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    82984-Article Text-200031-1-10-20121112

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    Yusuf Diansyah
    This case report describes a 13-year-old boy with non-syndromic oligodontia presenting with the congenital absence of all four second permanent molars and permanent mandibular incisors. Physical examination and medical investigations found no abnormalities associated with known genetic syndromes. The diagnosis of non-syndromic oligodontia was made based on the isolated dental findings and lack of systemic involvement. Treatment will involve reshaping teeth, extracting retained primary teeth, and a removable partial denture for rehabilitation.

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    82984-Article Text-200031-1-10-20121112

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    Yusuf Diansyah
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    This case report describes a 13-year-old boy with non-syndromic oligodontia presenting with the congenital absence of all four second permanent molars and permanent mandibular incisors. Physical examination and medical investigations found no abnormalities associated with known genetic syndromes. The diagnosis of non-syndromic oligodontia was made based on the isolated dental findings and lack of systemic involvement. Treatment will involve reshaping teeth, extracting retained primary teeth, and a removable partial denture for rehabilitation.

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    This case report describes a 13-year-old boy with non-syndromic oligodontia presenting with the congenital absence of all four second permanent molars and permanent mandibular incisors. Physical examination and medical investigations found no abnormalities associated with known genetic syndromes. The diagnosis of non-syndromic oligodontia was made based on the isolated dental findings and lack of systemic involvement. Treatment will involve reshaping teeth, extracting retained primary teeth, and a removable partial denture for rehabilitation.

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    © All Rights Reserved
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    Download as pdf or txt
    24 views3 pages

    82984-Article Text-200031-1-10-20121112

    Uploaded by

    Yusuf Diansyah
    This case report describes a 13-year-old boy with non-syndromic oligodontia presenting with the congenital absence of all four second permanent molars and permanent mandibular incisors. Physical examination and medical investigations found no abnormalities associated with known genetic syndromes. The diagnosis of non-syndromic oligodontia was made based on the isolated dental findings and lack of systemic involvement. Treatment will involve reshaping teeth, extracting retained primary teeth, and a removable partial denture for rehabilitation.

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    Non Syndromic Oligodontia … Tangade P and Batra M 219

    CASE REPORT

    NON SYNDROMIC OLIGODONTIA: CASE REPORT

    Pradeep Tangade1*, Manu Batra2


    ABSTRACT

    Oligodontia is a rare genetic disorder which represents the congenital absence of more than six teeth in
    primary, permanent or both dentitions. It is usually a part of a syndrome and seldom occurs as an
    isolated entity. Genes responsible for non syndromic oligodontia are found to be MSX1 and PAX9 genes.
    In this case report a 13 year old boy is presented who had absence of all four second permanent molars
    and permanent mandibular incisors. The maxillary central incisors presented with conical shape. During
    physical examination, there was no abnormality in either hairs or nails, perspiration was normal and no
    congenital clefts of lip or palate was seen. Hence in this case, Oligodontia is not associated with any
    syndrome which is a rare finding.

    INTRODUCTION eruption of permanent teeth, an increased freeway


    space and retention of deciduous teeth. Syndromic
    Missing of one or more teeth congenitally is most and non syndromic form of Oligodontia can be
    often seen during dental examination. Absence of differentiated by conducting thorough physical
    all teeth is quite rare but commonest forms are examination of hairs, nails, sweat glands, eyes and
    hypodontia and Oligodontia. The condition is to check for any congenital disorders.
    genetic in origin. Hypodontia involves the absence
    of 1 to 6 teeth whereas Oligodontia describes CASE REPORT
    condition in which more than six teeth are missing
    (1). A 13 year old boy reported to the Department for a
    In previous studies, it was seen that more routine dental check-up. His past medical history
    than 80% of hypodontia present with one or two was non-contributory and family history revealed
    congenitally missing teeth and only less than 1% that he was born to non-consanguineous marriage
    will present with six or more. The incidence of with normal delivery and no one in his family
    oligodontia usually varies from 0.08% to 0.16%. have congenitally missing teeth. The patient had
    It is a rare condition and the occurrence is no history of trauma or extractions. Extra oral
    common in girls in the ratio of 3:2 (2). examination revealed a face with normal facial
    Oligodontia can occur in association with profile and normal skeletal dental base relations
    various genetic syndromes, like ectodermal (fig 1). During clinical examination, maxillary
    dysplasia, Van Der Woude syndrome, Down central incisors were conical in shape along with
    syndrome and Reiger syndrome or as a bilateral peg shaped maxillary lateral incisors. The
    nonsyndromic isolated familial trait, or as an deciduous right mandibular central incisor and
    infrequent finding. Oligodontia is often related maxillary canines, first and second molars were
    with conical shaped teeth, microdontia, delayed retained and permanent mandibular incisors were

    1,2
    Department of Public Health Dentistry, Kothiwal Dental College & Research Centre, Kanth Road, Moradabad-
    244001, Uttar Pradesh, India
    *Corresponding author: Dr. Pradeep Tangade, Professor & Head of Department, Department Of Public Health
    Dentistry. Kothiwal Dental College & Research Centre, Kanth Road, Moradabad-244001, Uttar Pradesh, India. Email:
    [email protected]
    220 Ethiop J Health Sci. Vol. 22, No. 2 July 2012

    missing. Radiographically, in Orthopentomogram permanent mandibular central and lateral incisors


    (OPG) all four permanent second molars and were missing (fig 2).

    Figure 1: Clinical photograph of the subject

    A provisional diagnosis of non syndromic The treatment plan considered for the patient
    oligodontia was given with differential diagnosis included reshaping conical maxillary teeth,
    of Ectodermal Dysplasia; Rieger syndrome and followed by the extraction of all the retained
    Van der Woude syndrome. deciduous teeth present in both maxillary and
    Complete set of investigations were done mandibular arches. After healing of extraction
    which included routine examination of blood sites, removable partial denture will be considered
    including serum calcium, alkaline phosphate, for aesthetic and functional rehabilitation of the
    TSH, T3, T4. The findings of these investigations patient.
    were normal. During physical examination, hairs
    were not thin and sparse, nails were not brittle and DISCUSSION
    no difficulty in perspiration was seen which ruled
    out ectodemal dysplsia; on occular examination, Oligodontia is the term used most commonly in
    no signs of glaucoma was seen ruling out Rieger describing the phenomenon of congenitally
    syndrome and lastly Van Der Woude syndrome missing teeth. Oligodontia has been classified as
    was left out as there was cleft palate or any isolated or non-syndromic and syndromic
    mucosal cysts in lower lip. Hand wrist hypodontia (3). Although oligodontia can occur
    radiographic examination was normal. Finally over with 60 different syndromes, these anomalies
    based on above findings non syndromic can occur without any syndrome or systemic
    Oligodontia as final diagnosis was justified.
    Non Syndromic Oligodontia … Tangade P and Batra M 221

    Figure 2: Close up view of permanent dentition of patient showing conical permanent maxillary incisors;
    and Panoramic radiograph showing pattern of hypodontia: missing all four permanent second molars and
    mandibular incisors; retained primary mandibular central incisor is seen

    disease. However, oligodontia is seen more consideration. Taking this fact to account, the
    common in non-syndromic or familial form than dental fraternity should aim at treating the
    syndromic form (4). condition as early as possible and achieve both
    The biologic basis for the congenital absence prosthetic and aesthetic functionality of teeth.
    of permanent teeth is partially explained by the
    failure of the lingual or distal proliferation of the REFERENCES
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