Abstract
The objective of the present article is to report an uncommon case of a boy with history of 11 natal lost teeth, all belonging to the normal series of primary dentition, associated with absence of up to 21 permanent tooth germs. Such a condition resulted in the necessity for oral rehabilitation. Partial removable prostheses were used as a choice of treatment, and the patient will have to be constantly followed up so that new treatment approaches can be performed according to the patient’s development.
Highlights
Palavras-chave: Criança; Dentes natais; Anodontia; Reabilitação bucal; Prótese parcial removível. Natal teeth are those ones present in the oral cavity at birth (MASSLER; SAVARA, 1950), and they may belong to the primary dentition or may be a supernumerary one (RUSMAH, 1991)
Oligodontia involving permanent teeth can be associated with different local or systemic conditions (SHAFER; HINE; LEVY, 1983; NEVILLE et al, 2002), such as ectodermic dysplasia, which is the most common condition reported in the literature (BERGENDAL, 2001; KOTSIOMITI et al, 2000; TARJAN; GABRIS; ROZSA, 2005)
Bennett and Ronk (1980) reported a case of 2 neonatal teeth associated with absence of various germs of permanent teeth in a 4-year-old child without any family history or systemic disorder
Summary
Natal teeth are those ones present in the oral cavity at birth (MASSLER; SAVARA, 1950), and they may belong to the primary dentition or may be a supernumerary one (RUSMAH, 1991). Several aetiologies have been suggested (MASSLER; SAVARA, 1950.) in general such a condition is thought to be a familial phenomenon (MCDONALD; AVERY, 2000; SHAFER; HINE; LEVY, 1983) Natal teeth, even those from the normal series, can be extracted if breast feeding is affected (PRIMO et al, 1995), tooth mobility is excessive (PORTELA; DAMASCENO; PRIMO, 2004) or the baby’s oral mucosa is lesioned (NIK-HUSSEIN, 1990). A few reports on the relationship between natal teeth and absence of succeeding permanent teeth exist in the reviewed literature (BENNETT; RONK, 1980; MASATOMI; ABE; OOSHIMA, 1991; NEVILLE et al, 2002) In those cases exhibiting both developmental disturbances, the treatment of the child patient represents a challenge for the paediatric dentist because both constant follow-up and careful planning should be considered so that treatment can be adjusted to all phases of the child’s development (BERGENDAL, 2001). The objective of the present report is to describe the prosthetic rehabilitation of a child patient with multiple natal lost teeth and up to 21 germs of absent permanent teeth
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