Vilanova Larissa Soares Reis, Sánchez-Ayala Alfonso, Ribeiro Giselle Rodrigues, Campos Camila Heitor, Farias-Neto Arcelino
Department of Oral Health, Federal University of Goiás, Primeira Avenida, s/n, Goiânia, GO, Brazil.
Department of Dentistry, State University of Ponta Grossa, Avenida General Carlos Cavalcanti, No. 4748, 84030-900 Ponta Grossa, PR, Brazil.
Case Rep Dent. 2015;2015:714963. doi: 10.1155/2015/714963. Epub 2015 Sep 6.
Ectodermal dysplasia is described as heritable conditions that involve anomalies of structures derived from the ectoderm, including hypodontia. In the cases of edentulous young patients, who did not finish their craniofacial growth, treatment with conventional complete denture is a suitable alternative. The aim of this study was to report a case of mandibular edentulism treated with conventional complete denture in a thirteen-year-old patient diagnosed with hidrotic ectodermal dysplasia. Typical features, such as frontal bossing, depressed nasal bridge, protuberant lips, scarce hair, and brittle nails, were visualized during the extraoral examination. The intraoral inspection and radiographic analysis revealed oligodontia, dental malformation, and prolonged retention of deciduous teeth at maxilla and total edentulism at mandible. A conventional complete denture was planned and constructed following the same steps of technique as recommended in adults. Although this option is not a definitive treatment, the patient and his parents were satisfied with his improvement in chewing and speech, as well as with the aesthetic benefits.
外胚层发育不全被描述为涉及源自外胚层结构异常的遗传性疾病,包括牙齿发育不全。对于尚未完成颅面生长的无牙年轻患者,采用传统全口义齿治疗是一种合适的选择。本研究的目的是报告一例13岁被诊断为出汗性外胚层发育不全的患者,采用传统全口义齿治疗下颌无牙症的病例。在口腔外检查中可见典型特征,如额部隆起、鼻梁凹陷、嘴唇突出、头发稀少和指甲脆弱。口腔内检查和影像学分析显示上颌少牙、牙齿畸形以及乳牙滞留时间延长,下颌完全无牙。按照与成人推荐相同的技术步骤设计并制作了传统全口义齿。尽管这种选择并非确定性治疗方法,但患者及其父母对其咀嚼和言语功能的改善以及美学效果感到满意。