TY - JOUR
T1 - Treatment Strategies for Patients with Regional Odontodysplasia
T2 - A Presentation of Seven New Cases and a Review of the Literature
AU - Hess, Pernille
AU - Lauridsen, Eva Fejerskov
AU - Daugaard-Jensen, Jette
AU - Worsaae, Nils
AU - Kofod, Thomas
AU - Hermann, Nuno Vibe
PY - 2020/9/4
Y1 - 2020/9/4
N2 - PURPOSE: Regional odontodysplasia (RO) is a rare dental anomaly affecting primary and/or permanent dentition, and leads to comprehensive treatment need. The purpose of this study was to present a larger consecutive sample with RO, discuss treatment strategies for patients with RO, and review the literature.MATERIALS AND METHODS: A consecutive, retrospective sample of seven children with RO (6 males, 1 female) including all patients diagnosed with RO in the eastern part of Denmark was conducted over a period of 15 years. The evaluation included gender, localisation and treatment outcome. A review of the literature and cases published within the last 15 years was conducted.RESULT: Referral age was 2-12 years (mean: 7.3 years). The gender ratio was 1:6 (female:male), and the right:left ratio was 3:4. 71% of the patients had RO in the mandible and 29% in the maxilla. 43% had RO in the permanent dentition, while both primary and permanent dentition were affected in 57%. Typically, RO affected incisors and canines. In some patients, RO also affected more distal tooth types. Treatment included early multiple extractions and subsequent combined orthodontics, surgery and prosthetics. A search on RO cases published within the last 15 years was conducted and included 44 cases. The review showed a male and maxillary preponderance. The most common treatment of RO is extraction.CONCLUSION: Treatment of RO should take place in interdisciplinary, specialised teams, and individual treatment plans should be designed. Fewer but more extensive treatment sessions under general anesthaesia may minimise the burden of care for the patients.
AB - PURPOSE: Regional odontodysplasia (RO) is a rare dental anomaly affecting primary and/or permanent dentition, and leads to comprehensive treatment need. The purpose of this study was to present a larger consecutive sample with RO, discuss treatment strategies for patients with RO, and review the literature.MATERIALS AND METHODS: A consecutive, retrospective sample of seven children with RO (6 males, 1 female) including all patients diagnosed with RO in the eastern part of Denmark was conducted over a period of 15 years. The evaluation included gender, localisation and treatment outcome. A review of the literature and cases published within the last 15 years was conducted.RESULT: Referral age was 2-12 years (mean: 7.3 years). The gender ratio was 1:6 (female:male), and the right:left ratio was 3:4. 71% of the patients had RO in the mandible and 29% in the maxilla. 43% had RO in the permanent dentition, while both primary and permanent dentition were affected in 57%. Typically, RO affected incisors and canines. In some patients, RO also affected more distal tooth types. Treatment included early multiple extractions and subsequent combined orthodontics, surgery and prosthetics. A search on RO cases published within the last 15 years was conducted and included 44 cases. The review showed a male and maxillary preponderance. The most common treatment of RO is extraction.CONCLUSION: Treatment of RO should take place in interdisciplinary, specialised teams, and individual treatment plans should be designed. Fewer but more extensive treatment sessions under general anesthaesia may minimise the burden of care for the patients.
KW - Child
KW - Dentition, Permanent
KW - Female
KW - Humans
KW - Incisor
KW - Male
KW - Mandible
KW - Odontodysplasia
KW - Retrospective Studies
KW - regional odontodysplasia
KW - treatment
KW - case report
KW - dental anomaly
U2 - 10.3290/j.ohpd.a45070
DO - 10.3290/j.ohpd.a45070
M3 - Review
C2 - 32895649
SN - 1602-1622
VL - 18
SP - 669
EP - 681
JO - Oral health & preventive dentistry
JF - Oral health & preventive dentistry
IS - 1
ER -