Sažetak sa skupa
Prosthetic Therapy of a Seven Year Old Patient with Oligodontia
D. Kovačević
Z. Delić
Z. Kovač
R. Gržić
I. Uhač
Z. Braut
Sažetak
A seven year old male patient was referred by his dentist to a specialist in dental prothetics with a diagnosis of oligodontia. Examination of the orthopantomogram showed germs of only eight teeth. No teeth were present in the oral cavity. The first permanent molars had been esctracted because of caries. From the case history and a clinical examination, it was established that the boy had craniofacial dysmorphosis/ dysostosis and hypertelorizm with lower positioned and poorly formed ears. He had diagnosis of thickening
of the right ventriculus. Kariotype normal. Also presented adactyly of digits II and III manus et pedis, clinodactyly of digit I, and syndactyly of digits IV and V was surgically treated. By examining the oral cavity, angulus infectiosus oris was diagnosed caused by lowered vertical dimension of occlusion and candidiasis lingue, and consequently the boy was referred to an oral pathologist for appropriate therapy. Special attention is required when fabricating a complete denture in a child's mouth in orded not to comprome
any prosthetic principle. Thus, we were faced with several problems including how to find impression trays of adequate size, and how to explain to the patient the procedure of functional movements, achievement of rest position, and the artificial teeth selection.
Because of the small and narrow dental arches we decided for the smallest size of artificial teeth (D28) and reduced occlusion. The artificial teeth were modified and reduced. The second molar took the place of the first molar. With color and shape we tried to imitate deciduous teeth. After insertion of the complete dentures and control
examination, the patient was given an appointment for making new dentures in six months, because of the growth and development of the maxilla and mandible.
Ključne riječi
Hrčak ID:
10242
URI
Datum izdavanja:
15.9.2002.
Posjeta: 1.812 *