Multidisplinary management of hypodontia in adolescents. At the moment there is no known way to prevent hypodontia from occurring. A dental examination and xray investigations are needed to confirm the diagnosis of hypodontia. It may occur as part of a recognised genetic syndrome or as a nonsyndromic isolated trait. Hypodontia was observed with one or two missing teeth in 76.
Pdf orthodontics at a glance download full pdf book. Etiology and treatment alternatives in tooth agenesis. The purpose of this article is to describe a team approach to treatment of hypodontia in adolescent dentition. Muhamad ah 2016 managing congenitally missing lateral incisors with single tooth implants ent ral ranioac es, 2016 doi. It is the most common developmental dental anomaly and can be challenging to manage clinically. Structured over four sections, orthodontics at a glancecovers. Hypodontia is a multifactorial condition that involves both genetic and environmental factors and is associated with systemic syndromes and other dental anomalies such as microdontia, the impaction of permanent canines, and the transposition of the maxillary first canine and premolar larmour et al. The book synthesises current information and best practice from specialties involved in the treatment of hypodontia into one comprehensive volume, emphasising a problembased. There is an increasing body of literature on the subject of hypodontia. Functioesthetic rehabilitation in severe hypodontia. Family studies have shown the frequency of hypodontia and pegshaped lateral incisors in 1st and 2nddegree relatives of the probands to be significantly higher than in the general population grahnen, 1956. Chan3 verifiable cpd paper cone bean ct scan with guide stents in situ will reveal the bone quantity and quality available for implant placement. The book is 187 pages in length and is divided into 3 parts, with 3 subsections each.
Cleft lip repair is typically performed when a child is 6 to 12 weeks old and may require multiple surgeries depending on the extent of repair needed. July, 2015 full mouth rehabilitation in cases of severe hypodontia remains a clinical challenge and requires a meticulous interdisciplinary approach to obtain desirable results. You may have noticed gaps between your teeth and still have your baby teeth. Hypodontia is an inherited condition characterized by developmentally missing teeth, although absent third molars are a normal variation and may not be considered to be part of hypodontia. Mr mack particularly enjoys the subtleties associated with a team approach to treatment planning hypodontia patients, and managing the frequently encountered orthodontic challenges of anchorage management and. A team approach article in british dental journal 2183. Because of this, an experienced team of dental specialists should be involved in the treatment process 5, 29. Hypodontia is defined as the developmental absence of one or more teeth excluding the third molars which can affect both the primary and permanent dentition. Mar 19, 2017 treatment plans needed to manage the missing teeth of hypodontia patients are complex and require an interdisciplinary approach, which usually comes at a financial cost to both the patient and their family. The successful management of hypodontia in this case was achieved by a multidisciplinary treatment. Hobkirk ja, gill d, jones sp, kenneth w hemmings, steven bassi g, et al. Hypodontia had been previously diagnosed by the orthodontic team figure 1, and the patient was referred to the oral rehabilitation clinic fobusp for. The purpose of this article is to describe a team approach to treatment of hypodontia. The main objectives in the management of any hypodontia case are to improve esthetics and restore masticatory function, both of which were achieved for.
A team approach to management provides specialist clinicians with a practical reference to the multidisciplinary management of. The term team approach has been used throughout the health care industry, and as technologies continue to advance, this term has evolved from simply referring patient back and forth to detailed treatment planning and case selection. Maintenance of the primary teeth combined with orthodontic treatment allowed for the placement of endosseous implants to replace the missing teeth, enhancing the esthetics and function. In addition to missing teeth, people with hypodontia may have rather small or very conical teeth. Teamwork is essential in the management of hypodontia. An update on its etiology, classification, and clinical. Apr 12, 2003 the interdisciplinary management of hypodontia.
The term hypodontia is used to describe the whole range of the disorder from one missing tooth to the complete. Bone augmentation as previously discussed, in severe. Managing the dental manifestations of this condition can be quite challenging, often requiring a team approach. A team approach to management provides specialist clinicians with a practical reference to the multidisciplinary management of patients with this condition. The benefits of computed tomography are well documented in these situations, providing greater clinical information for diagnosis, prognosis and practical. Hypodontia definition of hypodontia by medical dictionary. This case report illustrates the necessity for a multidisciplinary team approach to care of hypodontia, not alone at the treatment planning stage but throughout the entire course of treatment. Most affected individuals lack only one or two teeth, with permanent second premolars. However, a multidisciplinary approach is the most important requirement for the ideal treatment of hypodontia. A multidisciplinary approach for the management of hypodontia. Goodman oral medicine and medically complex patients, 6th edition pdf peter b.
