Rehabilitation of Children with Ectodermal Dysplasia. Part 2: An International Consensus Meeting

Klineberg, Iven; Cameron, Angus C; Hobkirk, JA; Bergendal, Birgitta; Manière, Marie‐Cécile; King, Nigel M.; Watkins, Sophie; Hobson, Ross; Stanford, Clark M.; Kurtz, Kenneth S.; Sharma, Arun

doi:10.11607/jomi.2981

Cited by 31 publications

(39 citation statements)

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“…A biological explanation of healing problems of dental implants in young children may be the brittle cortical bone structure and a more active immune system in children compared to adults and adolescents. An international Delphi consensus group, too, did not reach consensus on the use of dental implants in growing children affected by hypodontia [9, 10]. Decision making for dental implants in children and adolescents cannot only be based on survival data.…”

Section: Discussionmentioning

confidence: 99%

Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review

Terheyden

Wüsthoff

2015

Int J Implant Dent

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BackgroundImplant patients with congenitally missing teeth share some common charateristics and deserve special attention.MethodsThe PICO question was “In patients with congenitally missing teeth, does an early occlusal rehabilitation with dental implants in comparison to tooth autotransplants, conventional prosthetics on teeth or preservation of deciduous teeth have better general outcomes in terms of survival, success and better patient centered outcomes in terms of quality of life, self-esteem, satisfaction, chewing function?”After electronic database search, a total of 63 relevant studies were eligible, of which 42 qualified for numerical data synthesis, 26 being retrospective studies. A data synthesis was performed by weighted means for survival/success/annual failure rates.ResultsThe mean survival of implants was 95.3 % (prosthesis survival 97.8 %), autotransplants 94.4 %, deciduous teeth 89.6 %, and conventional prostheses 60.2 %. The implant survival in children, adolescents, and adults was 72.4, 93.0, and 97.4 %. Annual failure rates of implants 3.317 %, autotransplants 1.061 %, deciduous teeth 0.908 %, and conventional prostheses 5.144 % indicated better results for natural teeth and more maintenance needs for the both prosthetic treatments. The mean OHIP score was 27.8 at baseline and a mean improvement of 14.9 score points was reported after implant prosthetics. The mean satisfaction rates were 93.4 (implants), 76.6 (conventional prostheses), 72.0 (autotransplants), and 65.5 % (orthodontic space closure).ConclusionsIn synopsis of general and patient-centered outcomes, implants yielded the best results, however, not in children <13 years. Autotransplants and deciduous teeth had low annual failure rates and are appropriate treatments in children and adolescents at low costs. Conventional prosthetics had lower survival/success rates than the other options. Due to heterogeneity and low number of studies, patient-reported outcomes in this review have to be interpreted with caution.

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Section: Discussionmentioning

confidence: 99%

Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review

Terheyden

Wüsthoff

2015

Int J Implant Dent

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“…Recently, in a consensus paper, it was highlighted that the rehabilitation of children with ectodermal dysplasia needs a multidisciplinary approach and a careful pre-treatment oro-facial assessment. 95 No consensus was reached in relation to the most appropriate age for implant surgery, but the experts agreed that at 7-8 years old dental implants could be placed in the anterior mandible. If there are teeth adjacent to the edentulous area, the dentist needs to wait until growth is completed before placing implants, while if there are no adjacent teeth, the surgery can be performed earlier, but it is likely that the patient will require maxillary advancement once growth is completed.…”

Section: Ectodermal Dysplasiamentioning

confidence: 99%

“…If there are teeth adjacent to the edentulous area, the dentist needs to wait until growth is completed before placing implants, while if there are no adjacent teeth, the surgery can be performed earlier, but it is likely that the patient will require maxillary advancement once growth is completed. 95 A few case reports have documented successful dental implant treatment in patients with Papillon Lefevre syndrome, a rare autosomal recessive form of ectodermal dysplasia associated with severe and early onset periodontitis. [96][97][98] …”

Section: Ectodermal Dysplasiamentioning

confidence: 99%

Dental implants in patients affected by systemic diseases

Donos

Calciolari

2014

Br Dent J

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Several systemic diseases (and relative medications) have been reported to impair or in some cases complicate dental implant surgery. In broader terms, when dealing with patients suffering from systemic diseases, the monitoring of the medical condition and of the related post-operative complications is of great importance in order to avoid risks which could jeopardise the health of the patient. In this review, the available evidence on implant survival/success, as well as relevant surgical recommendations in patients affected by systemic diseases, are evaluated and when possible, practical suggestions for the clinician are provided.

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“…The implants were subsequently positioned in the anterior region of the mandible, between the mental foramens, an approach which has proved highly successful in previous studies 10,19) . According to the literature 11) , there is no ideal chronological age for the placement of endosseous implants. The most important factor determining the ideal time to place implants may be level of skeletal maturity.…”

Section: Discussionmentioning

confidence: 99%

Implant-supported Oral Rehabilitation in Child with Ectodermal Dysplasia — 4-year Follow-up

Triches

Ximenes

Souza

et al. 2017

Bull. Tokyo Dent. Coll.

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Ectodermal dysplasia (ED) is an anomaly determined by genetic factors that alter ectodermal structures such as skin, hair, nails, glands, and teeth. Children affected by this condition require extensive, comprehensive, and multidisciplinary treatment. An 8-yearold female patient visited the Dentistry Clinic of the Federal University of Santa Catarina with the chief complaint of multiple missing teeth. The mother reported that the patient had ED. Clinical and radiographic examination revealed the congenital absence of several primary and permanent teeth and tooth germs. Subsequent oral rehabilitation comprised the application of a maxillary denture and mandibular implant-supported fixed prosthesis. The child was also supplied with a wig for further enhancement of esthetics aimed at improving her emotional wellbeing. Psychological follow-up and speech therapy were also provided. After 4 years of follow-up, implant-supported oral rehabilitation has proved to be a satisfactory treatment option, allowing restoration of masticatory, phonetic, and esthetic function, as well as an improvement in the patient's self-esteem and social wellbeing.

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Rehabilitation of Children with Ectodermal Dysplasia. Part 2: An International Consensus Meeting

Cited by 31 publications

References 0 publications

Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review

Occlusal rehabilitation in patients with congenitally missing teeth—dental implants, conventional prosthetics, tooth autotransplants, and preservation of deciduous teeth—a systematic review

Dental implants in patients affected by systemic diseases

Implant-supported Oral Rehabilitation in Child with Ectodermal Dysplasia — 4-year Follow-up

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