Region Jnkpings ln Odontologiska Institutionen
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Fiber-reinforced composite fixed partial dentures in three young children with hypohidrotic ectodermal dysplasia and oligodontia

Norderyd J*, Olgart K, Bergendal B
 

Objectives

Oral habilitation in young children necessitates consideration not only of dental and oral conditions, but also of the growing child's physical and psychological development. This early report aims to show the use of a new technique for temporary tooth replacement with fixed restorations in the primary dentition in three children with hypohidrotic ectodermal dysplasia and oligodontia in both dentitions.

Materials and methods

One girl and two boys aged 6.5, 7 and 10 years at the time of treatment, had all been subject to early multidisciplinary treatment planning. The prosthetic treatment in the two youngest children was performed under nitrous-oxide/oxygen sedation and in co-operation between specialists in paediatric and prosthetic dentistry and prosthetic dentistry. The fiberreinforced composite fixed partial dentures were made in Sinfoni® and StickTech®.

Results

The three children received adhesively cemented fiber-reinforced composite fixed partial dentures with primary canines as abutments, two in the lower and one in the upper jaw. The children have accepted the restorations very well and the treatment has been successful after 1.5 – 3.5 years follow-up. Close monitoring of oral hygiene and occlusal development is necessary.

Conclusion

A multidisciplinary team approach, early treatment planning and treatment start are beneficial in oral habilitation of oligodontia. The patients and their families were more satisfied with the fixed restorations than with earlier removable appliances. Since it is as important to avoid dental fear as to give the child good oral function and appearance, behaviour management methods in combination with the use of sedation and pain control are essential.

Uppdaterad: 2013-04-03
Anna Thofelt, Avdelningen för odontologisk radiologi Jönköping, Folktandvården