A multidisciplinary approach for the management of hypodontia: case report

Valle, Accácio Lins do; Lorenzoni, Fábio César; Martins, Leandro; Valle, Caio Vinícius Martins do; Henriques, José Fernando Castanha; Almeida, Ana Lúcia Pompéia Fraga de; Pegoraro, Luiz Fernando

doi:10.1590/s1678-77572011000500018

Cited by 22 publications

(21 citation statements)

References 15 publications

(19 reference statements)

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“…Treatment might range from single restorations to surgery and multiple restorations. 102 Management will depend upon the pattern and severity of tooth absence, the amount of spaces present and, of course, the patient's attitude. The general principle in management is to deal with the space within the dental arches: i.e.…”

Section: Clinical Implications and Management Of Hypodontiamentioning

confidence: 99%

“…Many studies have shown the importance of the role of interdisciplinary teams in the management of hypodontia. 8,[102][103][104][105][106] A recent book by Hobkirk et al 27 provides a comprehensive review for clinicians about the available options for the management of hypodontia adopting a multidisciplinary approach.…”

Section: Clinical Implications and Management Of Hypodontiamentioning

confidence: 99%

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A Review of Hypodontia: Classification, Prevalence, Etiology, Associated Anomalies, Clinical Implications and Treatment Options

Alshahrani¹,

Togoo²

2013

World Journal of Dentistry

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A retrospective review of literature was carried out to determine the classification, prevalence, etiology, associated anomalies, clinical implications and treatment options for hypodontia. Many methods of classification have been reported in the literature. Some researchers have classified hypodontia as isolated family form or as an inherited form; others have defined the congenital absence of teeth according to the number of missing teeth and yet classified hypodontia according to the severity of the condition. The prevalence of hypodontia in the primary dentition is found to be very low whereas the occurrence of tooth agenesis varies in the permanent dentition based on ethnic and sex differences. The tooth most commonly found to be missing is the third molar. With regard to the remaining 28 teeth, metaanalysis has revealed that the teeth most commonly affected are the mandibular second premolars, maxillary lateral incisors, maxillary second premolars and the mandibular incisors. From the literature it is evident that the etiology of hypodontia is varied and that genetic, epigenetic and environmental factors may be contributory factors. Tooth anomalies reported in the literature to be associated with hypodontia, include microdontia, canine impaction, taurodontism, transposition and rotation of teeth, and hypoplastic alveolar bone. Researchers have suggested that clinical management of hypodontia requires careful multidisciplinary planning and has financial implications. The suggested members of the team should include general dental practitioners, dental nurses, orthodontists, pediatric dentists, prosthodontists, oral and maxillofacial surgeons, specialist laboratory technicians, clinical psychologists, clinical geneticists, dermatologists, speech and language therapists.

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Section: Clinical Implications and Management Of Hypodontiamentioning

confidence: 99%

Section: Clinical Implications and Management Of Hypodontiamentioning

confidence: 99%

A Review of Hypodontia: Classification, Prevalence, Etiology, Associated Anomalies, Clinical Implications and Treatment Options

Alshahrani¹,

Togoo²

2013

World Journal of Dentistry

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“…The treatment should be planned according to the severity of tooth agenesis, occlusion, soft tissue and skeletal pattern, facial profile, the number of remaining teeth-shape-color, location of the missing tooth, alveolar bone quantity, oral hygiene, patient care, expectations of the patient's from treatment, communication between patient-dentist and the cost of the treatment. 70 Closing space or according to the requirements of the protection of the space; orthodontic treatment, restorative treatment (crowns, bridges), autotransplantation, different treatment options such implants can be done. 70,71 If maxillary lateral incisor is missing in mixed dentition, with early extraction of primary incisors and canines; maxillary canines rather than be allowed to erupt instead of maxillary lateral incisors.…”

