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Management of hypodontia and caries in a dry mouth
Author(s) -
YOUNG* N.,
NORTH S.
Publication year - 2006
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/j.1365-263x.2006.00773_7.x
Subject(s) - medicine , hypodontia , dentistry , molar , orthodontics , permanent teeth , dentition , posterior teeth
Presenting problem: A fit and well 14‐year‐old girl was referred by a Consultant Orthodontist for management of her hypodontia. The patient's complaint was of difficulty chewing and poor dental appearance. Previous dental treatment comprised fissure sealants on first permanent molars and anterior restorations. A bilateral posterior open bite was present with a class three incisor relationship on a skeletal base III. Soft tissue examination revealed a dry mouth with a sinus associated with 53.There was severe hypodontia with retained 53, 55, 63, and 65. Caries was present in 11, 12, 16, 21, 22, 26, 36, 46, 53, 63, and 65. Clinical management: A rigorous preventive programme was implemented together with investigation of the cause of the xerostomia. Fissure sealants were placed on all non‐carious molars and premolars. Carious teeth were restored with composite, amalgam and preformed metal crowns all under local anaesthesia. The pulp of non‐vital 53 was extirpated and calcium hydroxide was placed to the extent of the root canal. Discussion: Diagnosis of the xerostomia was an important clinical finding, which had major implications for this patient with hypodontia. A combined team approach will be used to correct her malocclusion and provide a long‐term stable dentition.