title: Effect of complete dentures on craniofacial growth of an ectodermal dysplasia patient: a clinical report.
abstract: The aim of this clinical report was to observe the effect of complete dentures on craniofacial growth and development of an ectodermal dysplasia (ED) patient. A complete anodontia patient diagnosed with ED was successfully rehabilitated with conventional complete dentures at the ages of 5, 8, and 10 years. Three sets of complete dentures were made with age-appropriate denture teeth and a bilaterally balanced lingualized occlusal scheme. Periodic follow-up and adjustment when needed was done to maintain proper oral function and esthetics. Serial cephalometric analysis exhibited a marked restriction of forward growth at the anterior nasal spine (ANS) point between 5 and 10 years of age, although there was little change from average in the anteroposterior length of the mandibular body and the height of the mandibular ramus. So, while maxillary growth was reduced, mandibular growth did not significantly change. Cast analysis showed that the increase in arch length was greater than in arch width for both the maxilla and mandible. There was little increase in alveolar ridge height in the anterior region but a considerable increase in the height of the alveolar ridge in the middle and the posterior region. Our findings concluded that the absence of teeth did not affect the growth of the jaws, and it is probable that the denture flange did not arrest the jaw growth, but rather improved the masticatory function by providing good denture stability and retention.
authors: Department of Prosthodontics and Dental Material Sciences, Faculty of Dental Sciences, King George Medical University, Lucknow, U.P., India.
authors: Gaurav
authors: G
authors: Bhalla
authors: Kaushal Kishor
authors: KK
authors: Agrawal
authors: Pooran
authors: P
authors: Chand
authors: Kamleshwar
authors: K
authors: Singh
authors: Balandra Pratap
authors: BP
authors: Singh
authors: Prachi
authors: P
authors: Goel
authors: Habib Ahmed
authors: HA
authors: Alvi
mesh_terms: D000539:Alveolar Process / Q000000981:diagnostic imaging; D000848:Anodontia / Q000534:rehabilitation; D002508:Cephalometry / Q000379:methods; D002675:Child, Preschool; D003724:Dental Arch / Q000254:growth & development; D003767:Dental Occlusion, Balanced; D003779:Denture Design; D003781:Denture Retention; D003824:Denture, Complete; D004476:Ectodermal Dysplasia / Q000503:physiopathology*; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000254:growth & development; D008409:Mastication / Q000502:physiology; D008437:Maxilla / Q000254:growth & development; D008445:Maxillofacial Development / Q000502:physiology*; D009295:Nasal Bone / Q000254:growth & development; D011859:Radiography; D014093:Tooth, Artificial; D014716:Vertical Dimension
keywords: Age appropriate denture teeth; cast analysis; cephalometric analysis; complete anodontia; complete denture; lingualized occclusal scheme