Treatment of a Patient with Oligodontia: A Case Report

Abstract

Aim:The aim of this report is to describe the management of a 16-year-old patient with oligodontia including six permanent teeth.Background: Oligodontia is agenesis of six teeth or more, excluding third molars. The etiology of congenital absence of teeth is believed to be involved in heredity or developmental anomalies. It can be isolated or as part of a syndrome. There are a number of options available to restore space generated by missing teeth. Dental treatment can vary depending on the severity of the disease and generally requires a multidisciplinary approach. Treatment options include orthodontic therapy, implants, adhesive techniques, and removable prostheses. Report:A 16-year-old male patient with oligodontia affecting six permanent teeth received conservative care that met his and his parent's expectations. The existing primary teeth were restored to resemble permanent teeth in order to achieve a favorable esthetic result using direct composite resin. The restorative treatment was provided for the psychosocial comfort of the young patient. The loss of teeth in young patients can cause esthetic, functional, and psychological problems particularly if the teeth of the anterior region are involved. Summary: Adhesive techniques and new restorative materials represent current options in the management of the dental rehabilitation of young patients with oligodontia.

Frequency of Developmental Dental Anomalies in the Indian Population

“…This occurs in permanent dentition in 0.3% of the population. 7 In the present study, it was noted that missing teeth constituted 10.6% of all of the anomalies. Congenitally missing teeth most commonly occur with maxillary laterals, 2 nd premolars and mandibular central incisors and can be unilateral or bilateral.…”

Isolated oligodontia in monozygotic twins

“…Also, oligodontia might be associated with other dental anomalies, such as morphologic alterations and variations of tooth size. [21] In our patients, such anomalies and variations were not observed. Oligodontia affects the permanent dentition rather than the deciduous dentition, [5] and females show a higher incidence of hypodontia than males, [3] which is concordant with our present case report.…”

“…In addition, the number and situation of the retained deciduous teeth, agenesis teeth and carious teeth and the condition of the periodontal tissue and occlusion should also be considered. [21] In our reported case, the twins were enrolled for orthodontic treatment after surgically removing the exhausted deciduous teeth and the restoration of the caries. Prosthetic rehabilitation of patients with oligodontia is likely to become more comprehensive.…”

Non-syndromic Oligodontia in Permanent Dentition of Monozygotic Twins: Report of a Rare Case

“…Other conditions that must be evaluated include the number and condition of the retained teeth, the number of missing teeth, the presence of carious teeth, the condition of supporting tissues, occlusion, and the interocclusal rest space. 15 However in the present cases, no active treatment…”

“…These provide a global view of the jaws not only for diagnosing oligodontia but also for evaluating other anomalies of the teeth such as morphologic alterations and variations of tooth size. 15 Avcu 16 recommended a panoramic radiographic examination when a tooth was missing because it might be an ectopic impaction. In the present cases panoramic radiographs revealed bilateral absence of all the permanent teeth that were clinically missing except for the mandibular second permanent molars.…”