Prosthodontic rehabilitation of patient with hereditary ectodermal dysplasia

Abstract

Hereditary ectodermal dysplasia is X-linked disorder, characterized by the defective formation of ectodermal structures of the body, e.g. skin, nails, sweat glands, sebaceous glands, and hair follicles. Three most outstanding features of this disorder are hypohydrosis, hypotrichosis, and complete or partial anodontia, which involves both deciduous and permanent dentition. This case report describes the prosthodontic management of a young male patient affected by this disorder.A 30-year-old male patient reported to VSPM's Dental College and Hospital, Nagpur, for the complaint of missing teeth in the upper and lower jaws. He had problem with mastication and esthetics. The permanent teeth erupted in the upper arch and were lateral incisors, canines, and first molars on both right and left sides of the arch. The anterior teeth were small and conical in shape. Over-retained deciduous second molars were present in the upper arch. In the lower arch, only a single first molar was present on the left side and the remaining alveolar ridge was resorbed.After routine dental investigations such as diagnostic casts and radiographs, the maxillary arch anterior as well as the posterior teeth were prepared to receive fixed partial dentures, and in the mandibular arch, overdenture was planned.Initially, the patient was unhappy with his looks. Also because of the inability in mastication, his general health was impaired in the young age. After prosthodontic management with such disorder, the young patient's facial esthetics was improved a lot and his morale was boosted with confidence.