Rehabilitation of ectodermal dysplasia patients presenting with hypodontia: outcomes of implant rehabilitation part 1  Mariela Machado, Christine Wallace, Bruce Austin, Suhas Deshpande, Agnes Lai, Terry Whittle, Iven Klineberg  Journal of Prosthodontic Research  Volume 62, Issue 4, Pages 473-478 (October 2018) DOI: 10.1016/j.jpor.2018.07.001 Copyright © 2018 Terms and Conditions

Fig. 1 Case 1. (A and C) Initial panoramic radiograph and clinical view at presentation. Note anterior diastema and impacted teeth. (B) OPG showing the placement of 4 implants in the anterior mandible (4× 3.75/10.0mm Branemark MK III TiUnite, Nobel Biocare). (D–F) Clinical presentation following fitting of a mandibular implant FDP attached to 4 implants and a maxillary partial RDP; with diastema reduction. Journal of Prosthodontic Research 2018 62, 473-478DOI: (10.1016/j.jpor.2018.07.001) Copyright © 2018 Terms and Conditions

Fig. 2 Case 2. (A) Initial panoramic radiograph. (B) OPG showing the placement of 4 implants (1× 3.75/10.0mm and 3× 3.75/11.5mm lOsseotite, Biomet 3i). (C–E) The patient received a mandibular implant FDP with a cantilever up to 10mm and a maxillary RDP. Journal of Prosthodontic Research 2018 62, 473-478DOI: (10.1016/j.jpor.2018.07.001) Copyright © 2018 Terms and Conditions

Fig. 3 Case 4. (A and B) Pre and post-treatment OPGs. (C) Frontal view of maxillary (2× 3.3/10.0mm, 1× 4.0/10.0mm Nobel Speedy, Nobel Biocare and 1× 3.75/10.0 Branemark MK III TiUnite, Nobel Biocare) and mandibular implant FDP (2× 5.0/8.5mm and 2× 3.75/13.0mm Osseotite, Biomet 3i). (D and E) Occlusal view of implant supported FDPs. (F and G) Lateral views of FDPs, showing minimal cantilever of the mandibular FDP. Journal of Prosthodontic Research 2018 62, 473-478DOI: (10.1016/j.jpor.2018.07.001) Copyright © 2018 Terms and Conditions

Fig. 4 Case 5. (A) Clinical view at presentation. Note deep bite suggesting a reduced occlusal vertical dimension. (B and C) Occlusal view of the maxilla and mandible at the presentation. (D–F) Ongoing orthodontics in the maxilla to allow space for further implant FDP in 12 and 22 position with preservation of remaining teeth. In the mandible, a FDP supported by 5 implants provides appropriate aesthetic rehabilitation and a restored occlusal vertical dimension with occlusal support for function (5× 3.75/11.5mm Branemark MK III TiUnite, Nobel Biocare). (G and H) Pre and post treatment OPGs. Journal of Prosthodontic Research 2018 62, 473-478DOI: (10.1016/j.jpor.2018.07.001) Copyright © 2018 Terms and Conditions

Fig. 5 Patients perceptions recorded with a visual analogue scale (VAS) indicated from 0 to 10, pre and post-treatments regarding aesthetics and speech. Journal of Prosthodontic Research 2018 62, 473-478DOI: (10.1016/j.jpor.2018.07.001) Copyright © 2018 Terms and Conditions

Fig. 6 Patients perceptions recorded with a visual analogue scale (VAS) indicated from 0 to 10, pre and post-treatments regarding diet and chewing. Journal of Prosthodontic Research 2018 62, 473-478DOI: (10.1016/j.jpor.2018.07.001) Copyright © 2018 Terms and Conditions