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Prosthodontic rehabilitation in patient with ectodermal dysplasia combining preprosthetic techniques: a case report
María Pombo Castro1, Ramón Luaces Rey, Jorge Arenaz Búa
1*Resident, Department of Oral and Maxillofacial Surgery, A Coruña University Hospital, A Coruña, Spain. †Staff, Department of Oral and Maxillofacial Surgery, A Coruña University Hospital, A Coruña, Spain. ‡Staff, Department of Oral and Maxillofacial Surgery, Povisa Hospital, Vigo, Spain. §Chief, Department of Oral and Maxillofacial Surgery, A Coruña University Hospital, A Coruña, Spain. ‖Clinical Tutor, Department of Prosthodontics and Occlusion, University of Santiago de Compostela, A Coruña, Spain.
Abstract:
Oral manifestations in ectodermal dysplasia include oligodontia, alveolar ridges hypoplasia, and others. Due to the special conditions in terms of unhealthy teeth and lack of bone, implant-supported rehabilitation seems to offer the most satisfactory outcome. A 27-year-old male diagnosed with ectodermal dysplasia was referred to our department for oral rehabilitation. Oral manifestations included oligodontia, maxillary and mandibular atrophy, mandibular alveolar ridge with knife-edge morphology, and conical teeth. Treatment planning consisted of a Le Fort I osteotomy with interpositional grafts, bilateral sinus lift, and placement of maxillary and mandibular inlay and onlay corticocancellous grafts, using autologous iliac crest bone. In the second surgery, all remaining teeth were removed and 11 endosteal implants were placed. Six months after implant placement, a bimaxillary fixed implant-supported prosthesis was delivered, maintaining a satisfactory esthetic and functional result after a 2-year follow-up. The use of combined preprosthetic techniques allows the placement of endosteal implants and a fixed implant-supported prosthesis in patients with oligodontia and ectodermal dysplasia, providing an esthetic and functional oral rehabilitation.
