the occlusal forces. In clinical scenarios where implant is not feasible or not opted by the patient, this combination treatment may be a viable option.
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12
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Bhat V, Bhat VS, Vadakkan J, Bhat SS, Shetty S, Hegde SK. Prosthodontic Management of Congenital Hypothyroidism with Anodontia: A Case Report. Int J Clin Pediatr Dent 2021; 14:586-589. [PMID: 34824519 PMCID: PMC8585887 DOI: 10.5005/jp-journals-10005-1994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Thyroid dysfunction has various manifestations which include orofacial abnormalities like delayed eruption, retained deciduous teeth, etc. Early detection of this deregulation of thyroid homeostasis can prevent associated complications. This report is a case of congenital hypothyroidism (CH) in a 4-year-old boy who presented with a completely edentulous maxilla and hypodontic mandible. Based on various biochemical and radiographic investigations, a diagnosis of CH was established. He was prosthodontically rehabilitated with removable dentures. How to cite this article: Bhat V, Bhat VS, Vadakkan J, et al. Prosthodontic Management of Congenital Hypothyroidism with Anodontia: A Case Report. Int J Clin Pediatr Dent 2021;14(4):586–589.
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Affiliation(s)
- Varsha Bhat
- Department of Prosthodontics, Yenepoya Dental College, Yenepoya University (Deemed to be University), Mangaluru, Karnataka, India
| | - Vidya S Bhat
- Department of Prosthodontics, Yenepoya Dental College, Yenepoya University (Deemed to be University), Mangaluru, Karnataka, India
| | - Jamsheera Vadakkan
- Department of Pedodontics, Yenepoya Dental College, Yenepoya University (Deemed to be University), Mangaluru, Karnataka, India
| | - Sham S Bhat
- Department of Pedodontics and Preventive Dentistry, Yenepoya Dental College, Yenepoya University (Deemed to be University), Mangaluru, Karnataka, India
| | - Sanath Shetty
- Department of Prosthodontics, Yenepoya Dental College, Yenepoya University (Deemed to be University), Mangaluru, Karnataka, India
| | - Sundeep K Hegde
- Department of Pedodontics and Preventive Dentistry, Yenepoya Dental College, Yenepoya University (Deemed to be University), Mangaluru, Karnataka, India
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Yu K, Shen Y, Jiang CL, Huang W, Wang F, Wu YQ. Two novel ectodysplasin A gene mutations and prenatal diagnosis of X-linked hypohidrotic ectodermal dysplasia. Mol Genet Genomic Med 2021; 9:e1824. [PMID: 34582123 PMCID: PMC8606200 DOI: 10.1002/mgg3.1824] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 09/13/2021] [Accepted: 09/14/2021] [Indexed: 11/24/2022] Open
Abstract
Background Hypohidrotic ectodermal dysplasia (HED) is mainly caused by ectodysplasin A (EDA) gene mutation. Fetus with genetic deficiency of EDA can be prenatally corrected. This study aimed at revealing the pathogenesis of two HED families and making a prenatal diagnosis for one pregnant female carrier. Designs Genomic DNA was extracted from two HED patients and sequenced using whole exome sequencing (WES). The detected mutations were confirmed in patients and family members using Sanger sequencing. The expression of soluble ectodysplasin A1 (EDA1) protein was studied by western blot. The transcriptional activity of NF‐κB pathway was tested by dual luciferase assay. The genomic DNA of fetus was extracted from shed chorion cells and EDA gene was screened through Sanger sequencing. Results We identified two novel EDA mutations: c.1136T>C (p.Phe379Ser) and c.[866G>C;868A>T] (p.[Arg289Pro;Ser290Cys]). Further examinations revealed that these two mutated EDA1 proteins showed completely impaired solubility, and the transcriptional NF‐κB activation induced by these missense mutant‐type EDA1 proteins was significantly reduced compared with wild‐type EDA1. Furthermore, the analysis of amniotic fluid samples from a pregnant heterozygote indicated that the fetus was a c.1136T>C mutation female carrier. Conclusions This study extended the mutation spectrum of X‐linked hypohidrotic ectodermal dysplasia (XLHED) and applied prenatal diagnosis for the pregnant carrier, which can be helpful in genetic counseling, prenatal diagnosis, and intervention for the XLHED family.