There is only a little difference in frequency of hypodontia between white and. Craniofacial growth and development diagnosis and treatment planning the management of malocclusion treatment techniques orthodontics at a glance is the ideal companion for allstudents of dentistry, junior clinicians and those working towardsorthodontic specialization. Several options are indicated to treat hypodontia, including the maintenance of primary teeth or space redistribution for restorative treatment with partial adhesive bridges, tooth transplantation, and implants. Burkets oral medicine 12th edition pdf dental ebooks. Treatment plans needed to manage the missing teeth of hypodontia patients are complex and require an interdisciplinary approach, which usually comes at a financial cost to both the patient and their family. A team approach to management draws on the best available evidence and opinion to provide a complete, indepth practical resource for dental specialists dealing with this complex. A multidisciplinary approach for the management of hypodontia ncbi. Haploinsufficiency of either has been observed to cause the more severe forms of hypodontia whilst point mutations cause hypodontia to varying degrees of severity. A team approach to management is targeted at final year dental students, graduate students of a large number. Most affected individuals lack only one or two teeth, with permanent. Mr mack particularly enjoys the subtleties associated with a team approach to treatment planning hypodontia patients, and managing the frequently encountered orthodontic challenges of anchorage management and treatment efficiency.
A rare hypodontia and delayed eruption of a mandibular. Many severe hypodontia cases share similar clinical traits, however, it is important to treatment plan for each patient as an individual, considering the potential psychosocial impact of the condition as well as the more obvious functional and aesthetic issues. The book synthesises current information and best practice from specialties involved in the treatment of hypodontia into one comprehensive volume, emphasising a problembased approach throughout. Multidisciplinary consultation during treatment planning and coordination and appropriate timing of. Links hobson rs, carter ne, gillgrass tj, jepson nj, meechan jg, nohl f, et al. A case report of hypodontia with a microdontic lateral incisor in a class i malocclusion illustrates the principles of case management. Nunn jh, carter ne, gillgrass tj, hobson rs, jepson nj, et al. Cleft palate treatment is more extensive and requires a multisurgical, multispecialty team approach over the course of 18 years. Excluding third molars, the reported prevalence of hypodontia ranges from 1. The various treatment options open to the patient were considered.
Hypodontia, or tooth agenesis, is the most prevalent craniofacial malformation in humans. Managing congenitally missing lateral incisors with single. A multidisciplinary approach for the management of. Two different studies conducted on turkish population reported that hypodontia prevalence was 4. Hypodontia, oligodontia and anodontia are terms that can be interpreted to refer to progressive degrees of missing teeth. In this case report, the restorative dentist presence and participation at stage i surgery was a. The aim of this short article is to outline some of the principles of the multidisciplinary management of hypodontia with an emphasis on orthodontic treatment. With the prevalence of hypodontia having been observed to have increased during the 20th century, the future identification and analysis of its genetic. Management of associated periradicular infections is often challenging. Hypodontia wiley online books wiley online library. A team approach to management provides specialist clinicians with a practical reference to the multidisciplinary management of patients with this. It is very rare in the primary dentition and more common in females than males, with a 3.
Multidisciplinary consultation at the treatment planning stage and coordination and appropriate timing of subsequent interdisciplinary dental care enables the clinician to provide optimum care. Multidisciplinary approach in the rehabilitation of. This is particularly critical in the management of hypodontia in adolescence, where a prolonged period. Hypodontia, the preferred term within this article, can be clas sified into three severity groups according to the number of missing teeth. Apr 16, 2018 hypodontia was observed with one or two missing teeth in 76. Dec 22, 2015 the optimal therapy should include an interdisciplinary team approach. Textbook hobkirk j a, gill ds, jones sp, hemmings kw, bassi gs, odonnell al, and goodman jr. A team approach to management is targeted at final year dental students, graduate students of a large number of dental specialities, and general dental practitioners with an interest in management of hypodontia. The management of congenitally missing permanent teeth requires a thorough evaluation of arch length.
Genetic factors appear to play a large role in tooth size and agenesis. The book synthesises current information and best practice from specialties involved in the treatment of hypodontia into one comprehensive volume, emphasising a problembased approach. A case report of hypodontia with a microdontic lateral incisor. The optimal therapy should include an interdisciplinary team approach. Orthodontic treatment can greatly facilitate any restorative treatment or sometimes even eliminate the need for it patients with hypodontia often.