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Background:
Treatment need is high in children with severe oligodontia and anodontia because they often suffer from functional and esthetic problems due missing teeth. As the intraforaminal region barely grows after eruption of the permanent mandibular incisors, dental implant treatment is a considered treatment option in these children.
Aim/Hypothesis:
To evaluate patient satisfaction and surgical and prosthetic care and aftercare related to the placement of 2 dental implants to retain mandibular overdentures in young children with severe oligodontia.
Material and Methods:
Four consecutive children (age 6 till 13 years) with no erupted teeth in the mandibula, suffering from functional and esthetic problems, were provided with an implant-retained overdenture on 2 dental implants. Surgical and prosthetic care and aftercare were scored. Finally, patient and parent satisfaction related to the implants and the overdenture was assessed at the end of the follow-up.
Results:
Patients and clinical assessments: Median follow-up was 5.2 years (range 3.2-8.4 years). Bleeding-index and probing depths were highest in patients with the longest follow-up. In all patients the esthetics improved after implant treatment. Complete dental arches were shown during smiling and the anterior face height also improved. Surgical and prosthetic aftercare: No implants were lost. Prosthetic aftercare was hardly needed. The number of visits for releasing sore spots or (de)activating retentions was low. In none of the patients changes occurred in the inter implant distance during growth of the individuals. Radiographic analysis: Hardly any peri-implant bone loss was observed in all patients on the orthopantomograms. A counterclockwise rotation of the implants in the sagittal plane was observed in two patients. Oral hygiene and satisfaction of patients and parent: All patients and parents were very positive about the implant treatment, but performing a proper oral hygiene was not always easy.
Conclusions and clinical implications:
A two implant-retained overdenture in children with no erupted mandibular teeth seems to be a safe treatment modality. Surgical and prosthetic care and aftercare is low and patients satisfaction is high. Finally, to ease cleansing, it is recommended in these children to choose for locator abutments.
Background:
Treatment need is high in children with severe oligodontia and anodontia because they often suffer from functional and esthetic problems due missing teeth. As the intraforaminal region barely grows after eruption of the permanent mandibular incisors, dental implant treatment is a considered treatment option in these children.
Aim/Hypothesis:
To evaluate patient satisfaction and surgical and prosthetic care and aftercare related to the placement of 2 dental implants to retain mandibular overdentures in young children with severe oligodontia.
Material and Methods:
Four consecutive children (age 6 till 13 years) with no erupted teeth in the mandibula, suffering from functional and esthetic problems, were provided with an implant-retained overdenture on 2 dental implants. Surgical and prosthetic care and aftercare were scored. Finally, patient and parent satisfaction related to the implants and the overdenture was assessed at the end of the follow-up.
Results:
Patients and clinical assessments: Median follow-up was 5.2 years (range 3.2-8.4 years). Bleeding-index and probing depths were highest in patients with the longest follow-up. In all patients the esthetics improved after implant treatment. Complete dental arches were shown during smiling and the anterior face height also improved. Surgical and prosthetic aftercare: No implants were lost. Prosthetic aftercare was hardly needed. The number of visits for releasing sore spots or (de)activating retentions was low. In none of the patients changes occurred in the inter implant distance during growth of the individuals. Radiographic analysis: Hardly any peri-implant bone loss was observed in all patients on the orthopantomograms. A counterclockwise rotation of the implants in the sagittal plane was observed in two patients. Oral hygiene and satisfaction of patients and parent: All patients and parents were very positive about the implant treatment, but performing a proper oral hygiene was not always easy.
Conclusions and clinical implications:
A two implant-retained overdenture in children with no erupted mandibular teeth seems to be a safe treatment modality. Surgical and prosthetic care and aftercare is low and patients satisfaction is high. Finally, to ease cleansing, it is recommended in these children to choose for locator abutments.
Background:
Treatment need is high in children with severe oligodontia and anodontia because they often suffer from functional and esthetic problems due missing teeth. As the intraforaminal region barely grows after eruption of the permanent mandibular incisors, dental implant treatment is a considered treatment option in these children.
Aim/Hypothesis:
To evaluate patient satisfaction and surgical and prosthetic care and aftercare related to the placement of 2 dental implants to retain mandibular overdentures in young children with severe oligodontia.
Material and Methods:
Four consecutive children (age 6 till 13 years) with no erupted teeth in the mandibula, suffering from functional and esthetic problems, were provided with an implant-retained overdenture on 2 dental implants. Surgical and prosthetic care and aftercare were scored. Finally, patient and parent satisfaction related to the implants and the overdenture was assessed at the end of the follow-up.
Results:
Patients and clinical assessments: Median follow-up was 5.2 years (range 3.2-8.4 years). Bleeding-index and probing depths were highest in patients with the longest follow-up. In all patients the esthetics improved after implant treatment. Complete dental arches were shown during smiling and the anterior face height also improved. Surgical and prosthetic aftercare: No implants were lost. Prosthetic aftercare was hardly needed. The number of visits for releasing sore spots or (de)activating retentions was low. In none of the patients changes occurred in the inter implant distance during growth of the individuals. Radiographic analysis: Hardly any peri-implant bone loss was observed in all patients on the orthopantomograms. A counterclockwise rotation of the implants in the sagittal plane was observed in two patients. Oral hygiene and satisfaction of patients and parent: All patients and parents were very positive about the implant treatment, but performing a proper oral hygiene was not always easy.
Conclusions and clinical implications:
A two implant-retained overdenture in children with no erupted mandibular teeth seems to be a safe treatment modality. Surgical and prosthetic care and aftercare is low and patients satisfaction is high. Finally, to ease cleansing, it is recommended in these children to choose for locator abutments.
Background:
Treatment need is high in children with severe oligodontia and anodontia because they often suffer from functional and esthetic problems due missing teeth. As the intraforaminal region barely grows after eruption of the permanent mandibular incisors, dental implant treatment is a considered treatment option in these children.
Aim/Hypothesis:
To evaluate patient satisfaction and surgical and prosthetic care and aftercare related to the placement of 2 dental implants to retain mandibular overdentures in young children with severe oligodontia.
Material and Methods:
Four consecutive children (age 6 till 13 years) with no erupted teeth in the mandibula, suffering from functional and esthetic problems, were provided with an implant-retained overdenture on 2 dental implants. Surgical and prosthetic care and aftercare were scored. Finally, patient and parent satisfaction related to the implants and the overdenture was assessed at the end of the follow-up.
Results:
Patients and clinical assessments: Median follow-up was 5.2 years (range 3.2-8.4 years). Bleeding-index and probing depths were highest in patients with the longest follow-up. In all patients the esthetics improved after implant treatment. Complete dental arches were shown during smiling and the anterior face height also improved. Surgical and prosthetic aftercare: No implants were lost. Prosthetic aftercare was hardly needed. The number of visits for releasing sore spots or (de)activating retentions was low. In none of the patients changes occurred in the inter implant distance during growth of the individuals. Radiographic analysis: Hardly any peri-implant bone loss was observed in all patients on the orthopantomograms. A counterclockwise rotation of the implants in the sagittal plane was observed in two patients. Oral hygiene and satisfaction of patients and parent: All patients and parents were very positive about the implant treatment, but performing a proper oral hygiene was not always easy.
Conclusions and clinical implications:
A two implant-retained overdenture in children with no erupted mandibular teeth seems to be a safe treatment modality. Surgical and prosthetic care and aftercare is low and patients satisfaction is high. Finally, to ease cleansing, it is recommended in these children to choose for locator abutments.