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Help! Treatment planning hypodontia case

Thomas Monahan Paul Goodman
6 years ago

A child that I diagnosed with Hypodontia 12 years ago and referred to a pedodontist returned last week. 

He is a senior in high school now, and would like to be able to smile confidently. 

Aside from being too young for implants, the lack of permanent teeth never allowed the ridge to widen so extensive grafting would be necessary for any implants to be placed. 

I am thinking of opening his bite with some overlays on the primary molars.  Then single wing MD bridges on 8 and 9 to replace 7 and 10. I don't want to do anything irreversible to the incisors until implants are an option.  On the Mandibular incisors, I was thinking of trying some Veneer / crowns . The just some composite bonding to correct some of the other areas.

 

Any thoughts are appreciated

Thanks

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