Treatment of a Patient with a Congenital Tooth Anomaly by an Implant-Supported Fixed Hybrid Prosthesis: A Case Presentation

Yeliz Hayran and Nihat Akbulut

Department of Prosthodontics, Gaziosmanpasa University, Turkey
Department of Oral and Maxillofacial Surgery, Gaziosmanpasa University, Turkey

^*Correspondance to: Nihat Akbulut 

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Abstract:

Objective: Tooth agenesis, or hypodontia, refers to situations in which one or more teeth have not developed. However, oligodontia is used to describe six or more permanent teeth deficiencies. Severe hypodontia influences a person’s appearance, chewing, speech functions, and psychology. This case report presents a prosthetic treatment approach that combined a conventional fixed prosthesis and an implant supported fixed hybrid prosthesis using ankylosed primary teeth, permanent teeth, and an implant for a patient with a congenital tooth anomaly. Case: An 18-year-old male patient attended our clinic for a prosthodontic rehabilitation with a diagnosis of oligodontia. There were several primary teeth and a class IV molar relationship in the patient’s mouth, with an open bite on the posterior teeth on the right side. Some of the primary teeth were ankylosed. The ankylosed primary teeth were retained in the mouth, while the other primary teeth were extracted. Two implants were placed in the area where the lateral teeth were located. The fixed prosthetic rehabilitation of the patient was performed with a combination of a conventional fixed prosthesis and an implant-supported fixed hybrid prosthesis using the ankylosed primary teeth, permanent teeth, and implants. The posterior open bite on the right side was closed via a prosthetic restoration.
Conclusion: In cases where severe hypodontia affects the amount of alveolar bone negatively, an implant supported fixed hybrid prosthesis can be applied and, if necessary, ankylosed primary teeth can be used as an abutment for the fixed prosthetic restoration.

Keywords:

Prosthesis; Implant; Congenital tooth anomaly

Cite the Article:

Hayran Y, Akbulut N. Treatment of a Patient with a Congenital Tooth Anomaly by an Implant-Supported Fixed Hybrid Prosthesis: A Case Presentation. World J Surg Surgical Res. 2018; 1: 1019.