scholarly journals Treatment of a Patient with Oligodontia: A Case Report

2008 ◽  
Vol 9 (3) ◽  
pp. 121-127 ◽  
Author(s):  
Nursel Akkaya ◽  
Arlin Kiremitçi ◽  
Ŏzden Kansu

Abstract Aim The aim of this report is to describe the management of a 16-year-old patient with oligodontia including six permanent teeth. Background Oligodontia is agenesis of six teeth or more, excluding third molars. The etiology of congenital absence of teeth is believed to be involved in heredity or developmental anomalies. It can be isolated or as part of a syndrome. There are a number of options available to restore space generated by missing teeth. Dental treatment can vary depending on the severity of the disease and generally requires a multidisciplinary approach. Treatment options include orthodontic therapy, implants, adhesive techniques, and removable prostheses. Report A 16-year-old male patient with oligodontia affecting six permanent teeth received conservative care that met his and his parent's expectations. The existing primary teeth were restored to resemble permanent teeth in order to achieve a favorable esthetic result using direct composite resin. The restorative treatment was provided for the psychosocial comfort of the young patient. The loss of teeth in young patients can cause esthetic, functional, and psychological problems particularly if the teeth of the anterior region are involved. Summary Adhesive techniques and new restorative materials represent current options in the management of the dental rehabilitation of young patients with oligodontia. Citation Akkaya N, Kiremitçi A, Kansu Ö. Treatment of a Patient with Oligodontia: A Case Report. J Contemp Dent Pract 2008 March; (9)3:121-127.

2016 ◽  
Vol 64 (1) ◽  
pp. 87-92
Author(s):  
Natalino LOURENÇO NETO ◽  
Cristiane Almeida Baldini CARDOSO ◽  
Ruy César Camargo ABDO ◽  
Salete Moura Bonifácio da SILVA

ABSTRACT Despite the emphasis and effort devoted to preventive dentistry, massive coronal destruction caused by dental caries or trauma is still seen in pediatric dentistry practice today. The technical difficulties related to dental treatment are compounded by problems related to the behavior of young patients in these circumstances, which brings the need for a broader understanding of behavior management techniques and certain skills in dealing with patients by dental practitioners, aimed at ensuring the well-being of both patient and dentist during treatment. This case report presents and discusses the scientific rationale for the treatment options adopted, considering the techniques and materials already established for aesthetic rehabilitation of adult patients (such as resins, glass-fiber posts, and glass ionomers), and now employed and adapted for pediatric dental care, that would best suit the clinical situation described. At the end of treatment, the patient achieved full rehabilitation and a restored smile, through the use of modern techniques and materials, while the dental practitioner gained a better understanding of the optimal treatment possibilities and strategies for similar cases.


2017 ◽  
Author(s):  
D. J. Caplan ◽  
Y. Li ◽  
W. Wang ◽  
S. Kang ◽  
L. Marchini ◽  
...  

AbstractThis study aimed to describe the survival trajectory of dental restorations placed in an outpatient population of geriatric and adult special needs patients over a 15-year span, with particular interest in longevity of subsequent restorations in teeth that received multiple restorations over time. Dental restorations of different types and sizes in patients age ≥65 years treated between 2000-14 at the University of Iowa, College of Dentistry were followed until they incurred an event (i.e., restoration replacement, extraction of the tooth, or endodontic treatment of the tooth). Survival analysis and extended Cox regression models were used to generate hazards ratios for selected predictor variables. A total of 9184 restorations were followed in 1551 unique patients. During the follow-up period, 28.7% of these restorations incurred an event; and overall the restorations had a median lifespan of 6.25 years. In multivariable regression models, after controlling for gender and age, composite restorations and greater number of restoration surfaces were associated with higher risks of failure; and the initial restoration recorded in the database for each subject tended to have lower risk of failure than restorations placed later that included any of those same surfaces. This information potentially could be helpful to elderly patients considering various restorative treatment options during the dental treatment planning and informed consent process.


