Comprehensive Treatments for Congenitally Missing Teeth and Generalized Diastema

Abstract

Congenitally missing teeth and/or hypodontia is a prevalent dental anomaly. There are different treatment options available for these conditions such as space maintenance, restoring the space by resin-bonded-fixed-partial-dentures (RBFPDs), and dental implants. This study addresses the comprehensive treatments for congenitally missing tooth and diastema using interdisciplinary approaches. One patient was treated with small-diameter-implants and the other one was treated using an intraoral scanner to make digital impression and fabricating RBFPDs with CAD/CAM system. Both patients were completely satisfied.

Global Developmental Delay in Children with Full Mouth Rehabilitation: A Case Series

“…When extraction of the primary teeth is indicated, orthodontic treatment should be performed to prevent migration of the adjacent and antagonist teeth and to allow for adequate space for prosthetic rehabilitation. 13 , 14 Prosthetic treatment options include treatment with implants or other conventional partial fixed dentures. The treatment with dental implants may be the best option for patients with hypodontia because this procedure is predictable, stable, and provides excellent aesthetic results.…”

“…The treatment with dental implants may be the best option for patients with hypodontia because this procedure is predictable, stable, and provides excellent aesthetic results. 14 Other treatment options, such as conventional partial fixed dentures, may cause biological damage due to the need to reduce the intact tooth structure; in young patients, the risk of pulp damage is high due to the large volume of the pulp chamber. When treatment with dental implants is indicated, the possible postpubertal vertical growth of the facial skeleton should be considered, and consecutive cephalometric analyzes should be performed to establish the period of growth.…”

“…When treatment with dental implants is indicated, the possible postpubertal vertical growth of the facial skeleton should be considered, and consecutive cephalometric analyzes should be performed to establish the period of growth. 13 , 14 …”

“…The height and anatomic structures of the bone determine the length, shape, and thickness of mini implants. 14 In this case, removable partial dentures can be given till the patient completes his growing stage and later other treatment options can be considered.…”

Root Dimensions in Patients with Mild Hypodontia and a Control Group

“…Moreover, it should be borne in mind that shorter and narrower size implants may suffice in hypodontia patients during the planning phase to prosthetically replace the congenitally missing teeth following the orthodontic treatment. 30,31 This is especially so, as patients with hypodontia were also reported to have smaller clinical crowns of the remaining dentition when compared with controls, 8 and inadequate bone to house the standard-sized implants. 23,32 The findings of our study should be interpreted with some caution due to some limitations as is often the case with the majority of studies.…”