Background and Overview
Tooth agenesis is the most common congenital condition affecting the oral cavity.
This condition can involve single or multiple missing teeth. Severe forms of tooth
agenesis are best managed by a team of specialists, as they can be daunting for a
As the goal of most patients is to replace missing teeth to improve cosmesis and function,
a prosthodontist or restorative dentist plays a major role in the team’s effort. Although
diagnostic skills and careful planning are still the mainstay of this treatment, digital
technology and modern materials can greatly facilitate implementation of the treatment
plan. The authors present a case of a patient with nonsyndromic oligodontia who had
a deficient occlusal vertical dimension that was treated by means of an interdisciplinary
approach. The management included a combination of orthodontics, fixed and removable
prosthodontics, and oral surgery.
Conclusions and Practical Implications
When treating patients with complex congenital tooth anomalies, the prosthodontist
or restoring dentist is well positioned to take the lead and orchestrate treatment
of the patient.
Fixed partial dentures),
Occlusal vertical dimension),
Temporary anchorage device)
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Dr. Punj is an assistant professor, Oregon Health & Science University, School of Dentistry, 2730 SW Moody Ave, Portland, OR 97201.
Dr. Yih is an orthodontist, private practice, Salem, OR.
Dr. Rogoff is the chief and the residency program director, Department of Dentistry, Montefiore Medical Center, Bronx, NY.
Published online: December 12, 2020
In Press Corrected Proof
Disclosure. None of the authors reported any disclosures.
The authors thank Laura R. Iwasaki, DDS, MSc, PhD, CDABO, professor-provisional and the chair, Department of Orthodontics Oregon Health & Science University, School of Dentistry, Portland, Oregon, for assistance with preparation of the manuscript.
© 2020 American Dental Association. All rights reserved.
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