Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Jun 2010

Interdisciplinary Management of Patients With Ectodermal Dysplasia

DDS,
DMD, and
DDS, MS, MSD
Page Range: 239 – 245
DOI: 10.1563/AAID-JOI-D-09-00043R1
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Abstract

A 15-year-old girl with ectodermal dysplasia who had been treated previously with minimal orthodontic intervention and removal prosthesis was seen and evaluated at the General Practice Program at the University of Kentucky. After consultations with orthodontics and oral and maxillofacial surgery, an interdisciplinary staged treatment plan was developed to address her skeletal and dental issues. The authors briefly review the literature with respect to current therapy for patients with ectodermal dysplasia and present the case as an example of the coordinated care provided for a patient with complex skeletal and dental issues.

Keywords: ectodermal dysplasia; dental implants; orthodontics; restorative
Copyright: 2010 by the American College of Veterinary Internal Medicine
Figure 1
Figure 1

(a, b) Frontal and profile views, preoperative; note the midface hypoplasia.

Figure 2–7
Figure 2–7

Figure 2 . Intraoral views of the remaining teeth. Figure 3. Lateral cephalogram illustrating the maxillary hypoplasia and over-closure. Figure 4. Initial panorex showing partial anadontia with retained and submerged primary teeth. Figure 5. Lateral cephalogram with temporary prosthesis in place; note the increase in the vertical dimension afforded by the procedure. Figure 6. Panorex after the osteotomy before placement of the implants. Figure 7. Lateral cephalogram with interim prosthesis in place.

Figure 8–10
Figure 8–10

Figure 8 . Panorex preceding orthodontics before placement of the final implant. Figure 9. Panorex following orthodontic movement of the teeth with implants as anchorage. Figure 10. Intraoral views after orthodontic treatment with creation of space for the final implant.

Figure 11–14
Figure 11–14

Figure 11 . Panorex with all implants placed. Figure 12. Restoration with final restorations in place. Figure 13. Lateral cephalogram showing the position of the maxilla and all implants restored. Figure 14. Panorex with all implants restored.

Figure 15
Figure 15

(a, b) Frontal view and profile of restored patient implants and increased facial height.

Contributor Notes

1 Oral and Maxillofacial Surgery and Hospital Dentistry, University of Kentucky, Lexington, Ky.
*Corresponding author, e-mail: vansick@email.uky.edu
2 General Dentistry and Preventive Care, Kentucky Clinic Dentistry, and General Practice Residency and Adult Special Patient Care, Lexington, Ky.
3 Division of Oral Health Science, Orthodontic Graduate Program, University of Kentucky, College of Dentistry, Lexington, Ky.
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