Visser A, Hoff M, Raghoebar G M, Vissink A
Disciplinegroep Mondziekten, Kaakchirurgie en Bijzondere Tandheelkunde van het Universitair Medisch Centrum Groningen.
Ned Tijdschr Tandheelkd. 2009 Jan;116(1):29-32.
An 8-year-old boy with ectodermal dysplasia had only 6 deciduous maxillary teeth and an edentulous mandible. As a result, he suffered from aesthetic and functional problems. The maxilla was already rehabilitated by a removable partial denture with wire clasp arms and retentive composite resin extensions on the abutment teeth. Consideration was given to the fabrication of a conventional complete mandibular denture. The underdevelopment of the alveolar ridge and absence of the buccal vestibule, however, rendered this impractical. Although the placement of implants in patients who are still growing is not generally recommended, a decision was made, based on a study of the literature, to insert 2 implants in the intraforaminal region as a support for an overdenture. Subsequently, an implant-supported mandibular overdenture on 2 ball attachments was fabricated. Two years after inserting the implants, no complications had arisen. The patient was satisfied with the functional and aesthetic results of the treatment.
一名患有外胚层发育不全的8岁男孩上颌只有6颗乳牙，下颌无牙。因此，他面临美观和功能问题。上颌已通过带有钢丝卡环臂和基牙上固位复合树脂延伸体的可摘局部义齿进行了修复。考虑制作传统的全下颌义齿。然而，牙槽嵴发育不全且颊侧前庭缺失使这一做法不切实际。尽管一般不建议在仍在生长的患者中植入种植体，但基于文献研究，决定在孔内区域植入2颗种植体以支持覆盖义齿。随后，制作了一副基于2个球帽附着体的种植体支持下颌覆盖义齿。植入种植体两年后，未出现并发症。患者对治疗的功能和美观效果感到满意。
