외배엽 이형성증 어린이의 구강 회복 - 증례보고
ALTERNATIVE ORAL REHABILITATION OF A CHILD WITH ECTODERMAL DYSPLASIA - A CASE REPORT -
이은경, 김지연, 김신, 정성희,
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이은경 ( Lee Eun-Gyung ) - 부산대학교 치의학전문대학원 소아치과학교실
김지연 ( Kim Ji-Yeon ) - 부산대학교 치의학전문대학원 소아치과학교실
김신 ( Kim Shin ) - 부산대학교 치의학전문대학원 소아치과학교실
정성희 ( Jeong Sung-Hee ) - 부산대학교 치의학전문대학원 소아치과학교실
KMID : 1144020170130010023
Abstract
Ectodermal Dysplasia is a genetic disorder caused by the abnormal development of two or more structures derived from the ectodermal layer. As an aspect in dentistry, ectodermal dysplasia is characterized by hypodontia, conical or peg-shaped teeth, reduced salivary secretion and decreased vertical dimension. These unfavorable oral conditions make children to have difficulties with mastication, esthetics, and even in social activities.
This case report presents an alternative oral rehabilitation treatment of a 4-year-old boy with ectodermal dysplasia. A removable space maintainer with artificial teeth in maxillary arch was delivered according to the initial treatment plan. However, the child failed to adapt the appliance because of his masticatory habit. Then a fixed-type space maintainer was delivered on the patient’s esthetic demand and it restored function, esthetics and self-esteem of the patient.
The treatment described here suggests that individually customized considerations are essential for the oral rehabilitation of a patient with ectodermal dysplasia.
키워드
Ectodermal Dysplasia; Oral Rehabilitation; Space Maintainer
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