Implants in children with ectodermal dysplasia: a case report and literature review

Abstract

The replacement of teeth by implants is usually restricted to patients with completed craniofacial growth. Implant insertions in children or adolescents are circumvented due to several unfavorable potential effects including trauma to tooth germs, tooth eruption disorders and multidimensional restrictions of skeletal craniofacial growth. Moreover, the functional and esthetic results of the oral rehabilitation are only temporary acceptable. However, to a small number of pediatric patients suffering congenitally from severe hypodontia caused by syndromes such as ectodermal dysplasia, conventional prosthodontic rehabilitations are insufficient. We report the case of a boy with ectodermal dysplasia who exhibited a severe hypodontia and who was treated with implants inserted into the anterior mandible at the age of 8 years. The implants were functionally loaded and resulted in a high patient satisfaction. We recommend the early insertion of dental implants in children with severe hypodontia. Reviewing the current literature, several aspects of syndromic hypodontia, patient selection and implant planning are discussed.

Hipohidrotik ektodermal displazili bir hastanın protetik tedavisi: Bir olgu sunumu

“…The patient's age, dental and skeletal maturity, and bone volume could affect the quality of surgical and prosthetic rehabilitation (Imirzalioglu et al 2002). Early placement of dental implants has been recommended in children with severe hypodontia or anodontia (Alcan et al 2006, Kramer et al 2007. Guckes et al (2002) analyzed the survival rate of 264 dental implants in 51 subjects with HED: they reported 91% and 76% survival rates for mandibular and maxillary dental implants, respectively.…”

A systematic review: the prevelance of partial edentulourism in patients with ectodermal dysplasia

“…Kramer [28] 2006 Retrospective The patient was easily accustomed to the prosthesis and had an excellent oral hygiene. The parents reported that the patient's diet has improved and changed for the better.…”

Orthodontia-implantology-prosthodontics in rare diseases: the oligodontia example

“…Therapy initiated too early can also have an impact on the development of the arches, and on the eruption and position of adjacent toothbuds 15 . The risk of periodontal recession on the cervical edge of an anterior prosthesis in a young adult forces us to position the implants more distally and to opt for masking the natural teeth with esthetic cosmetics and a coronoplasty In the adult patient, depending on the diagnosis, his complaints and his motivation, the potential solutions may involve an orthodontic procedure prior to the oral rehabilitation.…”