J Adv Prosthodont.  2011 Jun;3(2):96-100. 10.4047/jap.2011.3.2.96.

Full mouth implant rehabilitation of a patient with ectodermal dysplasia after orthognathic surgery, sinus and ridge augmentation: a clinical report

• Bayat M
• Khobyari M
• Dalband M
• Momen-Heravi F

• KMID: 1975084
• DOI: http://doi.org/10.4047/jap.2011.3.2.96

Abstract

An 18-year-old male presented severe hypodontia due to hypohidrotic ectodermal dysplasia was treated with Le Fort I maxillary osteotomy with simultaneous sinus floor augmentation using the mixture of cortical autogenous bone graft harvested from iliac crest and organic Bio-Oss to position the maxilla in a right occlusal plane with respect to the mandible, and to construct adequate bone volume at posterior maxilla allowing proper implant placement. Due to the poor bone quality at other sites, ridge augmentation with onlay graft was done to construct adequate bone volume allowing proper implant placement, using tissue harvested from the iliac bone. Seven implants were placed in the maxilla and 7 implants were inserted in the mandible and screw-retained metal ceramic FPDs were fabricated. The two year follow up data showed that dental implants should be considered as a good treatment modality for patients with ectodermal dysplasia.

Keyword

Dental Implants; Ectodermal Dysplasia; Onlay Graft; Orthognathic Surgery

MeSH Terms

Adolescent
Anodontia
Ceramics
Dental Implants
Dental Occlusion
Ectoderm
Ectodermal Dysplasia
Follow-Up Studies
Humans
Inlays
Male
Mandible
Maxilla
Maxillary Osteotomy
Minerals
Mouth
Orthognathic Surgery
Sinus Floor Augmentation
Transplants
Ceramics
Dental Implants
Minerals

Figure

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  Fig. 1 A, B: Profile of the patient preoperatively.

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  Fig. 2 Pretreatment intraoral view showing disproportionate vertical dimension of occlusion, and underdeveloped alveolar ridges for implant rehabilitation.

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  Fig. 3 A, B: Pretreatment CT scan finding of the study prior to the bone augmentation.

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  Fig. 4 Panoramic view of patient after orthognathic surgery.

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  Fig. 5 Panoramic view after implant insertion and graft surgery showing positions of maxillary and mandibular dental implants.

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  Fig. 6 Panoramic view taken 24 months after delivery of final restoration.

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  Fig. 7 A, B: Patient's profiles.

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