Abstract
This case report illustrates a patient with non-syndromic oligodontia in which the treatment plan consisted of the combined disciplines of orthodontics and, restorative dentistry, to establish an aesthetic and functional dentition.
References
Nunn JH, Carter NE, Gillgrass TJ The interdisciplinary management of hypodontia: background and role of paediatric dentistry. Br Dent J. 2003; 194:245-251 https://doi.org/10.1038/sj.bdj.4809925
Hobkirk JA, Brook AH The management of patients with severe hypodontia. J Oral Rehabil. 1980; 7:289-298 https://doi.org/10.1111/j.1365-2842.1980.tb00447.x
Durey K, Cook P, Chan M The management of severe hypodontia. Part 1: Considerations and conventional restorative options. Br Dent J. 2014; 216:25-29 https://doi.org/10.1038/sj.bdj.2013.1236
Lush N, Holliday R, Chapple J Hypodontia: aesthetics and functions Part 1: aetiology and the problems. Dent Update. 2014; 41:811-815
Morgan C, Howe L The restorative management of hypodontia with implants: I. Overview of alternative treatment options. Dent Update. 2003; 30:562-568 https://doi.org/10.12968/denu.2003.30.10.562
Larmour CJ, Mossey PA, Thind BS Hypodontia – a retrospective review of prevalence and etiology. Part I. Quintessence Int. 2005; 36:263-270
Letra A, Chiquet B, Hansen-Kiss E Nonsyndromic tooth agenesis overview. In: Adam MP, Feldman J, Mirzaa GM (eds). Seattle, WA, USA: University of Washington; 2021
Gill DS, Jones S, Hobkirk J Counselling patients with hypodontia. Dent Update. 2008; 35:344-352 https://doi.org/10.12968/denu.2008.35.5.344
Holliday R, Lush N, Chapple J Hypodontia: aesthetics and function part 2: management. Dent Update. 2014; 41:891-898
Bishop K, Addy L, Knox J Modern restorative management of patients with congenitally missing teeth: 3. Conventional restorative options and considerations. Dent Update. 2007; 34:30-38 https://doi.org/10.12968/denu.2007.34.1.30
Laverty DP, Fairbrother K, Addison O The current evidence on retaining or prosthodontically replacing retained deciduous teeth in the adult hypodontia patient: a systematic review. Eur J Prosthodont Restor Dent. 2018; 26:2-15 https://doi.org/10.1922/EJPRD_01721Laverty14
Haselden K, Hobkirk JA, Goodman JR Root resorption in retained deciduous canine and molar teeth without permanent successors in patients with severe hypodontia. Int J Paediatr Dent. 2001; 11:171-178 https://doi.org/10.1046/j.1365-263x.2001.00257.x
Bjerklin K, Bennett J The long-term survival of lower second primary molars in subjects with agenesis of the premolars. Eur J Orthod. 2000; 22:245-255 https://doi.org/10.1093/ejo/22.3.245
Robinson S, Chan MF New teeth from old: treatment options for retained primary teeth. Br Dent J. 2009; 207:315-320 https://doi.org/10.1038/sj.bdj.2009.855
Ostler MS, Kokich VG Alveolar ridge changes in patients congenitally missing mandibular second premolars. J Prosthet Dent. 1994; 71:144-149 https://doi.org/10.1016/0022-3913(94)90022-1
Davenport JC, Basker RM, Heath JR A Clinical Guide to Removable Partial Denture Design. Part II Principles of Design.London: BDJ books; 2000
Fenton AH The decade of overdentures: 1970–1980. J Prosthet Dent. 1998; 79:31-36 https://doi.org/10.1016/s0022-3913(98)70190-8
Chhabra A, Chhabra N, Jain A, Kabi D Overdenture prostheses with metal copings: a retrospective analysis of survival and prosthodontic complications. J Prosthodont. 2019; 28:876-882 https://doi.org/10.1111/jopr.12756
Burke FJT, Mackenzie L, Shortall A Survival rates of resin composite restorations in loadbearing situations in posterior teeth. Dent Update. 2019; 46:524-536
Journey for a smile: multidisciplinary management of oligodontia. Case report
From Volume 52, Issue 1, January 2025 | Pages 54-59
Article
Hypodontia is considered the most prevalent multifactorial craniofacial developmental malformation in humans. The absence of one or a few teeth is termed mild to moderate hypodontia, and the term oligodontia is used to describe six or more missing teeth (severe hypodontia).1
The mandibular incisor has been frequently recorded as developmentally absent in Asian hypodontia studies, while the mandibular second premolar is most frequently absent in European hypodontia studies. Developmentally missing maxillary central incisors, canines or first permanent molars are a rare finding that can be found often in cases of severe hypodontia.2
Severe hypodontia or oligodontia is rare. Hobkirk and co-workers estimated the prevalence in the general population to be 0.1–0.2%, affecting the permanent dentition.3 Such patients commonly present with retention of the primary predecessor tooth, which is an early warning sign that the permanent successor may be absent.4 Other commonly associated dental anomalies presenting with hypodontia include microdontia, conical-form teeth, enamel hypoplasia, delayed dental development, delayed eruption, ectopic eruption of permanent teeth, transposition, disordered occlusal planes, infra-occlusion, lack of alveolar bone height and width, and increased overbite.5
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
What's included
- Up to 2 free articles per month
- New content available