Journal of Prevention and Treatment for Stomatological Diseases ›› 2018, Vol. 26 ›› Issue (7): 451-455.doi: 10.12016/j.issn.2096-1456.2018.07.008

• Cinical Study • Previous Articles     Next Articles

Clinical evaluation of implant-supported prostheses for edentulous patients with ectodermal dysplasia

Jing LIU1(), Kai ZHAO1,2, Xudong WANG3, Wei HUANG2, Feng WANG2, Lan JIA1(), Yiqun WU1,2()   

  1. 1. Second Dental Center, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai 201999, China
    2. Department of Dental Implant, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai 200011, China
    3. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai 200011, China
  • Received:2018-04-12 Revised:2018-05-09 Online:2018-07-20 Published:2018-08-30

Abstract:

Objective The aim of the present study was to evaluate the clinical outcomes of implant-supported prostheses for oral function rehabilitation in patients with ectodermal dysplasia. Methods Thirteen patients were included in the present study. After bone augmentation, zygomatic implants (ZIs) or regular implants (RIs) were placed, fabrication of dental prostheses were applied, and psychological and oral education was carried out. Implant survival rates, patient satisfaction and other related evaluation indicators were assessed. Results The ilium was chosen for autogenic bone grafts in two patients. The fibula was used in two other patients and the mandibular ramus in one other patient. One patient was treated through alveolar distraction osteogenesis of the mandible. Guided bone regeneration was applied in seven other patients. Bone graft resorption in the maxilla was observed in one patient; bone augmentation of the mandible was successful in all patients, and no obvious bone resorption was observed. One hundred and eighteen implants were placed, among which 22 were ZIs, and 96 were RIs. Five RIs failed and were removed. The survival rate for ZIs was 100%, and the survival rate for RIs was 94.79%, in a follow up after 3 years. All patients were satisfied with the restoration of their oral function. More than 50% of the patients exhibited self-confidence. Conclusion Oral function can be restored in edentulous ectodermal dysplasia patients using bone augmentation and implant-supported prostheses, and patient self-confidence can be enhanced. However, the resorption of grafted bone in the anterior region of the maxilla cannot be ignored.

Key words: Ectodermal dysplasia, Bone augmentation, Autogenous bone grafts, Alveolar distraction osteogenesis, Zygomatic implants

CLC Number: 

  • R782.1

Figure 1

Autogenous bone grafts in the edentulous maxilla"

Figure 2

Alveolar distraction osteogenesis in the edentulous mandible"

Table 1

PD and SBI measurements of 13 edentulous patients with ectodermal dysplasia over 1-3 years after receiving implant-supported prostheses"

时间 PD(n SBI(%)
0~3 mm 3~5 mm >5 mm 0 1 2 3
第1年 112 0 1 72.70 24.05 2.65 0.60
第2年 110 2 1 69.10 29.25 1.65 0
第3年 109 2 2 69.65 27.60 2.75 0

Table 2

Patient satisfaction evaluation n"

Table 3

Psychological evaluation of patients n"

心理 治疗前 治疗后
沮丧 12 5
自我形象欠佳 13 3
自尊欠佳 12 3
自信欠佳 12 4
交际参与 2 9
职业参与 0 2
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