Oral rehabilitation with implant-supported overdenture in a child with hypohidrotic ectodermal dysplasia

Ectodermal dysplasia is an abnormality of the ectoderm and its derivatives, phenotypically expressed in males and genetically inherited from mothers. Objective: To report the efficacy of the prosthetics treatment of severe ectodermal dysplasia in a 6-year-old boy with hypohidrotic ectodermal dysplasia (HED). Case report: The boy had difficulty in speaking and eating and the condition also affected his self-esteem. Prosthetic treatments included the construction of acrylic custom trays, determination of the vertical dimension of occlusion (VDO), construction of upper and lower dentures, and palatal expansion procedure. Conclusion: Significant improvements in the patient’s stomatognathic function and self-esteem were evident.

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Ectodermal dysplasia - Maxillary and mandibular alveolar reconstruction with dental rehabilitation: A case report and review of the literature

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699412 ◽

2010 ◽

Vol 43 (01) ◽

pp. 092-096

Author(s):

Sanjeev N. Deshpande ◽

Vikas Kumar

Keyword(s):

Case Report ◽

Ectodermal Dysplasia ◽

Review Of The Literature ◽

Hypohidrotic Ectodermal Dysplasia ◽

Inherited Disorders ◽

Oral Rehabilitation ◽

Osseointegrated Implants ◽

Dental Rehabilitation ◽

Free Fibula ◽

Rare Group

ABSTRACTEctodermal dysplasia is a rare group of inherited disorders characterized by aplasia or dysplasia of tissues of ectodermal origin, such as hair, nails, teeth and skin. Dental manifestations include hypodontia, complete anodontia or malformed teeth. Oral rehabilitation is the major surgical challenge in such patients. It frequently requires alveolar reconstruction followed by dental implants. We report a case of hypohidrotic ectodermal dysplasia, which was managed with reconstruction of both the upper and the lower alveolus using free fibula flaps with dental rehabilitation using osseointegrated implants.

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Oral Rehabilitation of Adult Twins With Severe Lack of Bone Due to Hypohidrotic Ectodermal Dysplasia—A 12-Month Follow-Up

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2008.07.014 ◽

2009 ◽

Vol 67 (1) ◽

pp. 189-194 ◽

Cited By ~ 11

Author(s):

Robert Kirmeier ◽

Christine Gluhak ◽

Peter Marada ◽

Walther A. Wegscheider ◽

Antranik Eskici ◽

...

Keyword(s):

Ectodermal Dysplasia ◽

Hypohidrotic Ectodermal Dysplasia ◽

Oral Rehabilitation ◽

Adult Twins

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Treatment Considerations for a Patient with Hypohidrotic Ectodermal Dysplasia: A Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-9-3-128 ◽

2008 ◽

Vol 9 (3) ◽

pp. 128-134 ◽

Cited By ~ 3

Author(s):

Dilek Tüfekcioğlu ◽

Chenkhan Bal ◽

Bilge Turhan Bal

Keyword(s):

Case Report ◽

Behavioral Problems ◽

Ectodermal Dysplasia ◽

Young Patients ◽

Hair Follicles ◽

Sweat Glands ◽

Clinical Report ◽

Hypohidrotic Ectodermal Dysplasia ◽

Oral Rehabilitation ◽

Treatment Considerations

Abstract Aim This clinical report describes the oral rehabilitation of a 6-year-old male ectodermal dysplasia (ED) patient diagnosed with hypodontia. Background ED is a hereditary disease characterized by a congenital dysplasia of one or more ectodermal structures and their accessory appendages. Common manifestations include defective hair follicles and eyebrows, frontal bossing with prominent supraorbital ridges, nasal bridge depression, and protuberant lips. Intraorally, most common findings are anadontia or hypodontia, conical teeth, and generalize spaces. The patient may suffer from dry skin, hyperthermia, and unexplained high fever as a result of deficiency of sweat glands. Report A six-year-old boy who exhibited many of the manifestations of ED as well as behavioral problems and a severe gag reflex. The treatment was designed to improve his appearance and oral functions and included the fabrication of several removable prostheses and acid-etched composite resin restorations during his growth and development. Summary Young patients with ED need to be evaluated early by a dental professional to determine the oral ramifications of the condition. When indicated, appropriate care needs to be rendered throughout the child's growth cycle to maintain oral functions as well as to address the esthetic needs of the patient. This clinical report demonstrates that removable partial dentures associated with direct composite restorations can be a reversible and inexpensive method of treatment for young ED patients. Citation Bal C, Bal BT, Casela L, Tüfekçioğlu D. Treatment Considerations for a Patient with Hypohidrotic Ectodermal Dysplasia: A Case Report. J Contemp Dent Pract 2008 March; (9)3:128-134.

