Abstract
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
single provider.
Case Description
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.
Key Words
Abbreviation Key:
FPD (
Fixed partial dentures),
OVD (
Occlusal vertical dimension),
TAD (
Temporary anchorage device)
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References
Effects of severity and location of nonsyndromic hypodontia on craniofacial morphology.
Angle Orthod. 2013; 83: 584-590
The genetics of human tooth agenesis: new discoveries for understanding dental anomalies.
Am J Orthod Dentofacial Orthop. 2000; 117: 650-656
Distribution of missing teeth and tooth morphology in patients with oligodontia.
ASDC J Dent Child. 1992; 59: 133-140
Tooth size and tooth formation in children with advanced hypodontia.
Angle Orthod. 1974; 44: 316-321
Congenitally missing teeth (hypodontia): a review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment.
Dent Res J (Isfahan). 2015; 12: 1-13
Genetic basis of non-syndromic anomalies of human tooth number.
Arch Oral Biol. 2012; 57: 918-930
Tooth agenesis: from molecular genetics to molecular dentistry.
J Dent Res. 2008; 87: 617-623
The impact of hypodontia: a qualitative study on the experiences of patients.
Eur J Orthod. 2012; 34: 547-552
Presenting complaints and findings in a group of patients attending a hypodontia clinic.
Br Dent J. 1994; 177: 337-339
The interdisciplinary management of hypodontia: background and role of paediatric dentistry.
Br Dent J. 2003; 194: 245-251
The management of ectodermal dysplasia and severe hypodontia: international conference statements.
J Oral Rehabil. 2006; 33: 634-637
The multidisciplinary management of hypodontia: a team approach.
Br Dent J. 2015; 218: 143-149
Treatment of severe hypodontia-oligodontia: an interdisciplinary concept.
Int J Oral Maxillofac Surg. 2007; 36: 473-480
Multidisciplinary management of hypodontia.
Prim Dent J. 2017; 6: 62-73
Reliability of digital orthodontic setups.
Angle Orthod. 2016; 86: 255-259
Comparison of virtual and manual tooth setups with digital and plaster models in extraction cases.
Am J Orthod Dentofacial Orthop. 2014; 145: 434-442
Occlusal vertical dimension: treatment planning decisions and management considerations.
Int J Esthet Dent. 2019; 14: 166-181
Overdentures for acquired and congenital anomalies, 1: complete dentures.
Int J Prosthodont. 1990; 3: 229-237
Clinical assessment of vertical dimension.
J Prosthet Dent. 1972; 28: 238-246
Management of severe vertical dimension problems.
Dent Clin North Am. 1996; 40: 889-909
Interdisciplinary approach for increasing the vertical dimension of occlusion in an adult patient with several missing teeth.
Am J Orthod Dentofacial Orthop. 2013; 143: 867-876
The use of the occlusogram in planning orthodontic treatment.
Am J Orthod. 1976; 69: 655-667
Preprosthetic orthodontic intervention for management of a partially edentulous patient with generalized wear and malocclusion.
J Esthet Restor Dent. 2012; 24: 88-100
Biography
Dr. Punj is an assistant professor, Oregon Health & Science University, School of Dentistry, 2730 SW Moody Ave, Portland, OR 97201.
Biography
Dr. Yih is an orthodontist, private practice, Salem, OR.
Biography
Dr. Rogoff is the chief and the residency program director, Department of Dentistry, Montefiore Medical Center, Bronx, NY.
Article Info
Publication History
Published online: December 12, 2020
Publication stage
In Press Corrected Proof
Footnotes
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.
Identification
DOI: https://doi.org/10.1016/j.adaj.2020.09.024
Copyright
© 2020 American Dental Association. All rights reserved.
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