O O Bankole1, O I Iyun, O O Dosunmu. 1. Department of Child Oral Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. bumbank2002@Yahoo.Com
Abstract
BACKGROUND: oligodontia is a condition with developmental absence of six or more permanent teeth excluding the third molars. It is a rare finding which has not been frequently documented in Nigerian children. OBJECTIVE: to report a case of non syndromic oligodontia. METHODS: The details of the clinical presentation, course and outcome of a 9-year-old child with oligodontia were reviewed. The child was fully assessed clinically and orthopantomography was done. RESULTS: extra-oral examination revealed no abnormalities of the skin , hair, or nails. Intra orally, the primary canines and molars, the permanent upper left canine and permanent first molars were present. Carious lesions were seen on the primary molars present. An orthopantomograph revealed that thirteen permanent teeth were absent excluding the third molars. The carious primary molars were restored with glass ionomer cement and upper and lower acrylic partial dentures were fabricated for the patient. The importance of preventive measures and regular dental follow up was stressed. Mother was educated about probable treatment options for future dental management of the growing child. CONCLUSION: the consequences of missing teeth include abnormal occlusions or altered facial appearance which can cause psychological distress for some patients. For this reason, early diagnosis is important to prevent consequences of aesthetic and functional problems in the dentition.
BACKGROUND:oligodontia is a condition with developmental absence of six or more permanent teeth excluding the third molars. It is a rare finding which has not been frequently documented in Nigerian children. OBJECTIVE: to report a case of non syndromic oligodontia. METHODS: The details of the clinical presentation, course and outcome of a 9-year-old child with oligodontia were reviewed. The child was fully assessed clinically and orthopantomography was done. RESULTS: extra-oral examination revealed no abnormalities of the skin , hair, or nails. Intra orally, the primary canines and molars, the permanent upper left canine and permanent first molars were present. Carious lesions were seen on the primary molars present. An orthopantomograph revealed that thirteen permanent teeth were absent excluding the third molars. The carious primary molars were restored with glass ionomer cement and upper and lower acrylic partial dentures were fabricated for the patient. The importance of preventive measures and regular dental follow up was stressed. Mother was educated about probable treatment options for future dental management of the growing child. CONCLUSION: the consequences of missing teeth include abnormal occlusions or altered facial appearance which can cause psychological distress for some patients. For this reason, early diagnosis is important to prevent consequences of aesthetic and functional problems in the dentition.