Commentary on mini dental implant insertions in children with ectodermal dysplasia

Abstract

Dental implant insertions in children raises significant concerns related to both ethical and medical aspects. On the other hand, some children suffer from several problems such as hypodontia/anodontia and malformations of teeth due to severe conditions like ectodermal dysplasia. In such cases, mini dental implants can be a promising option in enhancing the overall quality of life with positive impact on oral function. However, there are several concerns such as growth disturbances of the jaws since oral implants are considered to behave similarly to ankylosed teeth and become submerged due to the growth process associated with continued eruption of adjacent natural teeth. Currently, there is a lack of clinical research and systematic review articles in literature that evaluates and compares the outcomes, risks, and advantages of mini dental implant insertions in children with syndromes such as ectodermal dysplasia.

Keywords

• Mini dental implant
• Ectodermal Dysplasia
• Dental implants
• growing patients

References

1. 1. Bohner L, Hanisch M, Kleinheinz J, Jung S. Dental implants in growing patients: a systematic review. Br J Oral Maxillofac Surg. 2019;57(5):397-406. doi: 10.1016/j.bjoms.2019.04.011
2. 2. Agarwal N, Kumar D, Anand A, Bahetwar SK. Dental implants in children: a multidisciplinary perspective for long-term success. Natl J Maxillofac Surg. 2016;7(2):122-126. doi: 10.4103/0975-5950.201362.
3. 3. Chrcanovic BR. Dental implants in patients with ectodermal dysplasia: a systematic review. J Craniomaxillofac Surg. 2018;46(8): 1211-1217. doi: 10.1016/j.jcms.2018.05.038
4. 4. Itin PH, Fistarol SK. Ectodermal dysplasias. Am J Med Genet Part C Semin Med Genet. 2004;131(1):45-51. doi: 10.1002/ajmg.c.30033.
5. 5. Itin PH. Etiology and pathogenesis of ectodermal dysplasias. Am J Med Genet Part A. 2014;164(10):2472-2477. doi: 10.1002/ajmg.a.36550
6. 6. Itin PH. Ectodermal dysplasia: thoughts and practical concepts concerning disease classification - the role of functional pathways in the molecular genetic diagnosis. Dermatol. 2013;226(2):111-114. doi: 10.1159/000346613
7. 7. Deshpande SN, Kumar V. Ectodermal dysplasia - maxillary and mandibular alveolar reconstruction with dental rehabilitation: a case report and review of the literature. Indian J Plast Surg. 2010;43(1):92-96. doi: 10.4103/0970-0358.63969
8. 8. Hanisch M, Sielker S, Jung S, Kleinheinz J, Bohner L. Self-assessment of oral health-related quality of life in people with ectodermal dysplasia in Germany. Int J Environ Res Public Health. 2019;16(11):1933. doi: 10.3390/ijerph16111933

9. 9. Kramer FJ, Baethge C, Tschernitschek H. Implants in children with ectodermal dysplasia: a case report and literature review. Clin Oral Implants Res. 2007;18(1):140-146. doi: 10.1111/j.1600-0501.2006.01180.x
10. 10. Kilic S, Altintas SH, Yilmaz Altintas N, et al. Six-year survival of a mini dental implant-retained overdenture in a child with ectodermal dysplasia. J Prosthodont. 2017;26(1):70-74. doi: 10.1111/jopr.12366
11. 11. Mello BZ, Silva TC, Rios D, Machado MA, Valarelli FP, Oliveira TM. Mini-implants: alternative for oral rehabilitation of a child with ectodermal dysplasia. Braz Dent J. 2015;26(1):75-78. doi: 10.1590/0103-6440201300111
12. 12. Sweeney IP, Ferguson JW, Heggie AA, Lucas JO. Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants. Int J Paediatr Dent. 2005;15(4):241-248. doi: 10.1111/j.1365-263X.2005.00610.x
13. 13. Aydinbelge M, Gumus HO, Sekerci AE, Demetoğlu U, Etoz OA. Implants in children with hypohidrotic ectodermal dysplasia: an alternative approach to esthetic management: case report and review of the literature. Pediatr Dent. 2013;35(5):441-446.