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Ectodermal dysplasia: an 11-year follow-up of siblings with 2 implant treatment approaches
Vicki C Petropoulos1, Thomas J Balshi, Glenn J Wolfinger
1*Prosthodontist and Associate Professor of Restorative Dentistry, Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, PA. †Founder and Prosthodontist, PI Dental Center, Institute for Facial Esthetics, Fort Washington, PA. ‡Prosthodontist, PI Dental Center, Institute for Facial Esthetics, Fort Washington, PA. §President, CM Prosthetics Inc., Fort Washington, PA; Director of Research, PI Dental Center, Institute for Facial Esthetics, Fort Washington, PA.
Purpose:
To describe 2 different treatment approaches for a 20-year-old Caucasian man and his 22-year-old sister who were affected by ectodermal dysplasia (ED) and compromised maxillary bone.
Materials And Methods:
The sister had a history of an iliac crest transplant with 6 implants placed in the maxillary and mandibular arches, 6 years before complications. It was necessary to debride the right sinus, remove the failing infected bone graft and 2 implants. Her brother presented with missing teeth, few remaining deciduous teeth, and wearing all-acrylic resin temporary partials in both the maxillary and mandibular arches.
Results:
Zygomatic and pterygomaxillary implants were used to rehabilitate the brother with a screw-retained fixed prostheses. His sister had 6 new maxillary implants. Both siblings' mandibular arches were restored with screw-retained implant-supported prostheses.
Conclusion:
Although these siblings affected with ED had different treatment approaches, they both eventually obtained successful outcomes. The brother's treatment was expedited. Both siblings have been followed for a period of 11 years, and all postoperative evaluations have been uneventful.
