Implant-retained overdentures for young children with severe oligodontia: a series of four cases.

Abstract

PURPOSE:

The treatment need is high in children with severe oligodontia and anodontia, because they often have functional and esthetic problems owing to missing teeth. Because the intraforaminal region barely grows after eruption of the permanent mandibular incisors, dental implant treatment should be considered a treatment option for these children. The purpose of our study was to assess the treatment outcomes regarding satisfaction and the care and aftercare of implant-retained mandibular overdentures in a series of 4 young children without erupted mandibular teeth from either severe oligodontia (n = 3) or anodontia (n = 1).

PATIENTS AND METHODS:

Four children without erupted mandibular teeth, aged 6 to 13 years, were provided with an implant-retained overdenture on 2 implants. The surgical and prosthetic care and aftercare were scored by the clinicians. Also, the patients and their parents were queried about how satisfied they were with the overdenture.

RESULTS:

The median follow-up of the patients was 5.2 years (range 3.2 to 8.4). No implants were lost, no cases of peri-implantitis occurred, and the need for treatment and aftercare was low. Patient and parent satisfaction with this treatment was high.

CONCLUSIONS:

A 2-implant, retained overdenture in children with no erupted mandibular teeth is a safe treatment modality when appropriate treatment and aftercare can be provided.

• Authors: Marieke A P Filius, Arjan Vissink, Gerry M Raghoebar, Anita Visser
• Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 72 Issue 9 Pg. 1684-90 (Sep 2014) ISSN: 1531-5053 [Electronic] United States
• PMID: 25109582 (Publication Type: Journal Article)
• Copyright: Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Chemical References

• Dental Implants

Topics

• Adolescent
• Aftercare
• Anodontia (rehabilitation)
• Child
• Dental Calculus (classification)
• Dental Implantation, Endosseous (methods)
• Dental Implants
• Dental Plaque Index
• Dental Prosthesis, Implant-Supported
• Denture Retention
• Denture, Complete, Lower
• Denture, Overlay
• Ectodermal Dysplasia (complications)
• Esthetics, Dental
• Female
• Follow-Up Studies
• Gingival Recession (classification)
• Humans
• Male
• Osseointegration (physiology)
• Patient Satisfaction
• Periodontal Index
• Periodontal Pocket (classification)
• Treatment Outcome