Skip to main content
SpringerLink
Log in

Syndromic Hypodontia and Oligodontia: Ectodermal Dysplasias

  • Chapter
  • First Online:
Craniofacial and Dental Developmental Defects

Abstract

The lack of tooth formation or dental dysmorphic morphology is one of the phenotypes of various forms of the ectodermal dysplasias (ED). Teeth that do form are often altered in shape and contour and occasionally manifest with delayed eruption. The oral health-care team needs to work with affected individuals starting around the first year of life with age-appropriate and staged oral health interventions through adulthood. For most patients with ED, definitive rehabilitation (with or without implant treatment) should be delayed until skeletal maturity. Having said this, starting around age 2–3, pediatric removable prosthesis is appropriate with pediatric dentist-guided care through adulthood. As a part of the final reconstruction as a young adult, the team needs to plan for maintenance issues and complications and use a defined set of diagnostic risk factors in the assessment of the affected individual. Through careful assessment, planning, good team communication, and partnership with the affected individual and her/his family, a successful long-term solution can be developed that provides the best in patient-oriented outcomes.

A chapter submission for “Craniofacial and Dental Developmental Defects – Diagnosis and Management” – Dr. Tim Wright, editor

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Carmichael RP, Sandor GK. Use of dental implants in the management of syndromal oligodontia. Atlas Oral Maxillofac Surg Clin North Am. 2008;16(1):33–47.

    Article  PubMed  Google Scholar 

  2. Freire-Maia N, Pinheiro M. Ectodermal dysplasias – some recollections and a classification. Birth Defects Orig Artic Ser. 1988;24(2):3–14.

    PubMed  Google Scholar 

  3. Paulus C, Martin P. Hypodontia due to ectodermal dysplasia: rehabilitation with very early dental implants. Rev Stomatol Chir Maxillofac Chir Orale. 2013;114(3):e5–8.

    PubMed  Google Scholar 

  4. Diz P, Scully C, Sanz M. Dental implants in the medically compromised patient. J Dent. 2013;41(3):195–206.

    Article  PubMed  Google Scholar 

  5. Al-Ibrahim HA, Al-Hadlaq SM, Abduljabbar TS, Al-Hamdan KS, Abdin HA. Surgical and implant-supported fixed prosthetic treatment of a patient with ectodermal dysplasia: a case report. Spec Care Dentist. 2012;32(1):1–5.

    Article  PubMed  Google Scholar 

  6. Bidra AS, Martin JW, Feldman E. Complete denture prosthodontics in children with ectodermal dysplasia: review of principles and techniques. Compend Contin Educ Dent. 2010;31(6):426–33; quiz 34, 44.

    PubMed  Google Scholar 

  7. Van Sickels JE, Raybould TP, Hicks EP. Interdisciplinary management of patients with ectodermal dysplasia. J Oral Implantol. 2010;36(3):239–45.

    Article  PubMed  Google Scholar 

  8. Cronin Jr RJ, Oesterle LJ. Implant use in growing patients. Treatment planning concerns. Dent Clin N Am. 1998;42(1):1–34.

    PubMed  Google Scholar 

  9. Yap AK, Klineberg I. Dental implants in patients with ectodermal dysplasia and tooth agenesis: a critical review of the literature. Int J Prosthodont. 2009;22(3):268–76.

    PubMed  Google Scholar 

  10. Klineberg I, Cameron A, Hobkirk J, Bergendal B, Maniere MC, King N, et al. Rehabilitation of children with ectodermal dysplasia. Part 2: an international consensus meeting. Int J Oral Maxillofac Implants. 2013;28(4):1101–9.

    Article  PubMed  Google Scholar 

  11. Klineberg I, Cameron A, Whittle T, Hobkirk J, Bergendal B, Maniere MC, et al. Rehabilitation of children with ectodermal dysplasia. Part 1: an international Delphi study. Int J Oral Maxillofac Implants. 2013;28(4):1090–100.

    Article  PubMed  Google Scholar 

  12. Bassi F, Carr AB, Chang TL, Estafanous EW, Garrett NR, Happonen RP, et al. Economic outcomes in prosthodontics. Int J Prosthodont. 2013;26(5):465–9.

    Article  PubMed  Google Scholar 

  13. Bassi F, Carr AB, Chang TL, Estafanous EW, Garrett NR, Happonen RP, et al. Psychologic outcomes in implant prosthodontics. Int J Prosthodont. 2013;26(5):429–34.

    Article  PubMed  Google Scholar 

  14. Bassi F, Carr AB, Chang TL, Estafanous EW, Garrett NR, Happonen RP, et al. Functional outcomes for clinical evaluation of implant restorations. Int J Prosthodont. 2013;26(5):411–8.

    Article  PubMed  Google Scholar 

  15. Bassi F, Carr AB, Chang TL, Estafanous E, Garrett NR, Happonen RP, et al. Clinical outcomes measures for assessment of longevity in the dental implant literature: ORONet approach. Int J Prosthodont. 2013;26(4):323–30.

