Abstract
Statement of problem
Dental agenesis is a condition in which the absence of teeth causes debilitating problems,
primarily in speech, mastication, and esthetics. The optimal removable prosthetic
management for the condition is unclear.
Purpose
The purpose of this systematic review was to evaluate the spectrum of removable prosthetic
techniques with regard to the type of edentulism and to provide clinical guidance
for practicing dentists.
Material and methods
An electronic and manual search was conducted in the PubMed, Scopus, and Google Scholar
databases. Publications of case reports and series written in English without data
restrictions that reported on removable prosthodontic management of patients with
oligodontia, hypodontia, or anodontia were included.
Results
A total of 59 articles comprising 83 case reports were analyzed. In patients with
anodontia, the most common treatment option was an acrylic resin complete denture.
Hypodontia and oligodontia were commonly managed by using either a partial denture
or overdenture. Irreversible hydrocolloid or alginate was the most accepted material
for the preliminary impressions and elastomeric materials for definitive impressions.
The tooth arrangements were modified to simulate natural dentition and improve esthetics.
Modifications of conventional acrylic resin dentures have been proposed for improved
denture adaptation. Good retention is essential to the long-term success of prosthetic
treatment and may be achieved with a denture reline or with retention clasps. The
active growth of the patients means constant maintenance, including denture renewals
or repairs, emphasizing the need for long-term follow-up care.
Conclusions
Prosthodontic rehabilitation at an early age has been shown to significantly impact
the overall quality of life for a child with tooth agenesis.
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Article info
Publication history
Published online: March 13, 2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 by the Editorial Council for the Journal of Prosthetic Dentistry.
