Editorial Type:
Article Category: Other
 | 
Online Publication Date: 01 Dec 2014

Full-Mouth Rehabilitation of a Patient With Ectodermal Dysplasia With Dental Implants

DDS, PhD,
DDS, PhD,
DDS, PhD,
DDS, PhD,
Prof Dr, and
DDS, PhD
Page Range: 714 – 721
DOI: 10.1563/AAID-JOI-D-12-00072
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Oral findings in patients with ectodermal dysplasia (ED) include complete or partial hypodontia, anodontia, loss of vertical dimension of occlusion, protuberant lips, malformed and widely spaced conical-shaped teeth, and underdeveloped alveolar ridges. These patients present a substantial challenge in dental treatment. This case report presents oral rehabilitation of a 22-year-old male patient diagnosed with ED using an implant tooth–supported telescopic partial denture at the mandible and a tooth-supported telescopic partial denture at the maxilla. Implants in the mandible were placed at the sites of the right and left lateral incisor teeth. Following implant placement, the remaining buccal bone dehiscence was filled with deproteinized bovine bone graft and covered with resorbable membrane. To manage the vestibular insufficiency and to increase the keratinized mucosa in maxilla, bilateral acellular dermal matrix allograft was used on the right and left buccal aspects. The treatment described here improved the patient's functional and esthetic status while significantly restoring his oral health and self-esteem.

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Figure 1.

Preoperative findings. (a) Preoperative extraoral view. (b) Preoperative intraoral view. (c) Dental volumetric tomography demonstrating the knife-edge morphology of the edentulous ridge.


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Figure 2.

Placement of implants and soft-tissue grafting. (a) Autogenous free gingival graft placed around implants in the mandible. (b) Insufficient attached gingiva was grafted on the left maxilla using the acellular dermal matrix allograft. The recipient site was prepared for graft placement. Keratinized gingiva and vestibular depth were increased. (c) Insufficient attached gingiva was grafted at the right maxilla using the acellular dermal matrix allograft. The recipient site was prepared for graft placement. Keratinized gingiva and vestibular depth were increased.


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Figure 3.

Prosthetic treatment. (a) Telescopic crowns were prepared using gold alloy. (b) Final prosthetic restoration. (c) Panoramic radiograph 1 year after restoration. (d) Panoramic radiograph 2 years after restoration.


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Figure 4.

Qualitative and quantitative assessment of alveolar bone in the mandible using dental volumetric tomography after 2 years. (a) Right mandible. (b) Left mandible.


Contributor Notes

Corresponding author, e-mail: cenker.k@gmail.com
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