    Article  PubMed  Google Scholar 

  16. Bassi F, Carr AB, Chang TL, Estafanous E, Garrett NR, Happonen RP, et al. Oral Rehabilitation Outcomes Network-ORONet. Int J Prosthodont. 2013;26(4):319–22.

    Article  PubMed  Google Scholar 

  17. Stanford CM, Guckes A, Fete M, Srun S, Richter MK. Perceptions of outcomes of implant therapy in patients with ectodermal dysplasia syndromes. Int J Prosthodont. 2008;21(3):195–200.

    PubMed  Google Scholar 

  18. Stanford CM. Application of oral implants to the general dental practice. J Am Dent Assoc. 2005;136(8):1092–100; quiz 165–6.

    Article  PubMed  Google Scholar 

  19. De Coster PJ, Marks LA, Martens LC, Huysseune A. Dental agenesis: genetic and clinical perspectives. J Oral Pathol Med. 2009;38(1):1–17.

    Article  PubMed  Google Scholar 

  20. Kohli R, Levy S, Kummet CM, Dawson DV, Stanford CM. Comparison of perceptions of oral health-related quality of life in adolescents affected with ectodermal dysplasias relative to caregivers. Spec Care Dentist. 2011;31(3):88–94.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Stanford CM, Wagner W, Rodriguez YBR, Norton M, McGlumphy E, Schmidt J. Evaluation of the effectiveness of dental implant therapy in a practice-based network (FOCUS). Int J Oral Maxillofac Implants. 2010;25(2):367–73.

    PubMed  Google Scholar 

  22. Ozkurt Z, Kazazoglu E. Clinical success of zirconia in dental applications. J Prosthodont. 2010;19(1):64–8.

    Article  PubMed  Google Scholar 

  23. Bergendal B, Ekman A, Nilsson P. Implant failure in young children with ectodermal dysplasia: a retrospective evaluation of use and outcome of dental implant treatment in children in Sweden. Int J Oral Maxillofac Implants. 2008;23(3):520–4.

    PubMed  Google Scholar 

  24. Dueled E, Gotfredsen K, Trab Damsgaard M, Hede B. Professional and patient-based evaluation of oral rehabilitation in patients with tooth agenesis. Clin Oral Implants Res. 2009;20(7):729–36.

    Article  PubMed  Google Scholar 

  25. Gong DA, Lee JY, Rozier RG, Pahel BT, Richman JA, Vann Jr WF. Development and testing of the Test of Functional Health Literacy in Dentistry (TOFHLiD). J Public Health Dent. 2007;67(2):105–12.

    Article  PubMed  Google Scholar 

  26. Richman JA, Lee JY, Rozier RG, Gong DA, Pahel BT, Vann Jr WF. Evaluation of a word recognition instrument to test health literacy in dentistry: the REALD-99. J Public Health Dent. 2007;67(2):99–104.

    Article  PubMed  Google Scholar 

  27. Chalmers I. Well informed uncertainties about the effects of treatments. BMJ. 2004;328(7438):475–6.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Monti P, Russo D, Bocciardi R, Foggetti G, Menichini P, Divizia MT, et al. EEC- and ADULT-associated TP63 mutations exhibit functional heterogeneity toward P63 responsive sequences. Hum Mutat. 2013;34(6):894–904.

    Article  PubMed  Google Scholar 

  29. Patzelt SB, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2013. doi: 10.1111/cid.12068. [Epub ahead of print]

  30. Cooper LF, Pin-Harry OC. “Rules of Six” – diagnostic and therapeutic guidelines for single-tooth implant success. Compend Contin Educ Dent. 2013;34(2):94–8, 100–1; quiz 2, 17.

    PubMed  Google Scholar 

  31. Sanz M, Cecchinato D, Ferrus J, Salvi GE, Ramseier C, Lang NP, et al. Implants placed in fresh extraction sockets in the maxilla: clinical and radiographic outcomes from a 3-year follow-up examination. Clin Oral Implants Res. 2014;25:321–7.

    Article  PubMed  Google Scholar 

  32. Lindhe J, Bressan E, Cecchinato D, Corra E, Toia M, Liljenberg B. Bone tissue in different parts of the edentulous maxilla and mandible. Clin Oral Implants Res. 2013;24(4):372–7.

    Article  PubMed  Google Scholar 

  33. Januario AL, Duarte WR, Barriviera M, Mesti JC, Araujo MG, Lindhe J. Dimension of the facial bone wall in the anterior maxilla: a cone-beam computed tomography study. Clin Oral Implants Res. 2011;22(10):1168–71.

    Article  PubMed  Google Scholar 

  34. Araujo MG, Lindhe J. Socket grafting with the use of autologous bone: an experimental study in the dog. Clin Oral Implants Res. 2011;22(1):9–13.

    Article  PubMed  Google Scholar 

  35. Huynh-Ba G, Pjetursson BE, Sanz M, Cecchinato D, Ferrus J, Lindhe J, et al. Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clin Oral Implants Res. 2010;21(1):37–42.

