Available online 13 March 2023
Author links open overlay panel, , AbstractStatement of problemDental agenesis is a condition in which the absence of teeth causes debilitating problems, primarily in speech, mastication, and esthetics. The optimal removable prosthetic management for the condition is unclear.
PurposeThe purpose of this systematic review was to evaluate the spectrum of removable prosthetic techniques with regard to the type of edentulism and to provide clinical guidance for practicing dentists.
Material and methodsAn electronic and manual search was conducted in the PubMed, Scopus, and Google Scholar databases. Publications of case reports and series written in English without data restrictions that reported on removable prosthodontic management of patients with oligodontia, hypodontia, or anodontia were included.
ResultsA total of 59 articles comprising 83 case reports were analyzed. In patients with anodontia, the most common treatment option was an acrylic resin complete denture. Hypodontia and oligodontia were commonly managed by using either a partial denture or overdenture. Irreversible hydrocolloid or alginate was the most accepted material for the preliminary impressions and elastomeric materials for definitive impressions. The tooth arrangements were modified to simulate natural dentition and improve esthetics. Modifications of conventional acrylic resin dentures have been proposed for improved denture adaptation. Good retention is essential to the long-term success of prosthetic treatment and may be achieved with a denture reline or with retention clasps. The active growth of the patients means constant maintenance, including denture renewals or repairs, emphasizing the need for long-term follow-up care.
ConclusionsProsthodontic rehabilitation at an early age has been shown to significantly impact the overall quality of life for a child with tooth agenesis.
Section snippetsMaterial and methodsThe review protocol was developed and registered with the international prospective register of systematic reviews (PROSPERO) (CRD42021262314). An electronic search was conducted on 3 databases, namely MEDLINE via PubMed, Scopus, and Google Scholar, and only English language reports published between December 2010 and 2020 of children aged 3 to 18 years with congenitally missing teeth were included. Additionally, manual searches of the references of the included articles were conducted. The
ResultsAn electronic search retrieved a total of 2372 records; n=2236 from PubMed and Scopus and n=136 from Google Scholar. The retrieved citations were exported into a software program (QCRI; Rayyan), and duplicate records (n=434) were removed. Based on the inclusion and exclusion criteria, abstracts and titles of 1938 citations were screened. Articles with full-text accessibility were extracted (n=261). A total of 202 articles were excluded, as they did not match the inclusion criteria. The review
DiscussionThis systematic review describes the use of removable prostheses for replacing missing teeth in children, and the data compiled support the null hypothesis. Conventional acrylic resin CDs or RPDs were the most preferred.6,8,10,13,15,17,22,23,26,28,33,34,36,38,43,44,52,59,62,64 The use of ODs was, however, proposed in patients with partial edentulism as an option to utilize the remaining teeth as abutments.11,19 This technique has been reported to preserve the alveolar ridge for a fixed or
ConclusionsBased on the findings of this systematic review of case reports and case series, the following conclusions were drawn:
1.Removable prosthetic management is the preferred management for tooth agenesis in children.
2.Most clinicians still follow the conventional removable prosthetic fabrication technique. However, newer materials and digital technology have revolutionized prosthetic applications in pediatric dentistry, providing better alternatives with satisfactory outcomes.
3.Prosthetic management
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