Using of modified rapid palate expander with miniscrews in a patient affected by ectodermic dysplasia

doi: 10.7417/CT.2019.2127

  • G. Ierardo DDS, PhD RTDB, UOC Odontoiatria Pediatrica, Sapienza Università di Roma
  • V. Luzzi DDs, PhD RTDB, UOC Odontoiatria Pediatrica,Sapienza Università di Roma
  • G.L. Sfasciotti MD, DDS Professore Associato, UOC Odontoiatria Pediatrica,Sapienza Università di Roma
  • G. Nardacci DDS Specializzanda Odontoiatria Pediatrica Sapienza Università di Rom
  • A. Polimeni MD, DDS Professore Ordinario, Direttore UOC Odontoiatria Pediatrica, Sapienza Università di Roma
  • I. Vozza DDS, PhD Professore Associato, UOC Odontoiatria Pediatrica, Sapienza Università di Roma, Italia

Abstract

Objective
To show the orthodontic treatment in a 8-year-old patient affected by Ectodermal Dysplasia (hypohidrotic type) and presenting multiple agenesiae, contraction of the maxilla and skeletal Class III malocclusion.


Study design
Because of both oligodontia of primary and secondary dentition and no good retention and anchoring, a hybrid modified rapid palatal expander (RPE) was used. It presented dental anchoring with two bands on first upper molars and skeletal anchoring with two miniscrews in the anterior palate. The project included the use of a CBTC for the bone examination and precise silicon dental impression for the insertion of miniscrews.


Results
The procedure was successful and the patient solved the expansion in few days, so RPE has been embedded throughout 6 months in order to develop the bone at the median suture.


Conclusion
This case report can be considered as a valid example for approaching patients affected by Ectodermal Dysplasia with multiple agenesiae and palatal contraction because of the difficult retention.

Published
2019-06-05
How to Cite
IERARDO, G. et al. Using of modified rapid palate expander with miniscrews in a patient affected by ectodermic dysplasia. La Clinica Terapeutica, [S.l.], v. 170, n. 3, p. e168 - e173, june 2019. ISSN 1972-6007. Available at: <http://www.clinicaterapeutica.it/ojs/index.php/ClinicaTerapeutica/article/view/417>. Date accessed: 18 june 2019.
Section
Case Report