Early Management of Non-Syndromic Hypodontia in a Child: Three-Year Follow-Up

Abstract

Hypodontia is the congenital absence of few teeth. The early multidisciplinary management of hypodontia assures the reestablishment of the disturbed psychological, aesthetic and oral functions. In this study, the clinical case of a child presenting a non-syndromic hypodontia with three agenesis teeth was described. No evidence of maxillary and mandibular third molars bud formation was noted on the orthopantomograph. To replace the two missing permanent mandibular central incisors, two mini-implants in the mandibular symphyseal region were placed and then restored by individually fixed prostheses. In the maxilla, the permanent canine in a complete transposition, was reshaped with composite resin restoration to replace the missing right permanent lateral incisor. Clinical and radiological reassessments were done 3 years later. The aesthetic and functional evaluations were satisfactory. The marginal bone level was stable with no bone loss. The periodontal health around the mini-implants were confirmed in conjunction with mechanical function.