Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1 (5-Year IF – 2.0)
Journal Citation Indicator (JCI) (2023) – 0.4
Scopus CiteScore – 3.7 (CiteScore Tracker 3.8)
Index Copernicus  – 171.00; MNiSW – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2017, vol. 26, nr 6, September, p. 1005–1012

doi: 10.17219/acem/63094

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Clinical factors in prosthodontic treatment of children with genetic defects

Natalia Kościelska1,B,C,D, Zdzisław Bogucki1,A,E,F

1 Department of Dental Prosthetics, Wroclaw Medical University, Poland

Abstract

Background. Prosthodontic treatment of children with genetic disorders is an area that is rarely examined in the current specialist literature. Few prosthodontists will undertake treatment of such patients, who will more often be referred to an orthodontic specialist. After examining the 4 cases of children with genetic disorders described in this paper, it can be concluded that when a prosthodontist includes a few additional procedures in the treatment process, he or she can successfully help such patients.
Objectives. The aim of this paper is to indicate the clinical difficulties faced by prosthodontists who undertake prosthodontic rehabilitation of children with genetic disorders.
Material and Methods. The paper is based on data collected during the prosthodontic treatment of 4 children, aged 5–12 years with genetic defects, and analysis of the body of work concerning these defects and their treatment.
Results. Presentation of guidelines for the prosthodontic treatment process and creation of dentures for treated children based on extended procedures.
Conclusion. A prosthodontist is a crucial person in a team of specialists treating disorders within the face among children with a genetic predisposition. A basic knowledge of orthodontics and psychology facilitates the treatment. Prosthetic restoration in the treatment group does not always require complicated operations. Individualization of the tools for downloading orthodontic impressions, designing denture elements and an increased number of checkups are the additional procedures. For the clinician, the emotional aspect of the treatment is the main impediment. Maintaining a good relationship with a patient and his or her caregivers requires interpersonal skills.

Key words

cardio-facio-cutaneous syndrome (CFCs), ectodermal dysplasia (ED), cherubism, prosthodontic treatment of children

References (13)

  1. Majewski S. Specyfika leczenia protetycznego pacjentów w wieku rozwojowym. Współczesna Protetyka Stomatologiczna. Podstawy teoretyczne i praktyka kliniczna. Wrocław: Elsevier Urban & Partner;2014:241–245.
  2. de Flassilier-Popławska J. Psychologia dziecka. In: Szpringer-Nodzak M, Wochna-Sobańska M. Stomatologia wieku rozwojowego. Warszawa: PZWL;2006:240–250.
  3. Thergaonkar RW, Vivek Bhat. Cardiofaciocutaneous syndrome. Med J Armed Forces India. 2013;69(2):175–177.
  4. Goodwin AF, Oberoi S, Landan M, et al. Craniofacial and dental development in cardio-facio-cutaneous syndrome: The importance of Ras signaling homeostasis. Clinical Genetics. 2013;83(6):539–544.
  5. Cwajda K. Hipodoncja uzębienia mlecznego i stałego w przebiegu dysplazji ektodermalnej. Poradnik Stomatologiczny. 2011;XI(10):438–441.
  6. Labda R, Gangadhar SA, Kasat VO, Bhandari AJ. Prosthodontic management of hypohidrotic ectodermal dysplasia with anodontia: A case report in pediatric patient and review of literature. Ann Med Health Sci Res. 2013;3(2):277–281.
  7. Bala S, Nikhil M, Chugh A, Narwal A. Prosthetic rehabilitation of a child suffering from hypohidrotic ectodermal dysplasia with complete anodontia. Int J Clin Pediatr Dent. 2012;5(2):148–150.
  8. Trivedi BD, Bhatia R. Complete and removable pertial prosthesis for a child with hypohidrotic ectodermal dysplasia. Int J Clin Pediatr Dent. 2013;6(1):71–74.
  9. Hekmatfer S, Jafari K, Meshki R, Badakhsh S. Dental management of ectodermal dysplasia: Two clinical case reports. J Dent Res Dent Clin Dent Prospect. 2012;6(3):108–112.
  10. Yilmaz B, Ozan O, Karaagaclioglu L, Ersoy AE. A prosthetic treatment approach for a cherubism patient: A clinical report. J Prosthet Dent 2006;96(5):313–316.
  11. Papadaki ME, Lietman SA, Levine MA, Olsen BR, Kaban LB, Reichenberger EJ. Cherubism: Best clinical practice. Orphanet J Rare Dis. 2012;7:S6.
  12. Lima G, Almeida JD, Cabral LA. Cherubism: Clinicoradiographic features and treatment. J Oral Maxillofac Res. 2010;1(2):e2.
  13. Murray JJ. The prevention of dental disease. Oxford University Press;1983.
© Wroclaw Medical University