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Hypohidrotic Ectodermal Dysplasia and Its Manifestations in the Oral Cavity

Journal of Dentistry & Oral Disorders ◽

10.26420/jdentoraldisord.2021.1161 ◽

2021 ◽

Vol 7 (2) ◽

Author(s):

Cardoso JS ◽

◽

Faria Carvalho D ◽

Carvalho Silva C ◽

Moura Teles A ◽

...

Keyword(s):

Ectodermal Dysplasia ◽

Early Stage ◽

Hypohidrotic Ectodermal Dysplasia ◽

Oral Rehabilitation ◽

Paediatric Patients ◽

Ectodermal Dysplasias ◽

Paediatric Dentist ◽

General Physical ◽

Detection And Recognition

The Ectodermal Dysplasias generally present orofacial manifestations, such as skeletal discrepancies and dental alterations. Therefore, the role of a paediatric dentist in the detection and recognition of these repercussions can be crucial in early diagnosis of the disease. The oral rehabilitation of paediatric patients with this condition is extremely important, ideally, at a very early stage, yet contributing for the re-establishment of normal chewing, swallowing and phonetics functions, and, naturally, aesthetics increase. The purpose of this narrative review aims to elucidate dentists about their role in the detection, diagnosis, treatment and monitoring of the Ectodermal Dysplasia’ oral manifestations in paediatric patients, through the presentation of general physical and specific craniofacial characteristics.

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Oral rehabilitation of a young patient with hypohidrotic ectodermal dysplasia: A clinical report

Contemporary Clinical Dentistry ◽

10.4103/0976-237x.95101 ◽

2012 ◽

Vol 3 (5) ◽

pp. 33 ◽

Cited By ~ 3

Author(s):

A Anuroopa ◽

M Lovely ◽

Jafar Abdulla

Keyword(s):

Young Patient ◽

Ectodermal Dysplasia ◽

Clinical Report ◽

Hypohidrotic Ectodermal Dysplasia ◽

Oral Rehabilitation

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A Hybrid Oral Rehabilitation of Hypohidrotic Ectodermal Dysplasia: A Conservative Approach with Three-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2021/7469595 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Aryen Kaushik ◽

HarshVardhan Sinha ◽

M. N. Hombesh ◽

Pooja Rani ◽

Taranjeet Kaur

Keyword(s):

Ectodermal Dysplasia ◽

Vertical Dimension ◽

Hypohidrotic Ectodermal Dysplasia ◽

Oral Rehabilitation ◽

Removable Partial Denture ◽

Partial Denture ◽

Long Span ◽

Clinical Scenarios ◽

Atraumatic Extraction ◽

And Coping

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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Hypohidrotic Ectodermal Dysplasia: A Clinical Case with a Longitudinal Approach

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1619 ◽

2014 ◽

Vol 15 (6) ◽

pp. 788-791 ◽

Cited By ~ 1

Author(s):

Fabian Calixto Fraiz ◽

Renato Cordeiro Gugisch ◽

Bianca Lopes Cavalcante-Leão ◽

Liliane Moreira Macedo

Keyword(s):

Clinical Case ◽

Ectodermal Dysplasia ◽

Negative Impact ◽

Clinical Manifestations ◽

Permanent Teeth ◽

Hypohidrotic Ectodermal Dysplasia ◽

Oral Rehabilitation ◽

Anterior Teeth ◽

Longitudinal Approach

ABSTRACT Aim This paper describes a clinical case of a male with hypohidrotic ectodermal dysplasia submitted to rehabilitation and occlusal dental interventions with follow-up from 3 to 14 years of age. Background Due to the severe effects on function and esthetics, the clinical manifestations of ectodermal dysplasia exert a negative impact on quality of life. However, oral rehabilitation in childhood poses a challenge due to growth and development. Case description A male with hypohidrotic ectodermal dysplasia began dental intervention at the age of 3 years. The clinical and radiographic exams revealed the absence of several primary and permanent teeth and abnormal shape of the primary maxillary incisors. The facial characteristics were compatible with hypohidrotic ectodermal dysplasia, such as a prominent brow, everted lips, flattened bridge of the nose and small vertical facial height. The treatment proposed involved rehabilitation through successive temporary partial dentures, functional orthopedics of the jaws, esthetic reconstruction of the anterior teeth, timely occlusal intervention and preventive actions for the control of dental caries and plaque. Conclusion The present case demonstrates that early care plays a fundamental role in minimizing the biopsychosocial consequences of hypohidrotic ectodermal dysplasia and preparing the patient for future oral rehabilitation. Clinical significance Although, the literature offers a number of papers describing dental treatment for ectodermal dysplasia, few cases include long-term follow-up and the use of a functional orthopedic appliance in combination with removable dentures in such patients. How to cite this article Fraiz FC, Gugisch RC, Cavalcante- Leão BL, Macedo LM. Hypohidrotic Ectodermal Dysplasia: A Clinical Case with a Longitudinal Approach. J Contemp Dent Pract 2014;15(6):788-791.

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