eISSN: 2299-551X
ISSN: 0011-4553
Journal of Stomatology
Current issue Archive About the journal Editorial board Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2018
vol. 71
 
Share:
Share:
more
 
 
abstract:
Case report

Orthodontic and implant-prosthetic treatment of hypodontia: a report of two cases

Barbara Rafałowicz, Leopold Wagner

J Stoma 2018; 71, 4: 381-386
Online publish date: 2019/01/28
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Congenital absence of maxillary tooth germs in adults is a serious problem. Basic treatment includes orthodontic and/or implantoprosthetic procedures. The aim of the study is to present possible therapeutic procedures in the treatment of hypodontia of maxillary teeth in complex anatomical and biological conditions in adult patients.

The study presents two cases of orthodontic treatment and implant-prosthetic rehabilitation of maxillary hypodontia. In the first case, after obtaining space with fixed braces, a decision was made to insert a mini implant at the site of the missing upper right lateral incisor, on which a porcelain-fused-to-metal (PFM) crown was fixed. In the second case, after the expected effect of orthodontic treatment was achieved, the missing upper right lateral incisor and the missing upper right first bicuspid were restored with a PFM bridge, while the other missing upper left bicuspid was restored with a PFM bridge based on the implant. In the presented cases, effective orthodontic treatment was followed by an implant-prosthetic technique with the use of mini implants and fixed dentures, which allowed morphological, functional, and esthetic restoration of missing teeth. Both patients have had the restorations for 10 years and so far, have reported no functional or esthetic problems.

The applied orthodontic treatment and implant-prosthetic rehabilitation fulfilled the esthetic and functional needs of the patients. It must be emphasized that a treatment of an adult person with hypodontia may be disturbed by unforeseen circumstances, which may require corrections of the initial treatment plan.
keywords:

hypodontia, fixed braces, mini implants, crown and bridges

references:
Fekonja A. Hypodontia in orthodontically treated children. Eur J Orthod 2005; 27: 457-460.
De Coster PJ, Marks LA, Martens LC, Huysseune A. Dental agenesis: genetic and clinical perspectives. J Oral Pathol Med 2009; 38: 1-17.
Polder BJ, Van’t Hof MA, Van der Linden FP, Kuijpers-Jagtman AM. A meta-analysis of the prevalence of dental agenesis of permanent teeth. Community Dent Oral Epidemiol 2004; 32: 217-226.
Robertsson S, Mohlin B. The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment. Eur J Orthod 2000; 22: 697-710.
Pinho T, Maciel P, Pollmann C. Developmental disturbances associated with agenesis of the permanent maxillary lateral incisor. British Dent J 2009; 207: E25.
Scarel RM, Trevilatto PC, Di Hipólito Jr O, et al. Absence of mutations in the homeodomain of the MSX1 gene in patients with hypodontia. Am J Med Genet 2000; 92: 346-349.
Näsman M, Forsberg CM, Dahllöf G. Long-term dental development in children after treatment for malignant disease. Eur J Orthod 1997; 19: 151-159.
Pinho T, Pollmann C, Calheiros-Lobo MJ, et al. Craniofacial repercussions in maxillary lateral incisors agenesis. Int Orthod 2011; 9: 274-285.
Closs LQ, Reston EG, Tessarollo F, et al. Multidisciplinary approach in the rehabilitation of missing lateral incisors: a new trend in daily practice. Oper Dent 2012; 37: 458-463.
Akkaya N, Kiremitc A, Kansu O. Treatment of a patient with oligodontia: a case report. J Contemporary Dent Practice 2008; 9: 121-127.
Silveira GS, Mucha JN. Agenesis of maxillary lateral incisors: treatment involves much more than just canine guidance. Open Dent J 2016; 10: 19-27.
Carter NE, Gillgrass TJ, Hobson RS, et al. The interdisciplinary management of hypodontia: orthodontics. British Dent J 2003; 194: 361-366.
Tanaka O, Kreia TB, Maciel JVB, Camargo ES. The agenesis of maxillary lateral incisors: closing or reopening the space? Dent Press J Orthod 2003; 2: 27-35.
Romeo E, Lops D, Amorni L, et al. Clinical and radiographic evaluation of small-diameter (3.3-mm) implants followed for 1-7 years: a longitudinal study. Clin Oral Implants Res 2006; 17: 139-148.
Zinsli B, Sagesser T, Mericske E, Mericske-Stern R. Clinical evaluation of small-diameter iti implants: a prospective study. Int J Oral Maxillofac Implants 2004; 19: 92-99.
Comfort MB, Chu FC, Chai J, et al. A 5-year prospective study on small diameter screw-shaped oral implants. J Oral Rehabil 2005; 32: 341-345.
King P, Maiorana C, Luthardt RG, et al. Clinical and radiographic evaluation of a small-diameter dental implant used for the restoration of patients with permanent tooth agenesis (hypodontia) in the maxillary lateral incisor and mandibular incisor regions: a 36-month follow-up. Int J Prosthodont 2016; 29: 147-153.
Polizzi G, Fabbro S, Forri M, et al. Clinical application of narrow Branemark System implants for single-tooth restoration. Int J Oral Maxillofac Implants 1999; 14: 496-503.
Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res 2006; 17 Suppl 2: 35-51.
Garbaccio D. The Garbaccio bicortical self-threading screw. Riv Odontostomatol Implantoprotesi 1983; 1: 53-56.
Filius MA, Cune MS, Raghoebar GM, et al. Prosthetic treatment outcome in patients with seve-re hypodontia: a systematic review. J Oral Rehabil 2016; 43: 373-387.
FEATURED PRODUCTS
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe