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外胚层发育不良所致严重少牙畸形幼儿的康复考量:三例临床病例报告及两年随访

Rehabilitation Considerations for Very Young Children with Severe Oligodontia due to Ectodermal Dysplasia: Report of Three Clinical Cases with a 2-Year Follow-Up.

作者信息

Seremidi Kyriaki, Markouli Antigoni, Agouropoulos Andreas, Polychronakis Nick, Gizani Sotiria

机构信息

Department of Pediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Greece.

Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Greece.

出版信息

Case Rep Dent. 2022 Mar 22;2022:9925475. doi: 10.1155/2022/9925475. eCollection 2022.

Abstract

INTRODUCTION

Management of oligodontia can be complicated and requires multidiscipline care, involving a wide spectrum of interventions. The aim of this report is to describe the challenges of oral rehabilitation of three very young children with oligodontia. . Three preschool aged Caucasian males, diagnosed with ectodermal dysplasia, were treated with interim removable dentures in order to replace missing teeth, reclaim vertical dimension, and improve function and aesthetics. The main challenges faced were patient cooperation, dental and skeletal characteristics, and parental expectations. Two years post-treatment, both patients and parents reported excellent adaptation to prosthesis and satisfaction with aesthetics.

CONCLUSION

Rehabilitation of oligodontia may be challenging due to accompanying oral findings, dentofacial growth considerations, and behavioral issues. Establishment of good rapport between patients, parents, and clinician is the key for the success of the treatment even with the use of nonpharmacological behavioral management techniques.

摘要

引言

先天性缺牙的治疗可能很复杂,需要多学科护理,涉及广泛的干预措施。本报告的目的是描述三名非常年幼的先天性缺牙儿童口腔修复的挑战。三名被诊断患有外胚层发育不良的学龄前白种男性接受了临时可摘义齿治疗,以替代缺失的牙齿、恢复垂直距离并改善功能和美观。面临的主要挑战是患者的配合、牙齿和骨骼特征以及家长的期望。治疗两年后,患者和家长均报告对义齿适应良好且对美观满意。

结论

由于伴随的口腔问题、牙颌面生长因素和行为问题,先天性缺牙的修复可能具有挑战性。即使使用非药物行为管理技术,患者、家长和临床医生之间建立良好的关系也是治疗成功的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d32c/8964192/0be14c1c358f/CRID2022-9925475.001.jpg

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