Abstract

Full Mouth Rehabilitation of an Ectodermal Dysplasia Patient with Hypodontia and Reduced Vertical Dimension Using Metal Ceramic Restorations: A Case Report

Ashish. R. Jain and T. Janani

Oral rehabilitation of the hypohidrotic ectodermal dysplasia (HED) patient is recommended to improve both the sagittal and vertical skeletal relationship as well as to provide improvements in esthetics, speech, and masticatory efficiency. It has also proven to boost the self-esteem of the patient. This clinical report describes the full mouth reha- bilitation of a HED patient who was clinically monitored for a period of 3 months to evaluate her adaptability to the new increased vertical dimension at occlusion achieved with the help of an overlay removable partial denture (ORPD) for a period of 3 weeks, and provisional restoration for an additional period of 3 months to determine esthetic and functional outcome with provisional restoration, which was followed by the placement of final definitive prosthesis, designed based on shortened dental arch (SDA) scheme, which eliminates the need for invasive implant surgeries. The occlusal cant was corrected by a conservative approach using the macroesthetic elements of smile design, which helps to establish the occlusal plane in a simple and reliable technique.