Primary Teeth Supported Fixed Prosthesis—A Predictable Treatment Alternative

Abstract

Background: Individuals with tooth agenesis often present a significant clinical challenge for dental practitioners. This retrospective study evaluated clinical and radiological long-term functional and esthetic outcomes following restoration using primary teeth to support fixed all-ceramic prosthesis in patients with teeth agenesis. Methods: Patients with teeth agenesis and at least one year follow-up were included. Examinations included panoramic X-ray, clinical examination and family history records. Only primary teeth without permanent teeth underneath were chosen. All ceramic fixed restorations were used. All data were collected from patient files. Outcome parameters included: restoration parameters (restoration survival, restoration fractures, restoration detachment, restoration replacement, and secondary caries), plaque index, and gingival index. Results: The study included 58 porcelain restorations inserted in 25 individuals; mean age 12 ± 2.1 years (range 10–19 years); mean number of missing teeth 12.3 ± 9 (range 6–12). Mean follow-up 48±6 months (range 12–60 months). All restorations survived up to last follow-up, rendering a survival rate of 100%. Restorations outcome – porcelain chipping (9%), detachment (2%), no restoration replacement nor secondary caries, mean gingival index - 0.7 ± 0.5 and mean plaque index - 0.9 ± 0.3. Conclusions: In tooth agenesis, restoration using primary teeth to support fixed all-ceramic prosthesis is a viable treatment alternative.

Tratamento endodôntico do segundo molar decíduo esquerdo inferior em paciente com oligodontia - relato de caso

“…The treatment of these patients is therefore often complex, in addition to loss of function and esthetic impairment, psychological development is an important concern in the oral rehabilitation of growing patients (Zeng et al, 2020). Although oligodontia is a rare congenital disease, treating this abnormality can be challenging (Naishlos et al, 2022;Williams et al, 2021;Zeng et al, 2020). The main objective of management is to improve aesthetics, chewing and speech (Naishlos et al, 2022).…”

“…Although oligodontia is a rare congenital disease, treating this abnormality can be challenging (Naishlos et al, 2022;Williams et al, 2021;Zeng et al, 2020). The main objective of management is to improve aesthetics, chewing and speech (Naishlos et al, 2022).…”