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The use of an overdenture in a patient with numerous partially erupted and unerupted teeth Joshua Hudson Gulshana Choudhury Ken Hemmings Dental Update 2024 51:10, 707-709.
BDS, MSc, DRDRCS, MRDRCS, FDS RCS, ILTM, FHEA, Consultant in Restorative Dentistry and Honorary Clinical Associate Professor, Eastman Dental Hospital and Institute
Some medical conditions present with missing or malformed teeth and other unusual oral manifestations that complicate prosthodontic treatment. Outlining the simple and complicated treatment options to the patient allows them to make an informed decision about the treatment they wish to pursue. This report describes the management of a patient diagnosed with pseudohypoparathyroidism. Taking a patient-centred approach, with their involvement in the planning process, was essential to a successful outcome.
CPD/Clinical Relevance:
Adopting a holistic approach to treatment planning enables patients to make informed decisions, ensuring patient-centred care that not only targets the condition, but supports overall wellbeing.
Article
Numerous medical conditions present with unusual clinical features that complicate dental management. Table 1 presents a list of some of these more frequently encountered conditions. As a result of their rarity, aside from cleft lip and palate, there are no clear, standardized guidelines on the management of these patients. Therefore, a pragmatic approach to addressing the patient's specific aesthetic and functional concerns is required.
These patients may exhibit a range of dental anomalies as a symptom of their conditions, including hypoplastic teeth, hypodontia and deformities relating to the hard and soft tissues. These concurrent issues make conventional dental treatment challenging. Numerous prosthodontic challenges are encountered when teeth or tissues are missing or malformed that require careful planning and execution. Approaches to the dental management of these patients encompass a range of interventions, including direct composite resin restorations of hypoplastic teeth, extraction of impacted teeth and subsequent tooth replacement (including implant placement, conventional fixed prosthodontic treatment and the fabrication of dentures or overdentures) to restore the dentition to proper function.
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