Section: Treatment Methods In Permanent Tooth Agenesismentioning

confidence: 99%

“…70 Closing space or according to the requirements of the protection of the space; orthodontic treatment, restorative treatment (crowns, bridges), autotransplantation, different treatment options such implants can be done. 70,71 If maxillary lateral incisor is missing in mixed dentition, with early extraction of primary incisors and canines; maxillary canines rather than be allowed to erupt instead of maxillary lateral incisors. Its purpose is to protect the alveolar bone for the implant to be placed in the future.…”

Section: Treatment Methods In Permanent Tooth Agenesismentioning

confidence: 99%

Current Approaches for Tooth Agenesis: A Review

Şentürk¹,

Güzel²

2018

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Hypodontia is defined as the congenital deficiency of one or more teeth and is one of the most common dental anomalies in humans. Multifactorial etiology can include environmental factors as well, since a combination of environmental and genetic factors might contribute to the occurrence of dental agenesis. Patient with missing teeth; reduced masticatory ability, inarticulate pronunciation may encounter esthetics and periodontal problems. Tooth agenesis definition, etiology, genes that cause tooth agenesis and treatment of tooth agenesis is mentioned in this review. Nowadays, many genes which play role in tooth development reported to be a potential candidate gene in tooth agenesis. Functional changes seen in genes which play role in tooth agenesis are mentioned that there may be a relationship with the development of cancer and tooth agenesis may be a significant marker for cancer.

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“…The therapeutic objective will be to create a balanced and harmonious appearance of the teeth on the arch, especially for patients who present moderate phenotypes of oligodontia that will benefit from implants and from prosthetic treatments with fixed implants and stabilized prosthesis. Closing spaces created by congenitally missing teeth could incur the risk of having harmful consequences for the facial profile by exacerbating its concavity, and this explains why opening space is more appropriate for prosthetic restoration 23 . The treatment phase of post-orthodontic retention is essential at this stage in order to have long-term stability of the ideal positions of existing teeth by implant prosthetic restoration 5 .…”

Section: B -Pre-prosthetic Orthodontic Treatmentsmentioning

confidence: 99%

Multidisciplinary treatment plan for multiple dental ageneses associated with hypohidrotic ectodermal dysplasias

Clauss¹,

Mathis²,

Obry³

et al. 2014

J Dentofacial Anom Orthod

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Hypohidrotic ectodermal dysplasias (HED) are a heterogeneous and complex group of syndromes characterized by a dental craniofacial phenotype associated with severe oligodontia, maxillary hypoplasia with broad face and most notably facial concavity. Cephalometric analyses show insufficient maxillary sagittal growth, a protruded mandible, reduced facial and ramus heights, as well as basicranial changes. Early diagnosis and care from a multidisciplinary team are essential. In the primary dentition, initial prosthetic treatment is recommended and may possibly be combined with interceptive orthodontic treatment. In the mixed dentition, treatment of a transverse maxillary deficiency consists in installing a removable expander or a quadhelix in the case of moderate phenotypes where there is adequate anchorage support. To achieve mandibular anterior repositioning of the maxilla the patient must wear a facial mask. In the permanent dentition, the important steps are correlated with the pre-implant and pre-prosthetic orthodontic adjustments, as well as the presurgical orthodontic preparation that precedes subsequent single or double jaw orthognathic surgery. Temporary skeletal anchorage with mini-screws or plates can be used in cases of insufficient anchorage. KEY WORDS

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A multidisciplinary approach for the management of hypodontia: case report

Cited by 22 publications

References 15 publications

A Review of Hypodontia: Classification, Prevalence, Etiology, Associated Anomalies, Clinical Implications and Treatment Options

A Review of Hypodontia: Classification, Prevalence, Etiology, Associated Anomalies, Clinical Implications and Treatment Options

Current Approaches for Tooth Agenesis: A Review

Multidisciplinary treatment plan for multiple dental ageneses associated with hypohidrotic ectodermal dysplasias

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