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2023 ACP ANNUAL SESSION

October 25-28 | San Diego, CA

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103

A Temporary Fixed Prosthetic Solution for Ectodermal dysplasia with partial anodontia: A case report.

Part of Topic

Case Presentation

 A Temporary Fixed Prosthetic Solution for Ectodermal Dysplasia Patients 

 with Partial Anodontia: A Case Report

Background:

Ectodermal Dysplasia is a rare and challenging hereditary disorder with abnormal development of tissues and structures of ectodermal origin. (1)

A healthy 8-year-old male patient with Ectodermal Dysplasia was referred to the graduate Prosthodontics clinic at the University of Florida, Gainesville. As shown in the Orthopantomogram (fig.1), The patient has mixeddentition with partial anodontia. Previously, 2 sets of “Pedi Partials” were fabricated in the Pediatrics department to restore: function, esthetics, and phonetics. The mandibular denture became loose twice in a span of 2 months. It reported a fractured soldered joint next to the bands of deciduous #T and #K (Universal Numbering System ).

Objectives:

Most cases reported in the literature propose removable prostheses as an interim solution for patients with ED until their skeletal growth is completed. The use of a temporary material such as Polymethyl Methacrylate (PMMA) that can be frequently relined and does not hinder skeletal growth is an option to be explored. Therefore,  A fixed 10-unit provisional FDP indirectly fabricated using PMMA was the prosthesis of choice in this case.

Technical steps

• Careful and minimal crown-prepping of the previously prepared  deciduous canines and molars (Fig.2)
•  Wax-up to mimic the teeth on the stone cast Microstone, ISO type III dental stone(Whip mix,Louiseville) (Fig.3)
• Alike Temporary Crown Resin (GC America Inc.)  was used to fabricate a 10-unit FDP temporary shell, indirectly. A space for cement was created on the retainer crowns # T, R, M, and K. 
• The indirect 10-unit provisional FDP was relined with the same material, Clinically.
• The prosthesis was finished, polished, and cemented with Carboxylate Cement, Durelon™

(3M ESPE, Minnesota, USA). Occlusion was checked 

and adjusted accordingly using an articulating paper. 

•A 6 to 12 months Follow-up is recommended. (1)

conclusion:

The Fixed Polymethyl methacrylate (PMMA) provisional  FDP seems to be a promising alternative for pediatric patients suffering from ED. Frequent follow-up and reline are recommended because of the growth of the patient. 

 


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