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Affiliation(s)
- Kang Yu
- Department of Second Dental Center, Ninth People's Hospital Affiliated with Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China
| | - Yihan Shen
- Department of Second Dental Center, Ninth People's Hospital Affiliated with Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China
| | - Cai-Ling Jiang
- Department of Second Dental Center, Ninth People's Hospital Affiliated with Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China
| | - Wei Huang
- Department of Oral Implantology, Ninth People's Hospital Affiliated with Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China
| | - Feng Wang
- Department of Oral Implantology, Ninth People's Hospital Affiliated with Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China
| | - Yi-Qun Wu
- Department of Second Dental Center, Ninth People's Hospital Affiliated with Shanghai Jiao Tong University, School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China
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14
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Stutz C, Clauss F, Huck O, Schulz G, Benkirane-Jessel N, Bornert F, Kuchler-Bopp S, Strub M. Eruption of Bioengineered Teeth: A New Approach Based on a Polycaprolactone Biomembrane. NANOMATERIALS 2021; 11:nano11051315. [PMID: 34067681 PMCID: PMC8156264 DOI: 10.3390/nano11051315] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 05/02/2021] [Accepted: 05/10/2021] [Indexed: 12/27/2022]
Abstract
Obtaining a functional tooth is the ultimate goal of tooth engineering. However, the implantation of bioengineered teeth in the jawbone of adult animals never allows for spontaneous eruption due mainly to ankylosis within the bone crypt. The objective of this study was to develop an innovative approach allowing eruption of implanted bioengineered teeth through the isolation of the germ from the bone crypt using a polycaprolactone membrane (PCL). The germs of the first lower molars were harvested on the 14th day of embryonic development, cultured in vitro, and then implanted in the recipient site drilled in the maxillary bone of adult mice. To prevent the ankylosis of the dental germ, a PCL membrane synthesized by electrospinning was placed between the germ and the bone. After 10 weeks of follow-up, microtomography, and histology of the implantation site were performed. In control mice where germs were directly placed in contact with the bone, a spontaneous eruption of bioengineered teeth was only observed in 3.3% of the cases versus 19.2% in the test group where PCL biomembrane was used as a barrier (p < 0.1). This preliminary study is the first to describe an innovative method allowing the eruption of bioengineered tooth implanted directly in the jawbone of mice. This new approach is a hope for the field of tooth regeneration, especially in children with oligodontia in whom titanium implants are not an optimal solution.
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Affiliation(s)
- Céline Stutz
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
| | - François Clauss
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
- Faculty of Dentistry, University of Strasbourg (UDS), 8 rue Ste Elisabeth, 67000 Strasbourg, France
- Department of Pediatric Dentistry, University Hospitals of Strasbourg (HUS), 1 Place de l’Hôpital, 67000 Strasbourg, France
| | - Olivier Huck
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
- Faculty of Dentistry, University of Strasbourg (UDS), 8 rue Ste Elisabeth, 67000 Strasbourg, France
- Department of Periodontology, University Hospitals of Strasbourg (HUS), 1 Place de l’Hôpital, 67000 Strasbourg, France
| | - Georg Schulz
- Core Facility Micro- and Nanotomography, Biomaterials Science Center (BMC), Department of Biomedical Engineering, University of Basel, Gewerbestrasse 14, 4123 Allschwil, Switzerland;
| | - Nadia Benkirane-Jessel
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
- Faculty of Dentistry, University of Strasbourg (UDS), 8 rue Ste Elisabeth, 67000 Strasbourg, France
| | - Fabien Bornert
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
- Department of Pediatric Dentistry, University Hospitals of Strasbourg (HUS), 1 Place de l’Hôpital, 67000 Strasbourg, France
- Department of Oral Medicine and Oral Surgery, University Hospitals of Strasbourg (HUS), 1 Place de l’Hôpital, 67000 Strasbourg, France
| | - Sabine Kuchler-Bopp
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
| | - Marion Strub
- INSERM (French National Institute of Health and Medical Research), UMR 1260, CRBS Regenerative NanoMedicine (RNM), FMTS, 1 rue Eugène Boeckel, 67084 Strasbourg, France; (C.S.); (F.C.); (O.H.); (N.B.-J.); (F.B.); (S.K.-B.)
