Department of Orthodontics, Aristotle University of Thessaloniki, Greece.
J Am Dent Assoc. 2010 Nov;141(11):1340-5. doi: 10.14219/jada.archive.2010.0078.
The long-term management of hypohidrotic ectodermal dysplasia (HED) from prepuberty to adulthood often necessitates orthodontic and orthopedic treatment in conjunction with prosthodontic care.
The authors present a report regarding the combined orthodontic and prosthodontic treatment of a child with HED-associated oligodontia from the ages of 10 to 18 years. The authors fabricated successive maxillary removable partial dentures, equipped with midline jackscrews, at different phases of the treatment and planned treatment to close the patient's midline diastema. After completion of the orthodontic therapy, three-dimensional analysis of the final dental casts showed a measurable increase in the transverse dimensions of the maxillary dental arch, and posttreatment cephalometric analysis revealed the face to have normal vertical dimensions and a mild retroposition of the maxilla.
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Orthodontic and orthopedic treatment in coordination with prosthetic restoration at the appropriate time may benefit the stomatognathic function, normal growth, esthetics and emotional well-being of young people with HED.
从青春期前到成年，患有少汗型外胚层发育不全症（HED）的患者需要进行正畸和矫形治疗，并结合义齿修复。
作者报告了一例 HED 相关无牙畸形患者从 10 岁至 18 岁期间的联合正畸和修复治疗情况。作者在治疗的不同阶段制作了上颌可摘局部义齿，并配备了中线螺丝，以计划关闭患者的中线间隙。正畸治疗完成后，对最终牙模型的三维分析显示上颌牙弓的横向尺寸有可测量的增加，治疗后的头影测量分析显示面型具有正常的垂直高度和轻度上颌后缩。
正畸和矫形治疗与适当时间的义齿修复相结合，可能有利于 HED 患者的口腔颌面部功能、正常生长、美观和情绪健康。
