Oligodontia designates the congenital absence of six or more permanent teeth, excluding the third molars. Oligodontia of primary and permanent dentition is a rare observance. This case report describes the missing teeth in primary and permanent dentition of an 8 year old boy. Early diagnosis, and comprehensive treatment planning with good coordination and timing of the individual treatment phases are decisive for a successful treatment outcome.

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Ectodermal dysplasia represents a group of rare inherited conditions in which two or more ectodermally derived anatomical structures fail to develop. Early dental intervention can improve patient′s appearance, thereby minimizing associated emotional and psychological problems in these patients. Treatment requires a teamwork by medical personnel along with dental professionals of various specialties. Here, a rare case of a young female patient is presented with prosthetic management with implant supported fixed partial denture.

An adult patient with proclination and spacing was performed orthodontic treatment combined with corticotomy and the burstone three piece intrusive arch who desired a shortened treatment period. The patient had Angle's Class I malocclusion with flaring of the maxillary and mandibular incisors. Pre adjusted edgewise appliance (MBT prescription) was fixed to the maxillary and mandibular teeth. Then corticotomy was performed on the cortical bone of the buccal sides in the maxillary anterior regions. Intrusion and retraction initiated immediately after the corticotomy. The intrusive arch was adjusted once in every 2 weeks. The total treatment time for intrusion was 5 months. Cephalometric superimpositions showed no anchorage loss, and panoramic radiographs showed neither significant reduction in the crestal bone height nor marked apical root resorption. A corticotomy-facilitated orthodontic treatment shortened treatment period without any anchorage loss or adverse effects.

A technique for restoring missing anterior teeth with associated extensive alveolar bone loss has been presented. This technique combines fixed and removable restorations where in removable prosthesis that restores the alveolar defect gets attached to the fixed prosthesis through precision attachment. The fixed prosthesis contributes to esthetics, function and also elevates patient's self image. The removable prosthesis provides the much needed soft tissue support and also facilitates oral hygiene maintenance.