Early Management of Non-Syndromic Hypodontia in a Child: Three-Year Follow-Up

Roula Berbari,Nahla Nassif

doi:10.3844/crdsp.2021.26.29

Abstract

Hypodontia is the congenital absence of few teeth. The early multidisciplinary management of hypodontia assures the reestablishment of the disturbed psychological, aesthetic and oral functions. In this study, the clinical case of a child presenting a non-syndromic hypodontia with three agenesis teeth was described. No evidence of maxillary and mandibular third molars bud formation was noted on the orthopantomograph. To replace the two missing permanent mandibular central incisors, two mini-implants in the mandibular symphyseal region were placed and then restored by individually fixed prostheses. In the maxilla, the permanent canine in a complete transposition, was reshaped with composite resin restoration to replace the missing right permanent lateral incisor. Clinical and radiological reassessments were done 3 years later. The aesthetic and functional evaluations were satisfactory. The marginal bone level was stable with no bone loss. The periodontal health around the mini-implants were confirmed in conjunction with mechanical function.

Highlights

Hypodontia or dental agenesis is the congenital absence of few teeth (Nunn et al, 2003)
This paper aims to report the clinical case of a young patient with dental agenesis and to emphasize the role of the pediatric dentist in the prompt detection of cases of hypodontia
Recommendations were given to the patient to reduce the oral bacterial load (0.12% Chlorhexidinemouthwash/twice a day for one week)

Summary

Introduction

Hypodontia or dental agenesis is the congenital absence of few teeth (Nunn et al, 2003). This dentofacial anomaly exists in isolated or syndromic form with a sporadic or familial mode of transmission (Fauzi et al, 2018). The estimated prevalence of permanent dentition hypodontia ranges from 1.6 to 6.9%. The most frequently affected teeth are the second premolars and the maxillary lateral incisors (Al-Aniet al., 2017). Since health problem can result, it is important to detect this anomaly as soon as possible, in order to initiate the most appropriate early treatment (Nunn et al, 2003)

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Conclusion