Case Report
Rehabilitation of Non-Syndromic Oligodontia of Primary and Permanent Dentition in Young patient-A Rare Case Report
Rathee Manu1*, Goel Mahesh2, Kumar Arun3, Mehta Richa1 and Kundu Renu1
1Department of Prosthodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
2Department of Oral & Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
3Department of Pedodontics & Preventive Dentistry, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
- *Corresponding Author:
- Rathee Manu
Sr. Professor and HOD
Department of Prosthodontics
Post Graduate Institute of Dental Sciences
Rohtak, Haryana, India
Tel: +919416141376
E-mail: ratheemanu@gmail.com
Received date: November 26, 2013; Accepted date: March 26, 2014; Published date: April 3, 2014
Citation: Rathee M, Mahesh G, Arun K, Richa M, Renu K (2014) Rehabilitation of Non-Syndromic Oligodontia of Primary and Permanent Dentition in Young patient-A Rare Case Report. J Interdiscipl Med Dent Sci 2:117. doi:10.4172/2376-032X.1000117
Copyright: © 2014 Manu R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Oligodontia is a genetic disorder which represents the congenital absence of more than six teeth in primary, permanent or both dentitions. It is usually a part of a syndrome and seldom occurs as an isolated entity. Genes responsible for non syndromic oligodontia are found to be MSX1 and PAX9 genes.
Methods: Karyotyping was done taking sample from peripheral blood. Cytogenetic chromosome analysis revealed a normal male karyotype (46, XY) without any structural or numerical chromosome abnormalities. Hand wrists, clavicles, vertebral skeleton, skull and chest were found to be normal on radiological examination. After excluding other possible differential factors, the final diagnosis of non-syndromic Oligodontia was made. Preliminary impressions were made using impression compound and was molded on the edentulous ridge. Custom trays were fabricated and border molding was done using green stick impression compound and secondary impressions were made using zinc oxide eugenol impression paste. After maxillo-mandibular jaw relations, dentures were processed through compression molding technique. Dentures were inserted and the patient was taught about the insertion and removal of the dentures. Post insertion instructions regarding denture wear, functions of speech, mastication, hygiene and maintenance were given to the patient and the parent.
Results: The patient was using prosthesis and happy with it during one year follow up. The rehabilitation with removable dentures at current age and later with osseo-integrated implants served as a satisfactory treatment outcome in such patients.
Conclusion: This case report presents prosthodontic rehabilitation of a rare case of non-syndromic oligodontia in a 7-year old male patient with agenesis of all permanent teeth except the maxillary central incisors.