EKTODERMAL DİSPLAZİLİ ÇOCUK HASTADA DENTAL TEDAVİ YAKLAŞIMI: BİR OLGU RAPORU

Ektodermal displazi diş, tırnak, saç, sinir hücreleri ve ter bezleri gibi embriyonik ektodermal kaynaklı yapıların iki veya daha fazlasında anormal gelişim ile ilişkili kalıtsal bir hastalıktır. Ektodermal displazi ter bezlerinin durumuna göre hidrotik ve anhidrotik/ hipohidrotik olarak ikiye ayrılırlar. Hipohidrotik tip X-bağlı resesif kalıtım gösterirken, hidrotik tip ise otozomal dominant kalıtım gösterir. Ektodermal displazinin en sık rastlanılan ağız bulgusu süt ve daimi dişlerdeki eksikliktir. Bu nedenle, etkilenen hastalara çoğunlukla gelişim yıllarında diş protez tedavileri yapılması önerilmektedir. Bu çalışmada hidrotik tip ektodermal displazi teşhisi konmuş, hipodonti ve onikodisplazi (displastik tırnak) gibi hastalığın tipik özelliklerini taşıyan bir olgunun ağız içi bulguları ve dental tedavi yaklaşımı sunulmuştur.

Anahtar Kelimeler:

Hidrotik Ektodermal displazi, hipodonti, otozomal dominant

DENTAL TREATMENT APPROACH IN PEDIATRIC PATIENT WITH ECTODERMAL DYSPLASIA : A CASE REPORT

Ectodermal dyplasia is a hereditary disease associated with abnormal development of two or more embryonic ectodermal structures such as teeth, nail, hair, nerve cells and sweat glands. According to the state of sweat glands involvement ectodermal dysplasia is divided into two major grups: hydrotic and hypohydrotic/ anhydrotic. As hypohydrotic type is inherited in X- linked mode, hydrotic type is inherited in autosomally dominant. The most common oral manifestation of ectodermal dysplasia is teeth deficiency in primary and/ or permenant dentition. Therefore, during the development of the child, protetic rehabilitations could be necessary. Hydrotic type of ectodermal dysplasia diagnosed case with the typical features of the diseas such as hypodontia and onycodysplasia is presented in this study in term of oral manifestation and dental treatment approach

Keywords:

Hydrotic ectodermal dysplasia, hypodontia, autosomal dominant,

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Lee CA, Damm DD, Neville BW, Allen C. Oral and maxillofacial pathology. 2008;741-2
Hickey AJ, Vergo TJ, Jr. Prosthetic treatments for patients with ectodermal dysplasia. J Prosthet Dent 2001;86:364-8.
Vieira KA, Teixeira MS, Guirado CG, Gaviao MB. treatment Prosthodontic ectodermal dysplasia with complete anodontia: case report. Quintessence Int 2007;38:75-80.
Tarjan I, Gabris K, Rozsa N. Early prosthetic treatment of patients with ectodermal dysplasia: a clinical report. J Prosthet Dent 2005;93:419-24.
Nunn JH, Carter NE, Gillgrass TJ, Hobson RS, Jepson NJ, Meechan JG et al. The interdisciplinary management of hypodontia: background and role of paediatric dentistry. Br Dent J 2003;194:245-51.
Kearns G, Sharma A, Perrott D, Schmidt B, Kaban L, Vargervik K. Placement of endosseous implants in children ectodermal dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:5-10.
Freire-Maia N. Ectodermal dysplasias. Hum Hered 1971;21:309-12.
CJ W. Oral Pathology. New York: McGraw-Hill; 1965.
Pigno MA, Blackman RB, Cronin RJ, Jr., Cavazos E. management Prosthodontic dysplasia: a review of the literature. J Prosthet Dent 1996;76:541-5. of ectodermal
NaBadalung DP. Prosthodontic rehabilitation of an anhidrotic ectodermal dysplasia patient: a clinical report. J Prosthet Dent 1999;81:499-502.
Imirzalioglu P, Uckan S, Haydar SG. Surgical and prosthodontic treatment alternatives for children and adolescents with ectodermal dysplasia: a clinical report. J Prosthet Dent 2002;88:569-72.
Ramos V, Giebink DL, Fisher JG, Christensen LC. Complete dentures for a child with hypohidrotic ectodermal dysplasia: a clinical report. J Prosthet Dent 1995;74:329-31.
Yavuz I, Baskan Z, Ulku R, Dulgergil TC, Dari O, Ece A et al. Ectodermal dysplasia: Retrospective study of fifteen cases. Arch Med Res 2006;37:403- 9.
Franchi L, Branchi R, Tollaro I. Craniofacial changes following early prosthetic treatment in a case of hypohidrotic ectodermal dysplasia with complete anodontia. ASDC J Dent Child 1998;65:116-21.
Shaw RM. Prosthetic management of hypohydrotic ectodermal dysplasia with anodontia. Case report. Aust Dent J 1990;35:113-6.
O'Dwyer MR, Renner RP, Fergusen FS. Overdenture treatment--one aspect of the team approach for the EEC syndrome patient. J Pedod 1984;8:192-205.
Hekmatfar S, Jafari K, Meshki R, Badakhsh S. Dental management of ectodermal dysplasia: two clinical case reports. J Dent Res Dent Clin Dent Prospects 2012;6:108-12.
Lo Muzio L, Bucci P, Carile F, Riccitiello F, Scotti C, Coccia E et al. Prosthetic rehabilitation of a child affected from anhydrotic ectodermal dysplasia: a case report. J Contemp Dent Pract 2005;6:120-6.
Rad AS, Siadat H, Monzavi A, Mangoli AA. Full mouth rehabilitation of a hypohidrotic ectodermal dysplasia patient with dental implants: a clinical report. J Prosthodont 2007;16:209-13.
Başkan Ülkü SZ, Yavuz İ. Ektodermal displazili hastalarda protetik yaklaşımlar. Atatürk Üniv Diş Hek Fak Derg 2001:21: 57-61.