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Removable partial dentures vs overdentures in children with ectodermal dysplasia: two case reports

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Abstract

Background

Ectodermal dysplasia (ED) represents a disorder group characterised by abnormal development of the ectodermal derivatives. Removable partial dentures (RPD), complete dentures (CD) or overdentures (OD) are most often the treatment of choice for young affected patients. Prosthetic intervention is of utmost importance in the management of ED patients, as it resolves problems associated with functional, aesthetic, and psychological issues, and improves a patient’s quality of life. However, few studies present the principles and guidelines that can assist in the decision-making process of the most appropriate removable prosthesis. The purpose of this study was to suggest a simple treatment decision-making algorithm for selecting an effective and individualised rehabilitative treatment plan, considering different parameters.

Case reports

The cases and treatment of two young ED patients are described and each one was treated with either RPDs or ODs.

Follow-up

Periodic recalls were employed to manage problems, and monitor the changes associated with occlusion and fit of the prostheses in relation to each patient’s growth. Both patients were followed up for more than 2 years and reported significant improvement in their appearance, masticatory function, and social behaviour as a result of the prosthetic rehabilitation.

Conclusion

The main factors guiding the decision process towards the choice of an RPD or an OD are the presence of posterior natural teeth, facial aesthetics, lip support, number and size of existing natural teeth, and the occlusal vertical dimension.

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Acknowledgments

Informed consent was obtained from all individuals and their parents for whom identifying information is included in this article. The authors would like to thank Dr. T. Gerard Bradley, Associate Dean of Research and Graduate Studies at Marquette University School of Dentistry for reviewing and editing the manuscript.

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Authors and Affiliations

  1. Division of Prosthodontics, Department of General Dental Sciences, School of Dentistry, Marquette University, 415 E Vine Str #304, Milwaukee, WI, 53212, USA

    G. Maroulakos

  2. Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece

    I. I. Artopoulou

  3. Division of Pediatric Dentistry, Department of Developmental Sciences, School of Dentistry, Marquette University, Milwaukee, USA

    M. V. Angelopoulou

  4. Department of Paediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece

    D. Emmanouil

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  1. G. Maroulakos
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  2. I. I. Artopoulou
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  3. M. V. Angelopoulou
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  4. D. Emmanouil
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Correspondence to G. Maroulakos.

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Maroulakos, G., Artopoulou, I.I., Angelopoulou, M.V. et al. Removable partial dentures vs overdentures in children with ectodermal dysplasia: two case reports. Eur Arch Paediatr Dent 17, 205–210 (2016). https://doi.org/10.1007/s40368-015-0212-x

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  • DOI: https://doi.org/10.1007/s40368-015-0212-x

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