Hipohidrotik ektodermal displazili bir hastanın protetik tedavisi: Bir olgu sunumu

Year 2015, Volume: 2 Issue: 2, 76 - 80, 01.08.2015

Erhan Dilber Tuba Yılmaz Savaş Filiz Aykent

https://doi.org/10.15311/1441.272611

Abstract

Üst çenesinde oligodonti ve alt çenesinde anodonti görülen hipohidrotik ektodermal displazili (HED) 13 yaşındaki erkek hastanın konvensiyonel protetik yaklaşımı rapor edilmiştir.Fonksiyonel, psikolojik, ekonomik ve estetik faktörler tedavi planlamasında dikkate alınmıştır. Üst çenede kanal tedavili sürekli santral kesicilerden ve sürekli 2. molar dişlerin kroşelerinden destek alınarak hareketli bölümlü protez alt çenede de hareketli tam protez klinik olarak planlanmıştır. 5 sene sonraki takibinde, hasta çenesini kapatırken protruzyona alışmış ve ön bölgede retansiyon kaybı yaşamış fakat protezlerinden memnun olduğunu ve konuşmasının düzeldiğini söylemiştir.Bu vaka HED görülen büyümekte olan hastalarda konvansiyonel protetik tedavi yaklaşımını rapor etmektedir. İmplant destekli protez yaptıramayan ya da uygun olmayan çocuk hastalarda bu tedavinin faydalı psikolojik etkileri vardır ve bu tedavi stomagnatik fonksiyon, estetik ve fonasyonu arttırmaktadır.

Keywords

Ektodermal displazi, habitüel mandibular protruzyon, hareketli protez

Prosthodontic treatment of an adolescent patient with hypohidrotic ectodermal dysplasia: Case report

Abstract

The conventional prosthodontic treatment of
maxillary oligodontia and mandibular anodontia
in a 13-year-old boy with hypohidrotic
ectodermal dysplasia (HED) was reported in
this case.
Functional, psychological, economic, and
esthetic factors were considered for treatment
planning. Clinical management involved
placement of a partial removable dental
prosthesis, retained by endodontically treated
permanent central incisors and clasps on the
primary second molars, in the maxillary arch
and a complete removable dental prosthesis in
the mandibular arch. The patient developed
habitual mandibular protrusion during mouth
closure and loss of retention in the anterior
region during the following 5 years, but he was
satisfied with the prostheses and his speech
and mastication improved.
The report highlights the outcomes of
conventional prosthodontic treatment in an
actively growing child with HED. Such
treatment would have beneficial psychological
effects and improve stomatognathic
functioning, esthetics, and phonation in
pediatric patients who are not candidates for
implant-supported dental prostheses.

Keywords

Ectodermal dysplasia, habitual mandibular protrusion, removable dental prosthesis

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