Prosthodontic rehabilitation of a pediatric patient affected with anhidrotic ectodermal dysplasia: A rare case report

Abstract

Ectodermal dysplasia (ED) is a hereditary disease characterized by congenital dysplasia of one or more ectodermal structures and other accessory appendages. The oral manifestations are anodontia and poor bony foundation which impairs both esthetic as well as masticatory function. The prosthodontic management of patients with such dysplastic condition necessitates a multidisciplinary approach. The strong, flexible nature of flexible denture material is perfectly suited to the variety of natural conditions in the mouth, simplifying design and enabling the flexible nylon resin to act as a built-in stress-breaker that provides superior function and stress distribution. Flexible partial dentures certainly offer advantages over conventional partials by way of superior esthetics, better function, durable material, and longevity of the prosthesis. This case report describes the prosthodontic oral rehabilitation of a 14-year-old female pediatric patient with anhidrotic ED using resin flexible prosthesis (Valplast). Clinical Relevance to Interdisciplinary Dentistry A multidisciplinary approach comprising restorative, prosthetic, and periodontal treatment was done to achieve a satisfactory result. The treatment led to significant improvements in appearance, speech, and masticatory function The focus is on the interdisciplinary management of a patient with complex restorative needs An integrated approach that addresses both skeletal and dental issues can provide superior results. In this case, restorative goals guided the overall treatment plan, requiring the integration of restorative services at several stages of care, which involved a team of pedodontist, prosthodontist, and periodontist Although implants are the ideal choice for partial anodontia, this case was treated in a conservative and minimally invasive method. Eventually the patient was satisfied with the prosthesis as function was re-established and esthetics was not compromised. Long-term success depends on regular recall appointments and meticulous maintenance of oral and prosthetic hygiene.