Full mouth rehabilitation in patient with ectodermal dysplasia Using basal implants and monolithic zirconia bridge

Dr. Irfan Ali Motiwala* – MDS Oral and Maxillofacial Surgery, Dr. Motiwala Dental Clinic and Implant Center, Hyderabad, Telangana, India
Dr. Tejaswi Bathina – MDS, Oral Medicine and Radiology, Dr. Motiwala Dental Clinic and Implant Center, Hyderabad, Telangana, India
Dr. Suhela Irfan Motiwala – BDS, Dr. Motiwala Dental Clinic and Implant Center, Hyderabad, Telangana, India.

Available Online at: www.worldwidejournals.com

Introduction

The documentation of ectodermal dysplasia dates back to 1 1878, where Thurnam reported two cases . Hypohydrotic. Christ-Siemens-Touraine syndrome is the common variant and is associated with hypodontia, inadequate sweating 2 (hypohydrosis) and scares thin hair (hypotrichosis) .

Case Report

A 24-year-old male patient came to the clinic with a chief complaint of missing teeth in his upper and lower front and back teeth region since childhood. His history revealed that the teeth were absent since childhood and have thought it to be delayed eruption. But on consulting a dentist, when the patient was 8-year-old, he was diagnosed with ectodermal dysplasia. The patient also gave a history of intolerance to heat and frequent bouts of fever since his childhood.

Discussion

The treatment goal of a patient with ectodermal dysplasia is mainly targeted at restoring the function and aesthetics. A multidisciplinary approach is usually recommended following its diagnosis so that the patient is functionally not compromised. Restoration of teeth by giving partial or complete dentures during the growing years helps in an
undisturbed development of the jaws. These dentures should however be regularly replaced in accordance with the jaw 5 growth .

Conclusion

This case report highlights the advantages of basal implants in patients with less bone. In addition, Pterygoid implants yield great stability, gaining anchorage from the pterygoid plate. When properly done, basal implants provide a denitive and a long-term solution for patients with less bone. The report also adds to the literature, the advantages and superiority of monolithic Zirconia bridge in using it as an implant supported full arch prosthetic material.

References

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