Difficulties in prosthetic rehabilitation of a pediatric patient with Ectoderma Dysplasia – case report

Vol. 10 – Number 39 – 2021 Case report Page 21-25 Difficulties in prosthetic rehabilitation of a pediatric patient with Ectoderma Dysplasia – case report Karina Mirabelli1 Ana Luiza Costa Silva de Omena2 Julio Cesar Bassi3 Isabela Floriano4 Tamara Kerber Tedesco5 José Carlos Pettorossi Imparato6 Abstract Ectoderma dysplasia is a syndrome characterized by malformation in the tissues derived from the embryonic leaflet ectoderm, causing changes in the epidermis and its accessory structures, such as hair, hair, nails, teeth and glands. The dental surgeon, in most cases, is the first to suspect this syndrome due to dental absences, which can vary from simple agenesis or even anodontics. Therefore, the alveolar bone does not develop very well and the ridge has an unfavorable morphology for a good rehabilitation. The present work aims, through a clinical case, to describe the difficulty of prosthetic rehabilitation in a patient with Ectoderma Dysplasia in preschool age (3 years), due to the absence of teeth. The treatment defined for this patient was the protocol proposed in the most current bibliographic references, which consists of rehabilitation as early as possible, through the manufacture of upper and lower removable prostheses, in order to enable better nutrition, phonetics, facial expressions and social interaction. After the finalized treatment, we conclude that the early prosthetic rehabilitation, although recommended in the literature, must first be evaluated individually, as it depends on the minimal cooperation of the patient and total family commitment for the success of the treatment. Descriptors: Ectodermal dysplasia, anodontia, hypotrichosis. 1 Esp. and Me. – SL Mandic. 2 MSc in Pediatric Dentistry – SL Mandic, MSc in Orthodontics – Cesmac University Center. 3 Dr. in Dentistry – Cruzeiro do Sul University, Associate Professor, UNISANTA. 4 Dr. in Dental Sciences – Pediatric Dentistry – USP, Full Professor of Pediatric Dentistry – Uninovafapi. 5 Dr. in Dental Science – Pediatric Dentistry – USP, Professor – UNIB. 6 Prof. Dr. and Full Professor, Department of Orthodontics and Pediatric Dentistry – FOUSP, Coordinator of Post-Graduation in Pediatric Dentistry – SL Mandic. DOI: 10.24077/2021;10392125