Full-Mouth Rehabilitation of a Patient with Ectodermal Dysplasia Patient with Dental Implants.

C. Koyuncuoğlu, Suleyman Metin, Isil Minoglu-Saylan, Kerem Calisir, O. Tuncer, Kantarci Alpdogan
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引用次数: 2

Abstract

Abstract Oral findings in patients with ectodermal dysplasia (ED) include complete or partial hypodontia, anodontia, loss of vertical dimension of occlusion, protuberant lips, malformed and widely spaced conical-shaped teeth and underdeveloped alveolar ridges. These patients present a substantial challenge in dental treatment. This case report presents oral rehabilitation of a 22-year-old male patient diagnosed with ED using an implant-tooth supported telescopic partial denture at mandible and a tooth supported telescopic partial denture at maxilla. Implants in the mandible were placed at the sites of the right and left lateral incisor teeth. Following implant placement, the remaining buccal bone dehiscence was filled with deproteinized bovine bone graft and covered with resorbable membrane. To manage the vestibular insufficiency and to increase the keratinized mucosa in maxilla, bilateral acellular dermal matrix allograft was used on the right and left buccal aspects. Treatment described here improved the patient's functional and esthetic status while significantly restoring his oral health and self-esteem.
外胚层发育不良患者种植牙的全口康复。
外胚层发育不良(ED)患者的口腔表现包括完全或部分牙缺损、牙缺失、咬合垂直尺寸丧失、嘴唇突出、锥形牙齿畸形和间距大、牙槽嵴发育不全。这些患者对牙科治疗提出了重大挑战。本病例报告介绍一位22岁男性ED患者在下颌骨使用种植牙支持的套筒式局部义齿和在上颌骨使用牙支持的套筒式局部义齿进行口腔康复。下颌骨种植体放置在左右侧切牙的位置。种植体放置后,用脱蛋白牛骨移植物填充剩余的颊骨裂隙,并用可吸收膜覆盖。为了治疗前庭功能不全,增加上颌骨角化黏膜,在左右颊侧采用双侧脱细胞真皮基质同种异体移植。这里描述的治疗改善了病人的功能和审美状态,同时显著地恢复了他的口腔健康和自尊。
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