Dental Update ◽  
2019 ◽  
Vol 46 (11) ◽  
pp. 1056-1061
Author(s):  
Madeleine Storey ◽  
Susi Caldwell ◽  
Simon Watkinson ◽  
Manu Patel

This case report describes the management of a patient following the incidental finding of multiple odontogenic keratocysts on an orthopantomogram by the patient's general dental practitioner (GDP). The cysts were extensive and had caused considerable displacement of the unerupted permanent teeth. Following marsupialisation, the teeth were aligned orthodontically. This article describes the features of odontogenic keratocysts, the associated Gorlin syndrome, and the management options available. The importance of close collaboration between the Oral and Maxillofacial Surgical and Orthodontic teams is highlighted. CPD/Clinical Relevance: Odontogenic keratocysts are benign but locally aggressive jaw cysts. They occur most commonly as solitary lesions in the jaws of healthy individuals, but may also be a feature of Gorlin syndrome. In young patients there is potential for severely displaced teeth to improve their position spontaneously and erupt.


Author(s):  
Rajiv Kumar Gupta ◽  
Thallam Veer Padmanabhan ◽  
Bijoy Thomas

ABSTRACT Anhydrotic ectodermal dysplasia is a rare congenital disease that can affect several ectodermal structures, such as hair, teeth, skin, nails, sweat and sebaceous glands. It is commonly a difficult condition to manage with prosthodontics because of the typical oral deficiencies and also patients are quite young when they are evaluated for treatment. This clinical report describes the management of two brothers affected by ectodermal dysplasia, prosthodontically. It is important that these patients should get dental treatment at an early stage for physiologic and psychosocial reasons. Dental treatment can vary depending upon the severity of the disease. This case report describes the use of removable partial dentures to replace congenitally missing teeth, and composite resin material to restore the conical maxillary central incisors to achieve a favorable esthetic result. This approach rehabilitates patients without sacrificing healthy dental tissues.


2020 ◽  
Vol 4 (7) ◽  
pp. CR3-CR6
Author(s):  
Parul Uppal Malhotra ◽  
Yagyeshwar Malhotra ◽  
Neera Ohri ◽  
Anindita Mallik

Hypodontia is the most common dentofacial anomaly observed in humans.  It can be syndromic or an isolated trait. Missing teeth not only affects functionality of dentition but also aesthetically looks unpleasing. In this case report, a 12 year old girl is presented with agenesis of four permanent teeth. On examination, patient was found to be suffering from non syndromic hypodontia. Restorative and Prosthetic treatment was done to rehabilitate the case


Author(s):  
Shakun Kanjani

ABSTRACT Hypodontia is the term used to describe the developmental absence of one or more primary or permanent teeth, excluding the third molars. It is the most commonly occurring developmental dental anomaly and can be a challenge to manage clinically. Hypodontia can occur in association with syndrome or it may occur in nonsyndromic patient. Bilateral occurrence is common but it is very rare to see two bilateral congenital missing teeth in a nonsyndromic patient. This case report presents a rare occurrence of congenital bilateral missing mandibular second premolars and mandibular lateral incisors in a nonsyndromic patient. How to cite this article Agarwal N, Chaturvedy S, Marwah N, Mishra P, Kanjani S. Bilateral Hypodontia of Mandibular Second Premolars and Lateral Incisors in a Nonsyndromic Patient: A Rare Case Report. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):24-26.


2020 ◽  
Vol 9 (10) ◽  
pp. e4209108689
Author(s):  
Joselúcia da Nóbrega Dias ◽  
Iasmim Mainny Diógenes Veras ◽  
Gustavo Augusto Seabra Barbosa ◽  
Isauremi Vieira de Assunção

Recovery of worn tooth surfaces using composite resin has been increasingly accepted by clinicians, since rehabilitation through additive techniques aims at minimal or no intervention and preserves healthy dental structure, ensuring longevity to the treatment. Adhesive dentistry can afford promising results through a correct diagnosis and treatment plan. Planning can offer not only dental rehabilitation, but also controlling cause of the wear process. Strategies that seek to prevent the progression of muscle activities such as bruxism, should be established. This article aims to present a clinical case report of a rehabilitation treatment planned and executed through the digital flow, in which the patient presents wear and tear caused by the habit of bruxism. The rehabilitation of the anterior upper teeth was carried out in direct composite resin, associated with the preparation and installation of an occlusal splint, used before, during and after the restorative treatment, ensuring the reestablishment of the shape, function and dental aesthetics.


Author(s):  
S. Parekh ◽  
K. Harley

Both the primary and permanent dentitions may be affected by variations in the number, size, and form of the teeth, as well as the structure of the dental hard tissues. These variations may be exclusively genetically determined, brought about by either local or systemically acting environmental factors, or possibly a combination of both genetic and environmental factors acting together. The same interplay of influences may affect the eruption and exfoliation of primary teeth, as well as the eruption of permanent teeth. This chapter considers a range of conditions involving abnormalities of the number, size, form, and structure of teeth and their eruption. It is important to be aware of the psychosocial aspect when meeting children and families affected by these conditions. We have too often heard stories of social isolation of even very young children as a result of their missing or discoloured teeth. In the case of discoloured teeth, parents and children have told us that they have been told off or teased for not looking after their teeth when the discolouration was intrinsic and unavoidable. Society’s preoccupation with ‘the perfect smile’ seems to increase; hence children denied access to aesthetic dental treatment may be genuinely disadvantaged. Wherever possible, we try to avoid the use of the word ‘normal’ in our clinical care, although the word will be used in this text. The vast majority of children with these conditions want to become ‘one of the crowd’. Thus we would speak, when offering restorative treatment for example, of making a smile ‘ordinary’ or ‘boring’. While investigating inherited conditions, it is important to make enquiries of both sides of the family tree equally. Not only does this ensure that the investigation is complete, but also it may help to alleviate any sense of ‘guilt’ felt by an affected parent. We have been questioned repeatedly about the possibility of genetic treatment for some of these inherited conditions. We are not aware of any progress in this direction at present. Hypodontia is the term most often applied to a situation where a patient has up to six missing teeth (excluding third permanent molars) as a result of their failure to develop.


2021 ◽  
pp. 105566562110582
Author(s):  
Aline Cristina da Silva Trevizan ◽  
Andréa Guedes Barreto Gonçales ◽  
Bruna Stuchi Centurion Pagin ◽  
Otávio Pagin ◽  
Lucimara Teixeira das Neves

Van der Woude syndrome (VWS) is a rare syndrome of genetic etiology, commonly occasioned by mutations in the IRF6 gene and that causes disorders in craniofacial development. VWS is characterized by the presence of paramedian fistulas in the lower lip and cleft lip and / or cleft palate. Although some dental phenotypes have been reported in this syndrome, multiple and rare hypodontias were not described. Through this case report, we present a case of Van der Woude Syndrome (VWS) with rare and multiple hypodontia in which clinical data and radiographic exams were evaluated. The patient presented hypodontia of eight permanent teeth (lateral incisors, second premolars and second molars). So, when the dentist recognizes multiple and/or rare hypodontias, for an accurate diagnosis, detailed examination of the lower lip is indicated, as well as a survey of the family history and referral for genetic counseling, since the syndrome presents high penetrance. The patient is expected to be rehabilitated to have a good quality of life. Rehabilitation in these cases requires alveolar bone graft, orthodontics and prosthesis to replace missing teeth.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ebtissam M. Al-Madi ◽  
Samar A. Al Saleh ◽  
Sundus M. Bukhary ◽  
Maha M. Al-Ghofaily

Objective. The study aims at investigating the treatment patterns for young permanent posterior teeth with pulp involvement. Materials and Methods. A random sample of 1793 dental records of patients aged 6–18 years old who had received dental treatment was investigated. 663 permanent posterior treated teeth had pulp involvement. Demographic and treatment data were gathered from patients’ records. Results. Prevalence of young permanent teeth with pulp involvement was 36.9%. Treatments received significantly increased as patients’ age increased (P=0.001). The first mandibular molar had the most pulp involvement among all teeth (43.89%). Temporary restoration was the most received restoration (59%). The most common pulpal diagnosis, leading to treatment, was irreversible pulpitis (43.04%). Only 19.8% of treated teeth received completed root canal treatment. Conclusion. There is a high percentage of children and adolescents with immature permanent posterior teeth with pulp involvement. Similarly, a variety of treatment patterns is present, with a small percentage of completed root canal treatment. Clinical Relevance. The study has identified the need to provide guidelines to provide high-quality root canal treatments for young permanent posterior teeth that have pulpal involvement. Only 21.8% of root canal treatments were completed, while 24% of teeth were extracted, and 59% of patients received temporary restorative treatments. This suggests that there might be several factors that might prevent completion of the dental treatment, such as patient preference, insurance coverage, or dentist capability. These factors and guidelines for patient care should be investigated and resolved.


Sign in / Sign up

Export Citation Format

Share Document