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Document Type |
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Article In Journal |
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Document Title |
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Ectodermal Dysplasia In Children :Clinical Study And Oral Rehabilitation Ectodermal Dysplasia In Children :Clinical Study And Oral Rehabilitation |
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Document Language |
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English |
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Abstract |
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Aim:
The aim of the present study was (1) To describe the dental findings in
children with ectodermal dysplasia (ED), (2) To evaluate the restorative and
prosthodontic treatment that was provided to these children, (3) To evaluate
the related oral health quality of life (QOL) measures.
Patients and Methods:
Eight children suffering from ED were presented to the outpatient
clinic of the Pediatric Dentistry Department for oral rehabilitation. They were
subjected to dental clinical and radiographic evaluation. Restorative and
prosthodontic treatment was provided to improve speech, masticatory
function and facial esthetics of these children. The children were recalled for
clinical and radiographic evaluations after 1 week (baseline), 6, 12 and 18
months. The oral health-related QOL measures were evaluated before and 4
weeks after oral rehabilitation.
Results:
Dental clinical examination and panoramic radiographs revealed
a mean of 12.6 missing permanent teeth in the ED group. Maxillary central
incisors, maxillary first molars, maxillary canines and mandibular first
molars showed lowest percentage of absence (were most stable). Asymmetry
in absent teeth was present in almost all tooth types. Clinical follow-up after
6, 12 and 18 months revealed 100% success rate for amalgam fillings,
formocresol pulpotomies and stainless steel crowns. Radiographic follow-up
of formocresol pulpotomies after 6, 12 and 18 months showed 100% success
rate. For composite strip crowns and removable partial overdentures,
a clinical success rate of 100% was found after 6 and 12 months. This
dropped to 87.5% after 18 months.
Conclusions:
From the present study, it can be concluded that:
(1) Clinical dental and radiographic examinations are important in
diagnosing cases of ED. The number of missing teeth, abnormal
crown forms, asymmetry in missing units are characteristic in cases
of uncertain diagnosis.
(2) A clinical success rate of 87.5% for composite strip crowns and
removable partial overdentures in comparison to 100% for amalgam
fillings, formocresol pulpotomies and stainless steel crowns was
recorded at the end of the study.
(3) Early dental intervention improved the patients’ appearance, speech
and masticatory function.
(4) Oral rehabilitation was successful, establishing the function and
improving the social living and QOL of these children. |
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ISSN |
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0 |
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Journal Name |
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Egyption Dental Journal |
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Volume |
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52 |
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Issue Number |
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1 |
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Publishing Year |
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1426 AH
2006 AD |
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Article Type |
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Article |
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Added Date |
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Thursday, November 8, 2007 |
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Researchers
| عمر المليجي | EL-Meligy, Omar | Researcher | Doctorate | omeligy@kau.edu.sa |
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