Dental Management in Children with Ectodermal Dysplasia Using Removable Denture And Acrylic Crown: A Case Report

Abstract

Oral manifestations of ectodermal dysplasia include the absence of tooth buds and peg shape. The aim of this paper is to report on dental management for children who have ectodermal dysplasia using removable dentures and acrylic crowns. The patient, a boy aged 10.5 years, with the absence of tooth buds 12, 21, 22 and 42 and 43, 41, 31, 32 and 33 were peg-shaped, which disturbed the child's aesthetics. Based on the anamnesis, clinical and radiographic appearances, the child was diagnosed as having hydrotic type ectodermal dysplasia. There are two stages of the treatment for the patient; the first stage of making a removable partial denture on the upper jaw and an acrylic crown on the lower jaw. The procedure for making dentures begins with taking an impression and send to the laboratory. The acrylic crowns was made by using the indirect technique. The patient was asked to undergo regular control every 3-6 months until the child's growth and development is complete, by the age of 18 years. At this age, the second stage of treatment can be carried out by making a final denture using a bridge on the upper jaw or implants and making a porcelain crown on the lower jaw. It was concluded that the choice of dental treatment for the patient depends on the age of the child and the first stage of treatment for pediatric ED patients is quite successful aesthetically.