TREATMENT OPTION WITH DENTAL IMPLANTS IN PATIENTS WITH HYPODONTIA
Abstract
TREATMENT OPTION WITH DENTAL IMPLANTS IN PATIENTS WITH HYPODONTIA
Abstract
Hypodontia in the permanent dentition is a significant clinical challenge, particularly in the treatment of adolescent patients who are missing anterior teeth. They have severe aesthetic and psychological disorders and satisfying the aesthetic moment is the main motivation for treatment, but the goal in the management of hypodontia for the therapist is not only to improve the aesthetics but also to accomplish a good masticatory function with long lasting and predictable results.
The selection of an appropriate therapeutic option, needs multidisciplinary approach and team coordination, first during treatment planning and then for determining the most appropriate time and method for subsequent orthodontic, surgical and prosthetic treatment.
The aim of the authors is through the presentation of clinical material with hypodontia of the lateral incisors in maxilla and mandible, to show the need of multidisciplinary approach in the treatment of hypodontia using dental implants in the aesthetic region, and to emphasize the critical moments of the surgical aspects in order to achieve the best aesthetic and functional outcome.
Good cooperation with the patients and their family is of particular importance, especially because of the long interval of orthodontic and surgical treatment until the final results are achieved.
Key words: hypodontia, dental implants, surgical aspects, orthodontic therapy
References
Kaste SC, Goodman P, Leisenring W (2009) Impact of radiation and chemotherapy on risk of dental abnormalities: a report from the Childhood Cancer Survivor Study. Cancer; 115 (24): 5817–27
Nunn JH, Carter NE, Gillgrass TJ, Hobson RS, Jepson NJ, Meechan JG, Nohl FS (2003) The interdisciplinary management of hypodontia: background and role of paediatric dentistry Br Dent J 194, 245 - 251
Kristenson L, Lagerström L (1991) Autotransplantation of teeth in cases with agenesis or traumatic loss of maxillary incisors. Eur J Orthod; 13: 486–492
Worsaae, N. B. N. Jensen, B. Holm, J. Holsko (2007) Treatment of severe hypodontia–oligodontia—an interdisciplinary concept. Int. J. Oral Maxillofac. Surg.; 36: 473–480
Finnema KJ, Raghoebar GM, et al, (2005) Oral rehabilitation with dental implants in oligodontia patients. Int J Prosthodont 18:203-9,.
Créton et al. (2010) Implant Treatment and Severe Hypodontia. J Oral Maxillofac Surg 68:530-538,.
Durstberger G, Celar A, Watzek G. (1999) Implant-surgical and prosthetic rehabilitationof patients with multiple dentalaplasia: a clinical report. Int J Oral Maxillofac. Implants: 14: 417–423.
Hahn J. (2000) Single-stage, immediate loading, and flapless surgery. J Oral Implantol.;26:193-198.