    Article  PubMed  Google Scholar 

  36. Tomasi C, Sanz M, Cecchinato D, Pjetursson B, Ferrus J, Lang NP, et al. Bone dimensional variations at implants placed in fresh extraction sockets: a multilevel multivariate analysis. Clin Oral Implants Res. 2010;21(1):30–6.

    Article  PubMed  Google Scholar 

  37. Stanford CM. Issues and considerations in dental implant occlusion: what do we know, and what do we need to find out? J Calif Dent Assoc. 2005;33(4):329–36.

    PubMed  Google Scholar 

  38. Klineberg I, Murray G. Osseoperception: sensory function and proprioception. Adv Dent Res. 1999;13:120–9.

    Article  PubMed  Google Scholar 

  39. Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent. 1999;81(5):537–52.

    Article  PubMed  Google Scholar 

  40. Papaspyridakos P, Chen CJ, Chuang SK, Weber HP, Gallucci GO. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients. Int J Oral Maxillofac Implants. 2012;27(1):102–10.

    PubMed  Google Scholar 

  41. English CE. Biomechanical concerns with fixed partial dentures involving implants. Implant Dent. 1993;2(4):221–42.

    Article  PubMed  Google Scholar 

  42. Rieder CE, Parel SM. A survey of natural tooth abutment intrusion with implant-connected fixed partial dentures. Int J Periodontics Restorative Dent. 1993;13(4):334–47.

    PubMed  Google Scholar 

  43. Stanford CM, Maze G. Prosthetic considerations for implant surgery. Pract Proced Aesthet Dent. 2006;18(5):suppl 8.

    Google Scholar 

  44. Olsson M, Gunne J, Astrand P, Borg K. Bridges supported by free-standing implants versus bridges supported by tooth and implant. A five-year prospective study. Clin Oral Implants Res. 1995;6(2):114–21.

    Article  PubMed  Google Scholar 

  45. Stanford CM, Brand RA. Toward an understanding of implant occlusion and strain adaptive bone modeling and remodeling. J Prosthet Dent. 1999;81(5):553–61.

    Article  PubMed  Google Scholar 

  46. Garetto LP, Chen J, Parr JA, Roberts WE. Remodeling dynamics of bone supporting rigidly fixed titanium implants: a histomorphometric comparison in four species including humans. Implant Dent. 1995;4(4):235–43.

    Article  PubMed  Google Scholar 

  47. Bidra AS. Three-dimensional esthetic analysis in treatment planning for implant-supported fixed prosthesis in the edentulous maxilla: review of the esthetics literature. J Esthet Restor Dent. 2011;23(4):219–36.

    Article  PubMed  Google Scholar 

  48. Kan JY, Rungcharassaeng K, Liddelow G, Henry P, Goodacre CJ. Periimplant tissue response following immediate provisional restoration of scalloped implants in the esthetic zone: a one-year pilot prospective multicenter study. J Prosthet Dent. 2007;97(6 Suppl):S109–18.

    Article  PubMed  Google Scholar 

  49. Berglundh T, Lindhe J. Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol. 1996;23(10):971–3.

    Article  PubMed  Google Scholar 

  50. Stanford CM. Achieving and maintaining predictable implant esthetics through the maintenance of bone around dental implants. Compend Contin Educ Dent. 2002;23(9 Suppl 2):13–20.

    PubMed  Google Scholar 

  51. LeSage BP, Lindeboom JA, Tjiook Y, Kroon FH, Spangberg LS, Tozum TF, et al. Improving implant aesthetics: prosthetically generated papilla through tissue modeling with composite. Pract Proced Aesthet Dent. 2006;18(4):257–63.

    PubMed  Google Scholar 

  52. Yeo AB, Cheok CB. Management strategies of the unsalvageable tooth. Dent Update. 2006;33(1):7–8,10–2.

    PubMed  Google Scholar 

  53. Adolfi D, de Freitas AJ, Groisman M. Achieving aesthetic success with an immediate-function implant and customized abutment and coping. Pract Proced Aesthet Dent. 2005;17(9):649–54.

    PubMed  Google Scholar 

  54. Gapski R, Wang HL, Mascarenhas P, Lang NP. Critical review of immediate implant loading. Clin Oral Implants Res. 2003;14(5):515–27.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The University of Illinois at Chicago, 801 South Paulina Street, 102c (MC621), Chicago, IL, 60612, USA

    Clark M. Stanford DDS, PhD

Authors
  1. Clark M. Stanford DDS, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Clark M. Stanford DDS, PhD .

Editor information

Editors and Affiliations

  1. Department of Pediatric Dentistry, University of North Carolina School of Dentistry, Chapel Hill, North Carolina, USA

    J Timothy Wright

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Stanford, C.M. (2015). Syndromic Hypodontia and Oligodontia: Ectodermal Dysplasias. In: Wright, J. (eds) Craniofacial and Dental Developmental Defects. Springer, Cham. https://doi.org/10.1007/978-3-319-13057-6_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-13057-6_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13056-9

  • Online ISBN: 978-3-319-13057-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation