Interdisciplinary dental management of patient with oligodontia and maxillary hypoplasia: a case report

Abstract

Background The craniofacial developmental abnormality can significantly complicate the oral rehabilitation of patients with oligodontia. This case report describes an interdisciplinary approach that took 7 years to successfully treat a young patient with non-syndromic oligodontia and midface deficiency. Case presentation A 14-year-old patient with complex oral and maxillofacial conditions and diagnosis of oligodontia presented to our clinic. In addition to 4 retained deciduous teeth and congenitally missing 10 permanent teeth, dentofacial findings included maxillary and malar deficiency with a concave facial profile, Angle Class III malocclusion, and poor dental esthetics. The interdisciplinary treatment included pre-surgical orthodontic decompensation, high Le Fort I maxillary osteotomy, postsurgical orthodontic therapy, osseous ridge augmentation using recombinant human bone morphogenetic protein-2 (rhBMP-2), interim removable partial denture, dental implant installation, interim implant prostheses, and final prosthetic rehabilitation. Conclusions The successful treatment of patients with oligodontia and complex dentofacial abnormalities requires the close and orderly collaboration among orthodontist, oral maxillofacial surgeon, and prosthodontist. Within the limitations of this case report, presented interdisciplinary approaches may optimize the oral rehabilitation outcome in patients with similar clinical challenges. A prospective clinical investigation is desired to verify the benefit of presented interdisciplinary approach.

Prosthetic Design Factors Influencing Peri-Implant Disease: A Comprehensive Review

“…Dental hygienists are crucial in maintaining oral health, including peri-implant tissues. This collaboration results in more efficient treatment planning and execution, with each specialist contributing their knowledge and skills to achieve optimal patient outcomes [ 44 ].…”

Full mouth rehabilitation of young adults with oligodontia: Two case reports emphasizing implantology, prosthodontics, and restorative intervention

“…It must be emphasised that oligodontia generally necessitates lengthy and complex treatments, ranging from multiple restorations to surgical intervention and complex prosthodontic rehabilitation, as well as lifelong maintenance (Demes et al, 2023). Each treatment plan must be tailored to the individual's specific needs, considering their age, skeletal growth, dental development, and functional requirements (Aronovich et al, 2022;Bural et al, 2012;Kotsiomiti et al, 2007). Furthermore, when planning the appropriate treatment, the financial implication of the patient must also be considered, as well as providing a long-term oral care to which the patient can comply to (Dhanrajani & Al Abdulkarim, 2002).…”