CC BY-NC-ND 4.0 · Indian J Plast Surg 2010; 43(01): 092-096
DOI: 10.1055/s-0039-1699412
Case Report
Association of Plastic Surgeons of India

Ectodermal dysplasia - Maxillary and mandibular alveolar reconstruction with dental rehabilitation: A case report and review of the literature

Sanjeev N. Deshpande
Department of Plastic Surgery, Gokuldas Tejpal Hospital, Mumbai, India
,
Vikas Kumar
Department of Plastic Surgery, Gokuldas Tejpal Hospital, Mumbai, India
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Publikationsverlauf

Publikationsdatum:
08. Januar 2020 (online)

ABSTRACT

Ectodermal dysplasia is a rare group of inherited disorders characterized by aplasia or dysplasia of tissues of ectodermal origin, such as hair, nails, teeth and skin. Dental manifestations include hypodontia, complete anodontia or malformed teeth. Oral rehabilitation is the major surgical challenge in such patients. It frequently requires alveolar reconstruction followed by dental implants. We report a case of hypohidrotic ectodermal dysplasia, which was managed with reconstruction of both the upper and the lower alveolus using free fibula flaps with dental rehabilitation using osseointegrated implants.

 
  • REFERENCES

  • 1 Thurnam J. Two cases in which the skin, hair and teeth were very imperfectly developed. Proc RM Chir Soc 1848;31:71-82.
  • 2 Weech AA. Hereditary ectodermal dysplasia (congenital ectodermal defect). Am J Dis Child 1929;37:766-90.
  • 3 Clarke A. Hypohidrotic ectodermal dysplasia. J Med Genet 1987;24:659-63.
  • 4 Stevensen AC, Kerr CB. On the distribution of frequencies of mutation to genes determining harmful traits in man. Mutat Res 1967;4:339-52.
  • 5 Freire-Maia N, Pinheiro M, editors. Ectodermal dysplasias: A clinical and genetic study. New York: Alan R Liss; 1984.
  • 6 Pinheiro M, Freire-Maia N. The ectodermal dysplasias. Arch Dermatol 1982;118:215-6.
  • 7 Pinheiro M, Freire-Maia N. Ectodermal dysplasias: A clinical classification and a causal review. Am J Med Genet 1994;53:153-62.
  • 8 Freire-Maia N, Lisboa-Costa T, Pagnan NA. Ectodermal dysplasias: How many? Am J Med Genet 2001;104:84.
  • 9 Lamartine J. Towards a new classification of ectodermal dysplasias. Clin Exp Dermatol 2003;28:351-5.
  • 10 Priolo M, Lagana C. Ectodermal dysplasias: A new clinical-genetic classification. J Med Genet 2001;38:579-85.
  • 11 Itin PH, Fistarol SK. Ectodermal dysplasias. Am J Med Genet C Semin Med Genet 2004;131C:45-51.
  • 12 Clouston HR. A hereditary ectodermal dystrophy. Can Med Assoc J 1929;21:18-31.
  • 13 Pierard GE, Van Neste D, Letot B. Hidrotic ectodermal dysplasia. Dermatologica 1979;158:168-74.
  • 14 Reynold JM, Gold MB, Scriver CR. The characterization of hereditary abnormalities of keratin: Clouston's ectodermal dysplasia. Birth Defects Orig Artic Ser 1971;7:91-5.
  • 15 Hobkirk JA, Nohl F, Bergendal B, Storhaug K, Richter MK. The management of ectodermal dysplasia and severe hypodontia: International conference statements. J Oral Rehabil 2006;33:634-7.
  • 16 Worsaac N, Jensen BN, Holm B, Holsko J. Treatment of severe hypodontia-oligodontia: An interdisciplinary concept. Int J Oral Maxillofac Surg 2007;36:473-80.
  • 17 Guckes AD, Brahim JS, McCarthy GR, Rudy SF, Cooper LF. Using endosseous dental implants for ectodermal dysplasia. J Am Dent Assoc 1991;122:59-62.
  • 18 Lypka M, Yarmand D, Burstein J, Tso V, Yamashita DD. Dental implant reconstruction in a patient of ectodermal dysplasia using multiple bone grafting techniques. J Oral Maxillofac Surg 2008;66:1241-4.
  • 19 Salinas TJ, Sheridan PJ, Castellon P, Block Ms. Treatment planning for multiunit restorations: The use of diagnostic planning to predict implant and esthetic results in patients with congenitally missing teeth. J Oral Maxillofac Surg 2005;63:45-58.
  • 20 Sclar AG. Subepithelial connective tissue graft technique for dental implants in soft tissue and esthetic considerations in implant therapy.. Hanover Park, IL: Quintessence; 2003. p. 141-61.
  • 21 Balshi TJ, Wolfinger GJ. Treatment of congenital ectodermal dysplasia with zygomatic implants: A case report. Int J Oral Maxillofac Implants 2002;17:277-81.
  • 22 Marx RE, Shellenberger T, Wimsatt J, Correa P. Severely resorbed mandible: Predictable reconstruction with soft tissue matrix expansion (tent pole) grafts. J Oral Maxillofac Surg 2002;60:878-88.
  • 23 Kearns G, Sharma A, Perrott D, Schmidt B, Kaban L, Vargervik K. Placement of endosseous implants in children and adolescents with hereditary ectodermal dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:5-10.
  • 24 Rad AS, Siadat H, Monzavi A, Mangoli AA. Full mouth rehabilitation of a hypohidrotic ectodermal dysplasia patient with dental implants: A clinical report. J Prosthodont 2007;16:209-13.
  • 25 Ritto FG, Medeiros PJ, de Oliveira Mussel RL, de-Sá-Silva E. Rehabilitation of an adolescent with ectodermal dysplasia. Two-stage orthognathic, graft, and implant surgery: Case report. Implant Dent 2009;18:311-5.