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European Archives of Paediatric Dentistry

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01-12-2014 | Case Report

Management of a child with severe hypodontia in the mixed dentition stage of development

Authors: H. J. Tong, J. F. Tahmassebi

Published in: European Archives of Paediatric Dentistry | Issue 6/2014

Abstract

Background

Severe hypodontia is a condition characterized by developmental absence of six or more teeth and affects 0.14–0.3% of the overall population. Hypodontia can have a marked psychosocial effect and functional implications for a growing child.

Case report

A 10-year-old girl with a medical history of hypothyroidism and repaired spinal bifida was referred to the Leeds Dental Institute as she was becoming increasingly concerned about her appearance. On clinical examination, the patient had severe wear of her over-retained maxillary primary central incisors, microdontia of mandibular anterior teeth (32, 34, 41, 42, 43), and loss of anterior vertical dimension. Radiographic examination revealed that the patient had 11 missing permanent teeth (14, 13, 12, 11, 21, 22, 23, 24, 31, 35, 44), an ectopic mandibular left canine and taurodontism of the permanent molars.

Treatment

Management of the patient included an intensive preventive programme with placement of fissure sealants; scaling of calculus deposition on microdont teeth; composite resin reconstruction of microdont teeth; fabrication of removable partial overdentures tailored aesthetically to match the patient’s age; orthodontic consultation and monitoring for the eruption of ectopic canine and permanent dentition. The patient and her parents reported marked improvement in self-esteem following dental treatment.

Follow-up

After 2 years of follow-up, a new pair of dentures were made and designed to allow ease of eruption of the existing permanent dentition. All permanent teeth have erupted. The patient is ready for further assessment and planning for future orthodontic and restorative/implant treatment.

Conclusion

This case illustrates the essential role of the paediatric dentist in the management of hypodontia in the mixed dentition stage.

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Title: Management of a child with severe hypodontia in the mixed dentition stage of development
Authors: H. J. Tong
J. F. Tahmassebi
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Paediatric Dentistry / Issue 6/2014
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-014-0137-9

2024 ASCO Annual Meeting

Springer Medicine

Management of a child with severe hypodontia in the mixed dentition stage of development

Abstract

Background

Case report

Treatment

Follow-up

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Case report

Treatment

Follow-up

Conclusion

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