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Kirmeier, R; Gluhak, C; Marada, P; Wegscheider, WA; Eskici, A; Jakse, N.
Oral rehabilitation of adult twins with severe lack of bone due to hypohidrotic ectodermal dysplasia--a 12-month follow-up.
J Oral Maxillofac Surg. 2009; 67(1): 189-194. Doi: 10.1016/j.joms.2008.07.014 (- Case Report)
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Führende Autor*innen der Med Uni Graz
Kirmeier Robert
Co-Autor*innen der Med Uni Graz
Arnetzl Christine
Jakse Norbert
Wegscheider Walther
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Abstract:
Patients with x-linked hypohidrotic ectodermal dysplasia (XLHED, OMIM 305100) often present with exceptional oral conditions, because alveolar ridges can remain severely hypotrophic due to oligo- or anodontia in the primary and/or permanent dentition. This can seriously disable a young person physically and psychologically, and lead to sociopsychological isolation. The oral rehabilitation of fraternal male twins with XLHED, one with severe hypodontia and the other with anodontia is described. The treatment of both patients comprised augmentation of the jaws using bicortical corticocancellous bone blocks from the medial aspect of the anterior hip, delayed implantation, and restoration of the occlusion with bar-retained overdentures. The multidisciplinary team approach included an oral and maxillofacial surgeon, a prosthodontist, and a speech therapist. After uneventful healing, the 12-month follow-up showed that sufficient osseointegration of the implants for optimized function was obtained by creating adequate de novo bone volume in the underdeveloped jaw regions. Full regular masticatory function was achieved, and esthetics were improved considerably in both patients. Augmentation and implant placement prior to prosthetic rehabilitation appears to be a suitable treatment option for adult patients with XLHED.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Alveolar Bone Loss - etiology Alveolar Bone Loss - therapy
Alveolar Ridge Augmentation - methods
Anodontia - complications Anodontia - therapy
Bone Transplantation - methods
Dental Abutments -
Dental Implantation, Endosseous - methods
Dental Implants -
Dental Prosthesis, Implant-Supported -
Denture Design -
Denture Retention - methods
Denture, Overlay -
Ectodermal Dysplasia 1, Anhidrotic - complications
Follow-Up Studies -
Humans -
Jaw, Edentulous - etiology Jaw, Edentulous - rehabilitation
Male -
Maxillary Diseases - complications Maxillary Diseases - therapy
Oral Surgical Procedures, Preprosthetic - methods
Treatment Outcome -
Twins, Dizygotic -

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