Implant-Prosthetic Rehabilitation of a Patient with Nonsyndromic Oligodontia: A Clinical Report
Oligodontia is defined as the absence of 6 or more permanent teeth due to the hypodevelopment of tooth germs. This familial abnormality is attributable to various mutations or polymorphisms of genes and associated with malformative syndromes. This clinical report presents the multidisciplinary dental treatment planning for a 27-year-old woman who exhibited oligodontia. After radiographic and clinical evaluations, 7 retained primary teeth and 2 mandibular third molars were extracted. Three dental implants were placed into the maxillary alveolar process. After the osseointegration period, complete-arch fixed prostheses in both maxilla and mandible, supported by a combination of implants and teeth, were fabricated. Osseointegration of the implants, peri-implant mucosa health, and prosthesis function were assessed every 6 months. At the end of the 3-year clinical follow-up, the patient was satisfied with the esthetics, function, and phonation of her prosthesis. To attain the best esthetic and biological results, an interdisciplinary approach could be used to synergistically combine surgery and restorative dentistry for the restoration of maximal esthetics and function.

(a) Radiograph of the patient before treatment. (b) Intraoral view of the patient before treatment (view of maxilla and mandible). (c) The diagnostic set-up of the patient.

Continued. (d) Radiograph taken after implant insertion. (e) Intraoral view of the patient after implant insertion.

Figure 2. (a) Intraoral view of the patient at the end of the prosthodontic treatment. (b) The patient's smile at the end of treatment. Figure 3. Posttreatment facial photographs showing the marked improvement in the facial profile. (a) Before treatment. (b) After treatment.

Radiograph taken at the end of the prosthodontic treatment.
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