Browse > Article
http://dx.doi.org/10.4047/jkap.2021.59.2.238

Prosthetic rehabilitation of an oligodontia patient with atrophic maxilla  

Chi, Seung-Seok (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Kim, Ye-Jin (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Kang, Hyeon-Goo (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Ko, Kyung-Ho (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Huh, Yoon-Hyuk (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.59, no.2, 2021 , pp. 238-247 More about this Journal
Abstract
Congenital tooth agenesis is the most common developmental dental anomaly, of which oligodontia is defined as the absence of six or more permanent teeth, except the third molars. Tooth agenesis causes malocclusion, alveolar atrophy, aesthetic and psychosocial problems. This clinical report describes a multidisciplinary treatment for a patient diagnosed as oligodontia, who exhibited absence of 14 permanent teeth, atrophy of maxillary alveolar bone, and mandibular protrusion. Restoration space was secured and tooth axis was improved by the extraction of deciduous teeth and orthodontic treatment. However, edge-to-edge bite of posterior teeth and arch dimension discrepancy due to atrophic maxilla was remained. To restore the aesthetics and functionality, implant retained prosthesis was planned. Considering minimal bone grafts, location and number of dental implants and prostheses design were determined. Through the gradual adjustment of provisional restoration, the appropriate centric and eccentric occlusion was reflected into a definitive prosthesis. Currently, stable functional results were attained, however, regular follow up and maintenance care over lifetimes should be performed.
Keywords
Alveolar bone atrophy; Congenital missing teeth; Dental implant; Oligodontia;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Altug-Atac AT, Erdem D. Prevalence and distribution of dental anomalies in orthodontic patients. Am J Orthod Dentofacial Orthop 2007;131:510-4.   DOI
2 Rakhshan V. Congenitally missing teeth (hypodontia): A review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment. Dent Res J (Isfahan) 2015;12:1-13.   DOI
3 Schalk-van der Weide Y, Steen WH, Bosman F. Distribution of missing teeth and tooth morphology in patients with oligodontia. ASDC J Dent Child 1992;59:133-40.
4 Silva Meza R. Radiographic assessment of congenitally missing teeth in orthodontic patients. Int J Paediatr Dent 2003;13:112-6.   DOI
5 Becelli R, Morello R, Renzi G, Dominici C. Treatment of oligodontia with endo-osseous fixtures: experience in eight consecutive patients at the end of dental growth. J Craniofac Surg 2007;18:1327-30.   DOI
6 Bergendal B, Norderyd J, Bagesund M, Holst A. Signs and symptoms from ectodermal organs in young Swedish individuals with oligodontia. Int J Paediatr Dent 2006;16:320-6.   DOI
7 Ruf S, Klimas D, Honemann M, Jabir S. Genetic background of nonsyndromic oligodontia: a systematic review and meta-analysis. J Orofac Orthop 2013;74:295-308.   DOI
8 Fujiwara T, Nakano K, Sobue S, Ooshima T. Simultaneous occurrence of unusual odontodysplasia and oligodontia in the permanent dentition: report of a case. Int J Paediatr Dent 2000;10:341-7.   DOI
9 Creton M, Cune M, Verhoeven W, Muradin M, Wismeijer D, Meijer G. Implant treatment in patients with severe hypodontia: a retrospective evaluation. J Oral Maxillofac Surg 2010;68:530-8.   DOI
10 Durstberger G, Celar A, Watzek G. Implant-surgical and prosthetic rehabilitation of patients with multiple dental aplasia: a clinical report. Int J Oral Maxillofac Implants 1999;14:417-23.
11 Wagenberg BD, Spitzer DA. Therapy for a patient with oligodontia: case report. J Periodontol 2000;71:510-6.   DOI
12 Buschang PH, Hayasaki H, Throckmorton GS. Quantification of human chewing-cycle kinematics. Arch Oral Biol 2000;45:461-74.   DOI
13 Worsaae N, Jensen BN, Holm B, Holsko J. Treatment of severe hypodontia-oligodontia--an interdisciplinary concept. Int J Oral Maxillofac Surg 2007;36:473-80.   DOI
14 Filius MA, Cune MS, Raghoebar GM, Vissink A, Visser A. Prosthetic treatment outcome in patients with severe hypodontia: a systematic review. J Oral Rehabil 2016;43:373-87.   DOI
15 Del Fabbro M, Ceresoli V. The fate of marginal bone around axial vs. tilted implants: a systematic review. Eur J Oral Implantol 2014;7:S171-89.
16 Bolton WA. Disharmony in tooth size and its relation to the analysis and treatment of malocclusion. Angle Orthod 1958;28:113-30.
17 Dawson PE. Functional occlusion: From TMJ to smile design. St. Louis: CV Mosby; 2006. p. 494, 522.
18 Radke JC, Kamyszek GJ, Kull RS, Velasco GR. TMJ symptoms reduce chewing amplitude and velocity, and increase variability. Cranio 2019;37:12-9.   DOI
19 Proschel P, Hofmann M. Frontal chewing patterns of the incisor point and their dependence on resistance of food and type of occlusion. J Prosthet Dent 1988;59:617-24.   DOI
20 Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol 2000;71:546-9.   DOI
21 Ravida A, Saleh MHA, Muriel MC, Maska B, Wang HL. Biological and technical complications of splinted or nonsplinted dental implants: A decision tree for selection. Implant Dent 2018;27:89-94.   DOI
22 Joondeph DR. Retention and relapse. In: Graber TM, Vanarsdall RL, Vig KWL, editors. St. Louis: Elsevier Mosby; 2005. p. 1123-51.