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Palatal expansion with a total denture

A N Altay1, I Kocadereli, G Atar

  • 1Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.

The Journal of Clinical Pediatric Dentistry
|January 1, 1995
PubMed
Summary
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A pediatric patient with hypophosphatasia experienced posterior crossbite and primary tooth loss. A custom denture with a palatal screw successfully corrected the crossbite, restoring proper dental arch relationships.

Area of Science:

  • Pediatric Dentistry
  • Orthodontics
  • Craniofacial Anomalies

Background:

  • Hypophosphatasia is a rare metabolic bone disease causing dental anomalies, including premature tooth loss.
  • Posterior crossbite is a common malocclusion in pediatric patients, potentially impacting jaw growth and function.

Observation:

  • A pediatric case report detailing a patient diagnosed with hypophosphatasia.
  • The patient presented with posterior crossbite and significant primary tooth loss.
  • A full upper denture was fabricated to address functional and esthetic concerns.

Findings:

  • A palatal screw integrated into the upper denture was utilized for orthodontic correction.
  • Successful expansion of the upper dental arch was achieved, resolving the posterior crossbite.

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  • The intervention led to a proper occlusal relationship.

    • Implications:

    • This case highlights a conservative prosthetic approach for managing posterior crossbite in pediatric patients with hypophosphatasia.
    • Early intervention with dental prosthetics can improve function, esthetics, and potentially prevent further complications.
    • The use of a palatal screw in a denture offers a viable solution for arch expansion in complex pediatric cases.