- Faculty of Dentistry, University of Strasbourg (UDS), 8 rue Ste Elisabeth, 67000 Strasbourg, France
- Department of Pediatric Dentistry, University Hospitals of Strasbourg (HUS), 1 Place de l’Hôpital, 67000 Strasbourg, France
- Correspondence:
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15
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Oishi A, Hama Y, Kanai E, Miyashin M. Color-changeable chewing gum to motivate chewing training with complete dentures for a male patient with hypohidrotic ectodermal dysplasia and oligodontia. PEDIATRIC DENTAL JOURNAL 2021. [DOI: 10.1016/j.pdj.2021.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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16
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Cezar Pomini M, Postiglione Buhrer Samra A, Regina Fischborn A, Antônio Kozlowski Junior V, Bucholdz Teixeira Alves F. The use of mini-implants for provisional prosthetic rehabilitation in growing patients: a critical review. J Prosthodont Res 2020; 65:19-24. [PMID: 32938858 DOI: 10.2186/jpr.jpor_2019_338] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To critically review the literature using mini-implants for prosthetic rehabilitation of growing patients and to analyze the survival rates and clinical behavior of mini-implants. STUDY SELECTION Controlled clinical trials and case reports published in English, from January 2006 to October 2018, in a peer-reviewed journal in PubMed, Scopus, LILACS, and Cochrane Library databases. Studies using mini-implants for prosthetic rehabilitation in growing patients were included. Articles reporting mini-implants with a diameter greater than 3 mm, recruitment of adult participants, use of implants with other purposes than prosthodontic rehabilitation, and with a follow-up period shorter than 1 year, were excluded from the analysis. The selection was performed independently by two reviewers. RESULTS The selection resulted in the inclusion of eight articles. Although the studies presented heterogeneous protocols and follow-ups (varying from 1 to 8 years), only one case of failure was reported, which corresponded to crown displacement. All rehabilitation procedures were performed in the anterior region using mini-implants with different diameters (1.3-2.9 mm) and lengths (9-14 mm). The prosthetic rehabilitation included individual crowns and/or overdentures. CONCLUSIONS Mini-implant prosthetic rehabilitation seems to be a viable and promising option for provisional rehabilitation of growing patients, since it seems to preserve the bone structure while restoring function and esthetics until growth ceases, when then mini-implants can be replaced by standard implants.
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Affiliation(s)
- Marcos Cezar Pomini
- Department of Prosthodontics and Periodontics, Piracicaba Dental School, University of Campinas (Unicamp), Piracicaba, São Paulo
| | | | - Amanda Regina Fischborn
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa (UEPG), Ponta Grossa, Paraná
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17
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Liu Y, Tang C. Interdisciplinary treatment with implant-supported prostheses for an adolescent with ectodermal dysplasia: A clinical report. J Prosthet Dent 2019; 123:655-660. [PMID: 31753462 DOI: 10.1016/j.prosdent.2019.07.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 07/04/2019] [Accepted: 07/05/2019] [Indexed: 10/25/2022]
Abstract
This clinical report describes interdisciplinary treatments for a 17-year-old girl with ectodermal dysplasia. The treatment was initiated with orthodontic therapy. After the remaining primary teeth had been extracted, 6 implants were placed in the maxilla with bilateral sinus floor elevations, and 6 implants were placed in the mandible. Immediate restorations were provided. Definitive restorations included screw-retained partial dental prostheses and ceramic crowns.
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Affiliation(s)
- Yajing Liu
- Postgraduate student, Graduate Prosthodontics, Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, PR China; Postgraduate student, Department of Dental Implantology, Nanjing Medical University, Nanjing, PR China
| | - Chunbo Tang
- Professor, Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, PR China; Professor, Department of Dental Implantology, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, PR China.
