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Multidisciplinary therapy of extensive oligodontia: a case report
Thaís Marques Simek Vega Gonçalves1, Letícia Machado Gonçalves, José Ribamar Sabino-Bezerra
1Department of Prosthodontics and Periodontology, Piracicaba Dental School, UNICAMP - University of Campinas, Piracicaba, SP, Brazil.
Brazilian Dental Journal
|June 20, 2013
Summary
Oligodontia, the congenital absence of six or more teeth, requires a comprehensive approach. This case report details successful multidisciplinary treatment for a 12-year-old with 11 missing permanent teeth, improving function and confidence.
Area of Science:
- Dentistry
- Congenital Disorders
- Orthodontics
Background:
- Oligodontia is a rare congenital condition characterized by the absence of at least six permanent teeth.
- This case report focuses on a 12-year-old male diagnosed with oligodontia, presenting with 11 congenitally missing permanent teeth.
Observation:
- The patient exhibited a significant number of missing permanent teeth, necessitating a comprehensive treatment strategy.
- Primary teeth were slated for extraction due to unfavorable crown-to-root ratios, preceding definitive treatment.
Findings:
- A two-phase multidisciplinary treatment plan was implemented, integrating orthodontic intervention, speech therapy, and prosthetic rehabilitation.
- Orthodontic and speech therapy addressed malocclusions like overbite and anterior open bite, alongside tongue posture correction.
- Removable temporary partial dentures were utilized for prosthetic restoration, aiming to reestablish masticatory function and improve aesthetics.
Implications:
- The integrated approach successfully restored masticatory function and enhanced the patient's aesthetic appearance.
- Improved oral function and aesthetics led to increased self-esteem and better social integration for the patient.
- This case highlights the efficacy of a multidisciplinary strategy in managing complex oligodontia cases.
