Oral rehabilitation with implant-supported overdenture in a child with hypohidrotic ectodermal dysplasia

Montanari, Emanuele; Battelli, Filippo; Callea, Michele; Corinaldesi, Giuseppe; Sapigni, Laura; Marchetti, Claudio; Tadini, Gianluca; Mancini, EG; Grecchi, Francesco; Clarich, G; Cf, Salinas; Fedele, Giulia; Piana, Gabriela

doi:10.13172/2052-7837-1-3-827

Cited by 6 publications

(11 citation statements)

References 14 publications

(11 reference statements)

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“…Zatem celem leczenia protetycznego młodocianych jest nie tylko poprawa czynności żucia, wymowy i estetyki, ale również zapobieganie przemieszczaniu się obecnych w jamie ustnej zębów, powstawaniu zaburzeń okluzyjnych i odruchów parafuncyjnych, a także eliminacja urazu psychicznego powstającego w konsekwencji braku zębów. [1][2][3] Celem pracy jest przedstawienie, w oparciu o dostępne piśmiennictwo, możliwości zastosowania dwóch typów ruchomych uzupełnień protetycznych u pacjentów w wieku rozwojowym -protez nakładowych i nakładkowych.…”

Section: Discussionunclassified

“…12 W przypadkach licznych braków zębowych, zwłaszcza w żuchwie, gdzie retencja i stabilizacja protez całkowitych u dorastających pacjentów nie jest zadawalająca, przy planowaniu protez typu overdenture można rozważać stosowanie implantów z wykorzystaniem precyzyjnych elementów retencyjnych (zatrzaski, połączenia kładkowe). 2,3 Zastosowanie implantów jest jednak przez większość autorów polecane głównie po zakończeniu okresu wzrostu, 3,13 gdyż elementy te osadzone w młodej kości nie podążają za jej wzrostem, upodobniając się do zębów będących w stanie ankylozy. Mogą też hamować wzrost, bądź ulegać nieprzewidywalnym, pozornym przemieszczeniom na skutek procesów przebudowy rozwijającej się tkanki kostnej, co może z kolei skutkować odsłonięciem implantu i jego utratą.…”

Section: Discussionunclassified

“…Mogą też hamować wzrost, bądź ulegać nieprzewidywalnym, pozornym przemieszczeniom na skutek procesów przebudowy rozwijającej się tkanki kostnej, co może z kolei skutkować odsłonięciem implantu i jego utratą. 3,4 W innych obserwacjach odnotowano również niekorzystny wpływ tytanowych wszczepów na zawiązki zębów -utrudnione wyrzynanie, zaburzenie kształtu i barwy zębów. Obecnie jednak wydaje się, iż w przypadku ciężkiej oligodoncji (brak 10 lub większej liczby zębów stałych) lub anodoncji te powikłania mają mniejsze znaczenie.…”

Section: Discussionunclassified

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Overdentures and overlay dentures in therapy of patients in the developmental age – review of the literature

Pawlaczyk−Kamieńska

Idzior-Haufa

Hędzelek³

2018

Prosthodontics

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Prosthetic treatment of edentulous children or those with residual dentition requires a long-term and highly complex rehabilitation. To ensure proper course of treatment, the knowledge of facial skeleton development and growth is essential. Early rehabilitation is aimed at restoring malformed tissues and providing proper growth and functioning of the stomatognatic system. The applied restorations cannot interfere with bone growth and should be replaced at given time intervals. Throughout the therapy cooperation of a prosthetician with an orthodontist, oral surgeon, periodontologist, and paedodontist is needed. Such treatment is fundamental in the psycho-social formation of young patients as it results in a significant improvement in their quality of life. The aim of the paper was to present, basing on the literature, modern methods of prosthetic rehabilitation of developmental age patients with morpho-functional disorders of the stomatognatic system, using removable overdentures and overlay dentures. These restorations are of temporary character in children and are used to stimulate growth of the system in a way which would provide best conditions, after the development is completed, for the application of fixed restorations supported on patient’s own teeth or on implants.

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Section: Discussionunclassified

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Overdentures and overlay dentures in therapy of patients in the developmental age – review of the literature

Pawlaczyk−Kamieńska

Idzior-Haufa

Hędzelek³

2018

Prosthodontics

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“…After a 3-year follow-up, the implant supported overdenture was well accepted by the patient. [ 26 ]…”

Section: Andibular G Rowthmentioning

confidence: 99%

“…advocated a dental multidisciplinary team that includes a pediatric dentist, an orthodontist, a prosthodontist and an oral and maxillofacial surgeon for a successful outcome in implant placement in children. [ 26 ] They carried out the oral rehabilitation in a child with hypohidrotic ED with an implant supported overdenture. Conventional dentures were made for the child at the age of 2 years.…”

Section: T Reatment P Lanning-multidiscimentioning

confidence: 99%

Dental implants in children: A multidisciplinary perspective for long-term success

Agarwal¹,

Kumar²,

Anand³

et al. 2016

Natl J Maxillofac Surg

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Congenital hypodontia or trauma is a frequent cause of loss of teeth in children. The absence of teeth leads to loss of function and lack of normal alveolar growth, along with unpleasant esthetics that hamper the psychosocial development of the young child. Traditionally, the management of tooth loss in the young child is done by conservative means. None of those methods of treatment are completely satisfactory and have their own drawbacks. Dental implants in a young child would be an ideal mode of treatment for the absence of teeth. One of the main deterring factors for implant placement in children is the impending growth. Growth in the maxilla and mandible does not happen uniformly in one plane. It is multidirectional, occurring in sagittal, vertical, and transverse planes. It does not happen at a fixed pace, slow periods of growth are followed by phases of accelerated growth called the growth spurts. Successful implant treatment in children has been achieved by several clinicians when they incorporated a multidisciplinary approach in their treatment plan. The design and type of implant system used in pediatric patients is also responsible for successful treatment outcome. The purpose of this review is to understand the implications of growth and growth assessment and recommendations for the formulation of the treatment plan in pediatric dental implant patients.

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Primary oral manifestation of Langerhans cell histiocytosis refractory to conventional therapy but susceptible to BRAF-specific treatment: a case report and review of the literature

et al. 2019

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Langerhans cell histiocytosis (LCH) is a diagnostic and therapeutic challenge. We report on a rare case of its primary oral manifestation that was treated successfully with the BRAF-specific agent, vemurafenib, after insufficient standard LCH treatment. This case underlines the importance of proper diagnosis and the evaluation of targeted therapy as a valuable tool in LCH treatment. Furthermore, the close collaboration of surgeons, oncologists, and dentists is mandatory to ensure adequate treatment, restore the stomatognathic system in debilitating post-treatment situations, improve quality of life, and ensure effective disease control in infants and young patients.

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Oral rehabilitation with implant-supported overdenture in a child with hypohidrotic ectodermal dysplasia

Cited by 6 publications

References 14 publications

Overdentures and overlay dentures in therapy of patients in the developmental age – review of the literature

Overdentures and overlay dentures in therapy of patients in the developmental age – review of the literature

Dental implants in children: A multidisciplinary perspective for long-term success

Primary oral manifestation of Langerhans cell histiocytosis refractory to conventional therapy but susceptible to BRAF-specific treatment: a case report and review of the literature

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