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18
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AlNuaimi R, Mansoor M. Prosthetic rehabilitation with fixed prosthesis of a 5-year-old child with Hypohidrotic Ectodermal Dysplasia and Oligodontia: a case report. J Med Case Rep 2019; 13:329. [PMID: 31699141 PMCID: PMC6839255 DOI: 10.1186/s13256-019-2268-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 09/22/2019] [Indexed: 11/20/2022] Open
Abstract
Background Ectodermal dysplasia is a rare genetic disorder that affects ectodermally derived structures, including teeth, nails, hair, and sweat glands. Hypohidrotic ectodermal dysplasia is the most common type, with oligodontia being the most striking dental feature. Prosthetic rehabilitation in children with ectodermal dysplasia is an important step toward improving their overall quality of life. The fixed prosthesis has the advantages of being more stable in the mouth with good child compliance and a good aesthetic outcome. Case presentation Our patient was a 5-year-old Middle Eastern boy with oligodontia caused by ectodermal dysplasia. He was managed by fabrication of an upper functional space maintainer and a lower fixed partial denture to restore occlusion, masticatory function, aesthetics, and overall quality of life. Conclusions The use of the fixed prosthesis in children is a new and evolving treatment modality that resolves many of the issues caused by removable prostheses. It accommodates jaw growth in the mandible, reduces the need to remake the prosthesis, and has an overall better aesthetic outcome.
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19
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Cagna DR, Donovan TE, McKee JR, Eichmiller F, Metz JE, Albouy JP, Marzola R, Murphy KR, Troeltzsch M. Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2019; 122:198-269. [PMID: 31405523 DOI: 10.1016/j.prosdent.2019.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 05/15/2019] [Indexed: 12/13/2022]
Abstract
This comprehensive review of the 2018 dental literature is provided to inform busy dentists about progress in the profession. Developed by the Committee on Scientific Investigation of the American Academy of Restorative Dentistry, each author brings discipline-specific expertise to one of the 8 sections of the report including (1) prosthodontics; (2) periodontics, alveolar bone, and peri-implant tissues; (3) implant dentistry; (4) dental materials and therapeutics; (5) occlusion and temporomandibular disorders; (6) sleep-related breathing disorders; (7) oral medicine and oral and maxillofacial surgery; and (8) dental caries and cariology. The report targets important information that will likely influence day-to-day treatment decisions. Each review is not intended to stand alone but to update interested readers so that they may visit source materials if greater detail is desired. As the profession continues its march toward evidence-based clinical decision-making, an already voluminous library of potentially valuable dental literature continues to grow. It is the intention of this review and its authors to provide assistance in navigating the extensive dental literature published in 2018. It is our hope that readers find this work useful in the clinical management of patients moving forward.
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Affiliation(s)
- David R Cagna
- Professor, Associate Dean, and Residency Director, Department of Prosthodontics, University of Tennessee Health Sciences Center, College of Dentistry, Memphis, Tenn.
| | - Terence E Donovan
- Professor and Head of Biomaterials, Department of Restorative Sciences, University of North Carolina School of Dentistry, Chapel Hill, NC
| | - James R McKee
- Private practice, Restorative Dentistry, Downers Grove, Ill
| | | | - James E Metz
- Private practice, Restorative Dentistry, Columbus, Ohio
| | - Jean-Pierre Albouy
- Assistant Professor, Department of Restorative Sciences, University of North Carolina School of Dentistry, Chapel Hill, NC
| | | | - Kevin R Murphy
- Associate Clinical Professor, Department of Periodontics, University of Maryland College of Dentistry, Baltimore, MD; Private practice, Periodontics and Prosthodontics, Baltimore, MD
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20
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Cagetti MG, Camoni N, Cetraro F, Scanferla M, Moretti GM. Special-needs patients in pediatric dentistry: Progeroid syndrome. A case of dental management and oral rehabilitation. Pediatr Rep 2019; 11:7951. [PMID: 31214300 PMCID: PMC6548995 DOI: 10.4081/pr.2019.7951] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 04/10/2019] [Indexed: 11/22/2022] Open
Abstract
This report presents a case of an eightyear- old girl affected by a progeroid syndrome of unclear genetic origins. The patient's dental history included oligodontia, premature deciduous exfoliation and roots abnormalities. She was treated with comprehensive oral rehabilitation using dentures. Oral health instructions were given during the whole treatment and follow- up period. The goal of improving the masticatory function and the esthetic was achieved, allowing the patient to increase her social abilities and self-confidence.
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Affiliation(s)
- Maria Grazia Cagetti
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Italy
| | - Nicole Camoni
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Italy
| | - Flavia Cetraro
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Italy
| | - Massimo Scanferla
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Italy
| | - Giacomo Maria Moretti
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Italy
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