title: Implant-supported fixed prosthesis in a hypohidrotic ectodermal dysplasia patient: a case report with 3 years follow-up and review of the literature.
abstract: BACKGROUND
  Ectodermal dysplasia (ED) is a rare inherited disorder that affects structures derived from embryonic ectoderm. Due to associated ridge deficiency, and anodontia found in these patients, multiple surgeries are often indicated before replacement of missing teeth with implants, resulting in increased morbidity and treatment time.
  
  
  METHODS
  In this case report, a 31-year-old woman was transitioned from failing tooth-supported fixed restorations to a fully implant-supported fixed prosthesis using immediate implants and narrow diameter implants (NDI). By using some of her existing dentition to support the provisional restorations while osseointegration took place, the patient was able to retain function during treatment. Full-fixed implant-supported prostheses were delivered, providing an esthetic and functional outcome that has been maintained for 3 years.
  
  
  CONCLUSIONS
  In ED patients, NDI together with immediate implant placement can be used successfully to support a complete fixed restoration and should be considered as an alternative to major reconstruction surgeries. Key factors associated with increased predictability are discussed together with a review of the literature.
authors.affiliation: *Director, Advanced Education in Periodontics, School of Dental Medicine, Department of Periodontics, Georgia Regents University, Augusta, GA. †Resident, Advanced Education in Periodontics, School of Dental Medicine, Department of Periodontics, Georgia Regents University, Augusta, GA. ‡Private Practice, Margate City, NJ. §Private Practice, King of Prussia, PA.
authors.forename: J Kobi
authors.initials: JK
authors.lastname: Stern
authors.forename: Trisha
authors.initials: T
authors.lastname: Hansen
authors.forename: Joel
authors.initials: J
authors.lastname: Frankel
authors.forename: Cyril
authors.initials: C
authors.lastname: Evian
mesh_terms: D000328:Adult; D019094:Dental Prosthesis, Implant-Supported; D053358:Ectodermal Dysplasia 1, Anhidrotic / Q000628:therapy*; D005260:Female; D006801:Humans