Removable prosthetic management for tooth agenesis in the pediatric population: A systematic review of case reports and case series

Elsevier

Available online 13 March 2023

The Journal of Prosthetic DentistryAuthor links open overlay panel, , AbstractStatement of problem

Dental 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.

Purpose

The 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 methods

An 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.

Results

A 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.

Conclusions

Prosthodontic 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 methods

The 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

Results

An 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

Discussion

This 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

Conclusions

Based 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

References (66)K. Benz et al.Prosthetic rehabilitation for a patient treated for embryonal rhabdomyosarcoma

J Prosthet Dent

(2018)

N. Yadav et al.A simplified approach for prosthodontic management of syndromic oligodontia

Med J Armed Forces India

(2015)

T. Shimizu et al.Prevalence and genetic basis of tooth agenesis

Jpn Dent Sci Rev

(2009)

A.Z. Zengin et al.Impacted primary tooth and tooth agenesis: a case report of monozygotic twins

Eur J Dent

(2008)

P.J. De Coster et al.Dental agenesis: genetic and clinical perspectives

J Oral Pathol Med

(2009)

G.N. Thalji et al.The role of complete overdentures in esthetic rehabilitation of the adolescent oligodontia patient. A case report

J Esthet Restor Dent

(2010)

R.E. StewardPediatric Dentistry: Scientific Foundations and Clinical Practice

(1982)

M.A. Derbanne et al.Early prosthetic treatment in children with ectodermal dysplasia

Eur Arch Paediatr Dent

(2010)

K.A. Vieira et al.Prosthodontic treatment of hypohidrotic ectodermal dysplasia with complete anodontia: case report

Quintessence Int

(2007)

M. Bani et al.Ectodermal dysplasia with anodontia: a report of two cases

Eur J Dent

(2010)

M.J. Till et al.Ectodermal dysplasia: treatment considerations and case reports

Northwest Dent

(1992)

R. Khazaie et al.Five-year follow-up treatment of an ectodermal dysplasia patient with maxillary anterior composites and mandibular denture: a clinical report

J Prosthodont

(2010)

A. Bhargava et al.Prosthodontic management of a child with ectodermal dysplasia: a case report

J Indian Prosthodont Soc

(2010)

S. Hekmatfar et al.Dental management of ectodermal dysplasia: two clinical case reports

J Dent Res Dent Clin Dent Prospects

(2012)

N. Manuja et al.Management of a case of ectodermal dysplasia: a multidisciplinary approach

J Dent Child

(2011)

S. ZhangLibGuides: APA 7th style: Critical appraisal toolsG. Shekhar et al.Prosthetic rehabilitation for a patient with hypohidrotic ectodermal dysplasia: a clinical case

Braz J Oral Sci

(2010)

P.S. Grewal et al.Prosthetic rehabilitation of a young patient with Hypophosphatasia–a review and case report

Contemp Clin Dent

(2012)

N. Jain et al.Prosthodontic rehabilitation of hereditary ectodermal dysplasia in an 11-year-old patient with flexible denture: a case report

Case Rep Dent

(2012)

A. Shigli et al.Prosthodontic management of patients with Christ–Siemens–Touraine syndrome

Case Rep

(2012)

J.R. Swain et al.Ectodermal dysplasia: a case report of aesthetic and functional rehabilitation

Indian J Forensic Med Toxicol

(2020)

G.S. Suvarna et al.Prosthetic rehabilitation of hypophosphatasia with precision attachment retained unconventional partial denture: a case report

J Clin Diagn Res

(2014)

G. Bhalla et al.Effect of complete dentures on craniofacial growth of an ectodermal dysplasia patient: a clinical report

J Prosthodont

(2013)

R. Ladda et al.Prosthodontic management of hypohidrotic ectodermal dysplasia with anodontia: a case report in pediatric patient and review of literature

Ann Med Health Sci Res

(2013)

Y. NandiniProsthodontic management of a patient with ectodermal dysplasia

J Coll Physicians Surg-Pak

(2013)

T. Singh et al.Hypohidrotic ectodermal dysplasia: a felicitous approach to esthetic and prosthetic management

Int J Clin Pediatr Dent

(2013)

B.D. Trivedi et al.Complete and removable partial prosthesis for a child with hypohidrotic ectodermal dysplasia

Int J Clin Pediatr Dent

(2013)

R. Ephraim et al.Agenesis of multiple primary and permanent teeth unilaterally and its possible management

J Int Oral Health

(2015)

M. Rathee et al.Early functional, esthetic, and psychological rehabilitation of preschool child with non-syndromic oligodontia and anodontia in mixed dentition stage through conservative systematic approach: a case report with 5-year follow-up

Contemp Clin Dent

(2016)

P.K. Virk et al.Nonsyndromic oligodontia involving the maxillary arch: a rare case report

J South Asian Assoc Pediatr Dent

(2021)

C. Thulasingam et al.Early prosthodontic intervention in a child patient of hypohidrotic ectodermal dysplasia

SRM J Res Dent Sci

(2013)

V.M. Mathian et al.Non-syndromic oligodontia in siblings: a rare case report

J Pharm Bioallied Sci

(2014)

M. Ramakrishnan et al.Nonsyndromic oligodontia associated with submerged primary molars: Clinical features and management protocols

SRM J Res Dent Sci

(2014)

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